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Peritoneal Mesothelioma Asbestos Symptoms<br><br>The digestive system is frequently affected by the symptoms of peritoneal mesothelioma. This is because asbestos fibers get ingested and become embedded in the stomach's lining, called the peritoneum.<br><br>In time the fibers cause mutations in healthy peritoneal cells. Cancerous tumors grow in the peritoneum as a result of.<br><br>The diagnosis of mesothelioma can be a challenge. Early signs can be confused with symptoms of other conditions like hernias, or irritable Bowel Syndrome.<br><br>Symptoms<br><br>When asbestos fibers are breathed in, they can be absorbed into the lungs and then travel throughout the body. The fibers may then become trapped in the linings the abdomen and other organs. This can cause inflammation and irritation, which results in the development of tumors. This process can take years to develop and many patients are unaware of their asbestos exposure until it's too late.<br><br>Asbestos fibers can get trapped in the tissues that line the abdominal cavity, or other organs, which can cause malignant peritoneal melanoma. It is the second most frequent mesothelioma type, however it can be difficult to identify because the initial symptoms are not specific and similar to those of digestive disorders. Patients suffering from peritoneal mesothelioma typically have stomach pain, fatigue, and digestive problems.<br><br>After a physical examination and a review of medical history, and a series of tests in the laboratory, mesothelioma patients are diagnosed with peritoneal cancer. An X-ray or CT scan can help doctors detect any lumps or signs of disease. In some cases mesothelioma physicians may require a biopsy to get an accurate diagnosis.<br><br>Peritoneal mesothelioma symptoms typically begin in the abdomen and can cause severe abdominal discomfort as well as weight loss, bloating swelling of the belly, nausea, vomiting and other digestive issues. The symptoms can also include chest pain, swelling, and fatigue. It is important for victims to seek medical advice in the event of these symptoms, as they could be caused by something other than mesothelioma.<br><br>Despite the difficulty of diagnosing peritoneal [https://brockca.com/home.php?mod=space&uid=578716 mesothelioma lawyer], victims typically receive the appropriate treatment to extend their lives. In the majority of cases, this is done through surgery and heated chemotherapy.<br><br>If you or a loved one have been diagnosed with peritoneal cancer, contact our mesothelioma attorneys to learn more about how we can assist. We can connect you to [https://king-wifi.win/wiki/Madison_Mesothelioma_Lawyer_Vimeo_Tips_That_Will_Change_Your_Life mesothelioma lawsuit] specialists near you who can assist you in bringing a suit against the asbestos companies that are responsible for your exposure. We can also assist you in ensuring that you receive the financial compensation that you deserve. Complete our online form to start the process. We can assist you in obtaining the best possible outcome by working with top mesothelioma attorneys.<br><br>Diagnosis<br><br>The first step in diagnosing peritoneal mesothelioma is to get an complete medical history. Doctors will ask patients about their asbestos exposure and the date it occurred. A physical examination will be conducted. Blood tests, X-rays, and CT scans are typically utilized in the initial check-up.<br><br>Due to the long period of latency, peritoneal mesothelioma can be difficult to diagnose. Patients may experience symptoms such as abdominal pain, fever and nausea that are similar to other conditions. These symptoms aren't specific and can confuse doctors. Mesothelioma, a rare cancer that can take years to manifest symptoms following exposure to asbestos is a rare disease.<br><br>Asbestos fibers inhaled or consumed travel to the stomach lining called the peritoneum. Asbestos fibers that are sharp irritate mesothelium when they reach the peritoneum. Over time, this irritation causes inflammation and scar tissue. This leads to abnormal cell growth and tumors.<br><br>Researchers are working to develop methods to detect mesothelioma in its earliest stages. The stage of [https://community.umidigi.com/home.php?mod=space&uid=1313594 mesothelioma lawsuit] is the basis for the treatment options.<br><br>A mesothelioma specialist can conduct a paracentesis or percutaneous needle biopsy to collect mesothelioma tumors to be tested in the lab. These tests can reveal the type of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor, and assist doctors to develop the best treatment plan.<br><br>Specialists in mesothelioma also determine the stage of the patient. Staging determines which treatments might be most effective and helps mesothelioma lawyers determine which asbestos companies to pursue in mesothelioma lawsuits.