Advances in the management of peritoneal malignancies.


Journal

Nature reviews. Clinical oncology
ISSN: 1759-4782
Titre abrégé: Nat Rev Clin Oncol
Pays: England
ID NLM: 101500077

Informations de publication

Date de publication:
11 2022
Historique:
accepted: 29 07 2022
pubmed: 8 9 2022
medline: 25 10 2022
entrez: 7 9 2022
Statut: ppublish

Résumé

Peritoneal surface malignancies (PSMs) are usually associated with a poor prognosis. Nonetheless, in line with advances in the management of most abdominopelvic metastatic diseases, considerable progress has been made over the past decade. An improved understanding of disease biology has led to the more accurate prediction of neoplasia aggressiveness and the treatment response and has been reflected in the proposal of new classification systems. Achieving complete cytoreductive surgery remains the cornerstone of curative-intent treatment of PSMs. Alongside centralization in expert centres, enabling the delivery of multimodal and multidisciplinary strategies, preoperative management is a crucial step in order to select patients who are most likely to benefit from surgery. Depending on the specific PSM, the role of intraperitoneal chemotherapy and of perioperative systemic chemotherapy, in particular, in the neoadjuvant setting, is established in certain scenarios but questioned in several others, although more prospective data are required. In this Review, we describe advances in all aspects of the management of PSMs including disease biology, assessment and improvement of disease resectability, perioperative management, systemic therapy and pre-emptive management, and we speculate on future research directions.

Identifiants

pubmed: 36071285
doi: 10.1038/s41571-022-00675-5
pii: 10.1038/s41571-022-00675-5
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

698-718

Informations de copyright

© 2022. Springer Nature Limited.

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Auteurs

Vahan Kepenekian (V)

Surgical Oncology Department, Hôpital Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.
CICLY - EA3738, Université Claude Bernard Lyon I (UCBL1), Lyon, France.

Aditi Bhatt (A)

Department of Surgical Oncology, Zydus hospital, Ahmedabad, Gujarat, India.

Julien Péron (J)

Medical Oncology Department, Hôpital Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.
Laboratoire de Biométrie et Biologie Evolutive, Equipe Biostatistique-Santé, UCBL1, Lyon, France.

Mohammad Alyami (M)

Department of General Surgery and Surgical Oncology, Oncology Center, King Khalid Hospital, Najran, Saudi Arabia.

Nazim Benzerdjeb (N)

CICLY - EA3738, Université Claude Bernard Lyon I (UCBL1), Lyon, France.
Department of Pathology, Institut de Pathologie Multisite, Hospices Civils de Lyon, UCBL1, Lyon, France.

Naoual Bakrin (N)

Surgical Oncology Department, Hôpital Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.
CICLY - EA3738, Université Claude Bernard Lyon I (UCBL1), Lyon, France.

Claire Falandry (C)

Department of Onco-Geriatry, Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France.

Guillaume Passot (G)

Surgical Oncology Department, Hôpital Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.
CICLY - EA3738, Université Claude Bernard Lyon I (UCBL1), Lyon, France.

Pascal Rousset (P)

CICLY - EA3738, Université Claude Bernard Lyon I (UCBL1), Lyon, France.
Department of Radiology, Hôpital Lyon Sud, Hospices Civils de Lyon, UCBL1, Lyon, France.

Olivier Glehen (O)

Surgical Oncology Department, Hôpital Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France. olivier.glehen@chu-lyon.fr.
CICLY - EA3738, Université Claude Bernard Lyon I (UCBL1), Lyon, France. olivier.glehen@chu-lyon.fr.

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