Abstract
An: 2017, Nr.1, Articol Nr. 6
Title: 

THE PERITONEUM AND SECONDARY PERITONEAL TUMORS – A REVIEW

Authors: 

      V. Bejan - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Faculty of Medecine, Department of Surgery; PhD Student
      V. Scripcariu - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Faculty of Medecine, Department of Surgery
      THE PERITONEUM AND SECONDARY PERITONEAL TUMORS – A REVIEW (Abstract): Peritoneal carcinomatosis represents the dissemination of a primary tumor on the surface of the peritoneum. It has been considered a stage in the natural evolution of digestive tract and genital cancers with a poor prognosis and beyond medical or surgical resources. It is now considered a loco-regional extension of the primary tumor and not a systemic disease, thus the possibility of a curable treatment.Treatment possibilities include citoreduction surgery followed by intraperitoneal chemotherapy with very high success rate for genital and colorectal cancers. The present paper reviews the different peritoneal dissemination processes and the host tissue- tumor cell interactions. The emphasis will be on anatomical factors involved, both macroscopically and microscopically, rheology of the peritoneal fluid and types of invasion of the mesothelial layer, and the role of surgery, each presented with their unique patterns. Also presented is the polyclonal theory, which emphases on possible embryological origin of peritoneal carcinomatosis.
Key words: CARCINOSIS, PERITONEAL CARCINOMATOSIS, GASTRIC, COLORECTAL, PSEUDOMYXOMA, CANCER
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