<br><br>When a mesothelioma doctor analyzes the results of a biopsy they create an analysis report that contains details on the type of mesothelioma. The report could also include a staging system that describes how far the cancer has spread in the body. The higher the stage of cancer is, the less likely the patient is to respond to treatment. Lawyers can explain the implications of this for a particular client's case.<br><br>Treatment<br><br>When inhaled or swallowed asbestos fibers get encased in the tissue that lines the abdomen and other organs. They damage DNA and can cause irritation to cells. This can lead to the development of tumors. Typically, peritoneal cancer develops in the lining of the abdomen. Peritoneal mesothelioma is rarer than pleural mesothelioma, and typically affects women more.<br><br>The symptoms of peritoneal cancer are similar to those that are associated with digestive disorders like Crohn's disease and irritable colon disease, making it hard for doctors to recognize. Because of this, early symptoms can be mistaken for normal ailments and can persist for months or even years before a patient is given an mesothelioma-related diagnosis.<br><br>In addition to a thorough medical history, a doctor will run bloodwork and imaging tests to rule out other diseases and conditions that may cause the same symptoms as mesothelioma. These tests can also be used to determine the best treatment options.<br><br>Since peritoneal mesothelioma can develop in the abdominal lining A doctor will conduct an examination to confirm the diagnosis. A biopsy is the process of removing small portions of the affected area to be examined by pathologists. Biopsies can reveal cancerous cells and identify the type of Mesothelioma.<br><br>If a diagnosis of peritoneal cancer has been established doctors will discuss options for treatment with the patient. The aim of any treatment plan is usually to decrease the size and the number of tumors. Surgery is often the first option, however patients can also look into chemotherapy and immunotherapy.<br><br>Unlike the chest-based treatments for pleural mesothelioma that are administered via the lung, peritoneal mesothelioma treatments are injected orally or intravenously. Chemotherapies that are injected, such as heated intraperitoneal chemotherapy (HIPEC) have been able to prolong the life of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.<br><br>Individuals diagnosed with peritoneal mesothelioma may be eligible to bring an asbestos lawsuit against negligent companies. A knowledgeable mesothelioma attorney ([https://securityholes.science/wiki/The_No_1_Question_Everybody_Working_In_Mesothelioma_Lawsuit_Deadline_Should_Be_Able_Answer mouse click the following web page]) will evaluate a patient's situation and recommend legal options. Contact us today to get started. It's absolutely free, and confidential, and there is no obligation. We provide nationwide representation.<br><br>Prognosis<br><br>Mesothelioma cancer is extremely rare. Because doctors aren't experienced, many patients are misdiagnosed with other diseases. Fortunately mesothelioma specialists can help with the diagnostic process and provide patients with the right treatment.<br><br>Asbestos exposure is the sole known cause of peritoneal mesthelioma. Asbestos fibers can cause irritation to abdominal tissues and cell mutations when consumed or inhaled. This may cause tumors to develop mesothelioma within the peritoneum in time.<br><br>Construction or manufacturing work is usually the first area where asbestos exposure can begin. These industries can employ products that contain asbestos, like insulation and fireproofing. Asbestos can also be found in household products, such as flooring and roof tiles. Even the smallest amounts of exposure can put someone at risk for mesothelioma. Because mesothelioma is a chronic disease with a long time to develop patients may be diagnosed with peritoneal cancer decades after their initial exposure.<br><br>Peritoneal mesothelioma symptoms may appear similar to other conditions and can be mistaken for hernias, digestive problems such as Crohn's disease or colitis, or other forms of abdominal cancer. Many patients do not disclose their asbestos exposure, and do not seek medical attention. If mesothelioma has been identified experts may suggest a biopsy for a more precise diagnosis. A biopsy is the process of removing a small portion of the affected tissue to test. This procedure can reveal whether the mesothelioma is epithelioid (epidermoid), the sarcomatoid (sarcomatoid) or biphasic.<br><br>If [https://hougaard-meldgaard-3.blogbright.net/mesothelioma-lawyer-attorney-tools-to-simplify-your-everyday-life/ mesothelioma lawsuit] has not spread, doctors can remove the tumors. They can also provide a curative treatment. The specialist can also determine if the cancer has expanded to the abdomen. They can then prescribe palliative treatment for the patient. For instance paracentesis, which is a procedure to drain fluid from the abdomen.<br><br>If mesothelioma progresses the chances of survival are less. The reason for this is that the tumors can become resistant to certain treatments and may develop a recurrence. The specialist may recommend a combination of chemotherapy and surgery. Surgical options include cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. This combination is more likely to improve a patient's prognosis than chemotherapy alone.
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Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos symptoms typically affect the digestive system. This is because asbestos fibers are consumed and are absorbed into the stomach's lining, called the peritoneum.<br><br>As time passes, these fibers cause changes to healthy peritoneal cells. Cancerous tumors develop in the peritoneum as a result of.<br><br>Mesothelioma is a difficult condition to identify. The early signs may be confused with other symptoms like hernias, or irritable Bowel syndrome.<br><br>Symptoms<br><br>Asbestos fibers can move through the body when inhaled. From there, they can get trapped in the lining of the abdomen or other organs, causing inflammation and irritation that eventually leads to tumor growth. This process can take decades to develop, and a lot of victims do not know that they are exposed to asbestos until it is too late.<br><br>Malignant peritoneal mesothelioma occurs when asbestos fibers are trapped in the tissue that lines the abdominal cavity and other organs. It is the second most common mesothelioma. However it can be difficult for doctors to identify since the first symptoms aren't specific. They can also be similar to gastrointestinal disorders. Patients with peritoneal mesothelioma frequently suffer from stomach pain, fatigue and gastrointestinal issues.<br><br>After a physical examination, reviewing medical history and a series of laboratory tests, mesothelioma patients are diagnosed with peritoneal cancer. A X-ray as well as a CT scan can help doctors identify any lumps or other symptoms of disease. In some cases mesothelioma physicians may request a biopsy for an precise diagnosis.<br><br>Peritoneal Mesothelioma symptoms typically begin in the abdomen and can cause severe abdominal discomfort, bloating and weight loss. They may also cause nausea and vomiting as well as other digestive issues. Other symptoms include chest pain, fatigue and swelling. If these symptoms are present it is essential that victims seek medical attention as they could be caused by other conditions.<br><br>Despite the difficulty in diagnosing peritoneal msothelioma patients can often be treated to prolong their lives. In the majority of cases, this involves surgical treatment and heated chemotherapy.<br><br>If you or a loved one have been diagnosed with peritoneal mesothelioma, call our [https://www.98e.fun/space-uid-9099134.html mesothelioma lawyers] to learn how we can assist. We can help you locate an expert in your area who can assist you in filing an asbestos lawsuit against asbestos-related companies responsible for your exposure. We can also assist you in ensuring that you receive the financial compensation that you deserve. Fill out our online form to start the process. We can help you get the best possible outcome working with the best mesothelioma lawyers; [http://www.nzdao.cn/home.php?mod=space&uid=639094 mouse click on www.nzdao.cn],.<br><br>Diagnosis<br><br>To diagnose peritoneal msothelioma, it is important to have an extensive medical history. Doctors will ask the patient about their asbestos exposure and when it happened. They also conduct a physical exam. Initial tests typically include blood tests and X-rays and CT scans.<br><br>Due to the long latency period, peritoneal mesothelioma is often difficult to identify. Patients may be afflicted by symptoms like abdominal pain, nausea and fever that are similar to other illnesses. These nonspecific symptoms may confuse doctors. Mesothelioma is a rare type of cancer that can take decades for symptoms to appear after exposure to asbestos.<br><br>Inhaled or ingested asbestos fibers travel into the stomach lining, called the peritoneum. Asbestos fibers are sharp and irritate mesothelium when they reach the peritoneum. This irritation can cause inflammation and scar tissue over time. This leads to abnormal cell growth and tumors.<br><br>Researchers are working on ways to detect the disease early. The stage of mesothelioma is the basis for the treatment options.<br><br>A mesothelioma expert can perform paracentesis (percutaneous needle biopsy) to collect samples for tests in the laboratory. These tests can reveal the type of cancer cells (epithelioid or sarcomatoid) within the tumor and aid doctors come up with the best treatment strategy.<br><br>Mesothelioma specialists can also determine the stage of mesothelioma a patient is. The stage determines the most effective treatment and helps mesothelioma lawyers know which asbestos companies are liable in mesothelioma suits.<br><br>If a mesothelioma specialist analyzes the results from a biopsy, he or she creates a pathology report which contains details about the type mesothelioma. The report may also include a staging system that describes how far the cancer has spread in the body. The higher the stage the more likely it is that it will respond to treatment. A lawyer can explain what this means for a client's case.<br><br>Treatment<br><br>Inhalation or swallowing asbestos fibers are embedded in the tissues that line the abdomen and other organs. They damage DNA and can cause irritation to cells. Over time, this leads to the development of tumors in the lining. The majority of the time, peritoneal mesothelioma is found in the abdomen's lining called the peritoneum. Peritoneal mesothelioma occurs less frequently than pleural mesothelioma. It usually affects women more.<br><br>Symptoms of peritoneal mesothelioma are similar to those of gastrointestinal diseases like irritable bowel disorder and Crohn's disease. This makes it difficult for doctors to diagnose the condition. Because of this, early symptoms can be mistaken for normal ailments and can persist for months or even years before a patient receives an mesothelioma-related diagnosis.<br><br>A doctor will also conduct tests on blood and imaging to rule out other conditions or diseases that could trigger the same symptoms of mesothelioma. These tests will help to determine the best treatment options.<br><br>A biopsy is performed by a doctor to confirm the diagnosis. This is because peritoneal Msothelioma can be found in the abdominal lining. A biopsy involves the removal of small samples of the affected area to be examined by pathologists. Biopsies are able to reveal cancerous cells and identify the type of Mesothelioma.<br><br>If a diagnosis of peritoneal cancer is confirmed doctors will discuss treatment options with the patient. Generally, the goal of the treatment plan is to decrease the size and amount of tumors. Surgery is often the first option, but patients can also look into chemotherapy and immunotherapy.<br><br>In contrast to chest-based therapies for pleural [https://trade-britanica.trade/wiki/History_Of_Ogden_Mesothelioma_Lawsuit_The_History_Of_Ogden_Mesothelioma_Lawsuit mesothelioma lawsuit] which are administered via the lung, the peritoneal mesothelioma treatment are administered intravenously or orally. Chemotherapies like injections, such as heated intraperitoneal chemotherapy (HIPEC) have been able to prolong the life of many patients. HIPEC is a method that was invented by mesothelioma pioneer Paul Sugarbaker.<br><br>Patients suffering from peritoneal asbestosis may be eligible to sue negligent asbestos companies. A mesothelioma lawyer with experience will review the case of a patient and suggest legal options. Contact us today to start. Contact us now. It's free, confidential and there's absolutely no obligation. We provide nationwide representation.<br><br>Prognosis<br><br>Mesothelioma is a rare cancer. Because doctors have limited experience with the disease, many patients are misdiagnosed with other illnesses. A [http://www.zybls.com/home.php?mod=space&uid=913421 mesothelioma lawsuit] expert can help patients with the diagnosis and ensure they receive right treatment.<br><br>Asbestos exposure is the only known cause of peritoneal mesthelioma. When asbestos fibers are inhaled or ingested, they could irritate the tissues of the abdomen and cause cells to alter. Over time, this can cause tumors to form mesothelioma of peritoneum.<br><br>The exposure to asbestos usually begins with working in manufacturing or construction. These industries can use products that contain asbestos, for example, insulation and fireproofing. Asbestos is also found in household items like roofing tiles and flooring. Even the smallest amount of asbestos exposure could put a person in danger of developing mesothelioma. Because the disease has an extended latency period, victims can sometimes be diagnosed with peritoneal mesothelioma years after the initial exposure.<br><br>Peritoneal Mesothelioma can mimic other diseases. It is often mistaken for hernias, digestive issues such as colitis or Crohn's, and other types of abdominal cancer. A lot of patients do not report their asbestos exposure and do not seek medical care. Doctors may suggest a biopsy to confirm a diagnosis of mesothelioma. A biopsy is the process of removing only a small amount of affected tissue for testing. This procedure will reveal the stage of mesothelioma and whether it is epithelioid biphasic, or sarcomatoid.<br><br>If mesothelioma does not have spread it is possible to remove the tumors. They will also provide an option for curative treatment. The specialist can also determine whether the cancer has been able to spread to the abdomen. They may then recommend palliative treatments for the patient, for example paracentesis to drain the abdominal fluid.<br><br>The outlook for patients is worse when mesothelioma is advanced. The cancers can become resistant to certain treatments and recur. The specialist may suggest a combination of chemotherapy and surgery. Surgery options include cytoreduction with hyperthermic intraperitoneal chemotherapy. This combination is more likely to improve a patient's prognosis than merely chemotherapy alone.

Latest revision as of 02:26, 30 December 2024

Peritoneal Mesothelioma Asbestos Symptoms

Peritoneal mesothelioma asbestos symptoms typically affect the digestive system. This is because asbestos fibers are consumed and are absorbed into the stomach's lining, called the peritoneum.

As time passes, these fibers cause changes to healthy peritoneal cells. Cancerous tumors develop in the peritoneum as a result of.

Mesothelioma is a difficult condition to identify. The early signs may be confused with other symptoms like hernias, or irritable Bowel syndrome.

Symptoms

Asbestos fibers can move through the body when inhaled. From there, they can get trapped in the lining of the abdomen or other organs, causing inflammation and irritation that eventually leads to tumor growth. This process can take decades to develop, and a lot of victims do not know that they are exposed to asbestos until it is too late.

Malignant peritoneal mesothelioma occurs when asbestos fibers are trapped in the tissue that lines the abdominal cavity and other organs. It is the second most common mesothelioma. However it can be difficult for doctors to identify since the first symptoms aren't specific. They can also be similar to gastrointestinal disorders. Patients with peritoneal mesothelioma frequently suffer from stomach pain, fatigue and gastrointestinal issues.

After a physical examination, reviewing medical history and a series of laboratory tests, mesothelioma patients are diagnosed with peritoneal cancer. A X-ray as well as a CT scan can help doctors identify any lumps or other symptoms of disease. In some cases mesothelioma physicians may request a biopsy for an precise diagnosis.

Peritoneal Mesothelioma symptoms typically begin in the abdomen and can cause severe abdominal discomfort, bloating and weight loss. They may also cause nausea and vomiting as well as other digestive issues. Other symptoms include chest pain, fatigue and swelling. If these symptoms are present it is essential that victims seek medical attention as they could be caused by other conditions.

Despite the difficulty in diagnosing peritoneal msothelioma patients can often be treated to prolong their lives. In the majority of cases, this involves surgical treatment and heated chemotherapy.

If you or a loved one have been diagnosed with peritoneal mesothelioma, call our mesothelioma lawyers to learn how we can assist. We can help you locate an expert in your area who can assist you in filing an asbestos lawsuit against asbestos-related companies responsible for your exposure. We can also assist you in ensuring that you receive the financial compensation that you deserve. Fill out our online form to start the process. We can help you get the best possible outcome working with the best mesothelioma lawyers; mouse click on www.nzdao.cn,.

Diagnosis

To diagnose peritoneal msothelioma, it is important to have an extensive medical history. Doctors will ask the patient about their asbestos exposure and when it happened. They also conduct a physical exam. Initial tests typically include blood tests and X-rays and CT scans.

Due to the long latency period, peritoneal mesothelioma is often difficult to identify. Patients may be afflicted by symptoms like abdominal pain, nausea and fever that are similar to other illnesses. These nonspecific symptoms may confuse doctors. Mesothelioma is a rare type of cancer that can take decades for symptoms to appear after exposure to asbestos.

Inhaled or ingested asbestos fibers travel into the stomach lining, called the peritoneum. Asbestos fibers are sharp and irritate mesothelium when they reach the peritoneum. This irritation can cause inflammation and scar tissue over time. This leads to abnormal cell growth and tumors.

Researchers are working on ways to detect the disease early. The stage of mesothelioma is the basis for the treatment options.

A mesothelioma expert can perform paracentesis (percutaneous needle biopsy) to collect samples for tests in the laboratory. These tests can reveal the type of cancer cells (epithelioid or sarcomatoid) within the tumor and aid doctors come up with the best treatment strategy.

Mesothelioma specialists can also determine the stage of mesothelioma a patient is. The stage determines the most effective treatment and helps mesothelioma lawyers know which asbestos companies are liable in mesothelioma suits.

If a mesothelioma specialist analyzes the results from a biopsy, he or she creates a pathology report which contains details about the type mesothelioma. The report may also include a staging system that describes how far the cancer has spread in the body. The higher the stage the more likely it is that it will respond to treatment. A lawyer can explain what this means for a client's case.

Treatment

Inhalation or swallowing asbestos fibers are embedded in the tissues that line the abdomen and other organs. They damage DNA and can cause irritation to cells. Over time, this leads to the development of tumors in the lining. The majority of the time, peritoneal mesothelioma is found in the abdomen's lining called the peritoneum. Peritoneal mesothelioma occurs less frequently than pleural mesothelioma. It usually affects women more.

Symptoms of peritoneal mesothelioma are similar to those of gastrointestinal diseases like irritable bowel disorder and Crohn's disease. This makes it difficult for doctors to diagnose the condition. Because of this, early symptoms can be mistaken for normal ailments and can persist for months or even years before a patient receives an mesothelioma-related diagnosis.

A doctor will also conduct tests on blood and imaging to rule out other conditions or diseases that could trigger the same symptoms of mesothelioma. These tests will help to determine the best treatment options.

A biopsy is performed by a doctor to confirm the diagnosis. This is because peritoneal Msothelioma can be found in the abdominal lining. A biopsy involves the removal of small samples of the affected area to be examined by pathologists. Biopsies are able to reveal cancerous cells and identify the type of Mesothelioma.

If a diagnosis of peritoneal cancer is confirmed doctors will discuss treatment options with the patient. Generally, the goal of the treatment plan is to decrease the size and amount of tumors. Surgery is often the first option, but patients can also look into chemotherapy and immunotherapy.

In contrast to chest-based therapies for pleural mesothelioma lawsuit which are administered via the lung, the peritoneal mesothelioma treatment are administered intravenously or orally. Chemotherapies like injections, such as heated intraperitoneal chemotherapy (HIPEC) have been able to prolong the life of many patients. HIPEC is a method that was invented by mesothelioma pioneer Paul Sugarbaker.

Patients suffering from peritoneal asbestosis may be eligible to sue negligent asbestos companies. A mesothelioma lawyer with experience will review the case of a patient and suggest legal options. Contact us today to start. Contact us now. It's free, confidential and there's absolutely no obligation. We provide nationwide representation.

Prognosis

Mesothelioma is a rare cancer. Because doctors have limited experience with the disease, many patients are misdiagnosed with other illnesses. A mesothelioma lawsuit expert can help patients with the diagnosis and ensure they receive right treatment.

Asbestos exposure is the only known cause of peritoneal mesthelioma. When asbestos fibers are inhaled or ingested, they could irritate the tissues of the abdomen and cause cells to alter. Over time, this can cause tumors to form mesothelioma of peritoneum.

The exposure to asbestos usually begins with working in manufacturing or construction. These industries can use products that contain asbestos, for example, insulation and fireproofing. Asbestos is also found in household items like roofing tiles and flooring. Even the smallest amount of asbestos exposure could put a person in danger of developing mesothelioma. Because the disease has an extended latency period, victims can sometimes be diagnosed with peritoneal mesothelioma years after the initial exposure.

Peritoneal Mesothelioma can mimic other diseases. It is often mistaken for hernias, digestive issues such as colitis or Crohn's, and other types of abdominal cancer. A lot of patients do not report their asbestos exposure and do not seek medical care. Doctors may suggest a biopsy to confirm a diagnosis of mesothelioma. A biopsy is the process of removing only a small amount of affected tissue for testing. This procedure will reveal the stage of mesothelioma and whether it is epithelioid biphasic, or sarcomatoid.

If mesothelioma does not have spread it is possible to remove the tumors. They will also provide an option for curative treatment. The specialist can also determine whether the cancer has been able to spread to the abdomen. They may then recommend palliative treatments for the patient, for example paracentesis to drain the abdominal fluid.

The outlook for patients is worse when mesothelioma is advanced. The cancers can become resistant to certain treatments and recur. The specialist may suggest a combination of chemotherapy and surgery. Surgery options include cytoreduction with hyperthermic intraperitoneal chemotherapy. This combination is more likely to improve a patient's prognosis than merely chemotherapy alone.