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Peritoneal Mesothelioma Asbestos Symptoms<br><br>The digestive system is commonly affected by the symptoms of peritoneal mesothelioma. This is because asbestos fibers are consumed and then absorbed within the lining of your stomach called the peritoneum.<br><br>As time passes, these fibers trigger mutations in healthy peritoneal cells. As a result tumors that are cancerous develop in the peritoneum.<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>When asbestos fibers are inhaled, they can enter the lungs and travel throughout the body. The fibers then become stuck in the linings of the abdomen and other organs. This causes inflammation and irritation, which can lead to the development of tumors. This process can take a long time to develop and many victims are unaware of their asbestos exposure until too late.<br><br>Asbestos fibers may get caught in the tissues that line the abdominal cavity, or other organs, leading to malignant peritoneal melanomas. It is the second most frequent mesothelioma. However it can be difficult for doctors to identify since the first symptoms aren't specific. It is also possible that they are similar to gastrointestinal disorders. Patients with peritoneal mesothelioma often experience stomach pain, fatigue and gastrointestinal problems.<br><br>After a physical examination, a review of medical history, and a series of laboratory tests, mesothelioma sufferers are diagnosed with peritoneal cancer. A X-ray as well as a CT scan can assist doctors to identify any lumps or other indications of disease. In certain cases mesothelioma physicians may order a biopsy to obtain a more precise diagnosis.<br><br>Peritoneal mesothelioma symptoms typically begin in the abdominal area and can result in severe abdominal discomfort, bloating, weight loss, swelling of the belly, nausea, vomiting and other digestive issues. Symptoms may also include chest pain, swelling and fatigue. It is important for victims to seek medical attention when they have these symptoms because they could be caused by something other than [https://sciencewiki.science/wiki/What_Freud_Can_Teach_Us_About_Mesothelioma_Law mesothelioma lawsuit].<br><br>Despite the difficulty of diagnosing peritoneal msothelioma patients can typically receive the appropriate treatment to prolong their lives. In the majority of cases, treatment involves surgery and heated chemo.<br><br>If you or someone you love have been diagnosed with peritoneal mesothelioma, call our [http://hzpc6.com/home.php?mod=space&uid=2836898 mesothelioma lawyers] to learn more about how we can help. We can connect you with mesothelioma specialists in your area, who can assist you in bringing a suit against the asbestos companies that are responsible for your exposure. We can also help you get the financial compensation you are entitled to. Start the process by filling in our free online form. We can help you get the best possible outcome working with the best mesothelioma lawyers.<br><br>Diagnosis<br><br>The first step to diagnose mesothelioma peritoneal is to obtain an exact medical history. Doctors will ask the patient about their asbestos exposure and when it occurred. They may also conduct a physical exam. Initial tests typically include blood tests and X-rays, as well as CT scans.<br><br>Because of the long time of latency, peritoneal cancer is often difficult to identify. Patients may experience symptoms such as abdominal pain, nausea and fever that are similar to those of other conditions. These nonspecific symptoms may cause confusion for doctors. Mesothelioma is a rare type of cancer, and it can take a long time for symptoms to appear after exposure to asbestos.<br><br>Inhaling or ingestion of asbestos fibers travel into the stomach lining, called the peritoneum. When they reach the peritoneum, the sharp asbestos fibers irritate the mesothelium. As time passes, this irritation causes inflammation and scar tissue formation. Then, it leads to abnormal cell growth and tumors develop.<br><br>There are no FDA-approved screening tests for mesothelioma of the peritoneum, but researchers are working on developing methods to detect the disease in its earliest stages. The stage of mesothelioma determines the treatment options.<br><br>A mesothelioma doctor can perform a paracentesis procedure or percutaneous needle biopsy to take a sample of mesothelioma tumors to be tested in the lab. These tests can help identify the type of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor, and assist doctors to come up with a treatment strategy.<br><br>Specialists in mesothelioma can also determine the stage of a patient. The stage determines the most effective treatments and helps [http://q.044300.net/home.php?mod=space&uid=504712 mesothelioma lawyers] know which asbestos companies are liable in mesothelioma suits.<br><br>When a mesothelioma doctor analyzes the results of a biopsy, they produce an analysis report that contains details about the type of mesothelioma. The report could also include an assessment system that outlines how the cancer has spread within the body. The more advanced the stage of cancer, the less likely the patient is to respond to treatment. A lawyer can explain the implications of this to the particular case of a client.<br><br>Treatment<br><br>Asbestos fibers are inhaled or ingested and become embedded in the tissue that lines the abdomen and other organs. These fibers irritate the cells and cause DNA damage. This can lead to the development of tumors. Typically, peritoneal mesothelioma develops in the abdomen's lining called the peritoneum. Peritoneal mesothelioma occurs less frequently 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 and irritable bowel disease and makes it difficult for doctors to recognize. Early symptoms can be misinterpreted as a sign of other illnesses and can last for a long time, or even years before a mesothelioma is diagnosed.<br><br>A physician will also conduct tests of blood and imaging to rule out other conditions or diseases that may cause the same symptoms as mesothelioma. These tests can be used to determine the best treatment options.<br><br>A biopsy is carried out by a physician to confirm the diagnosis. This is due to the fact that peritoneal msothelioma can in the abdominal lining. A biopsy involves the removal of small amounts of the affected area for examination by pathologists. Biopsies can detect cancerous cells as well as identify the type of [https://www.bitsdujour.com/profiles/Lai1xT mesothelioma attorneys].<br><br>If a diagnosis of peritoneal cancer is confirmed, doctors will discuss treatment options with the patient. The goal of any treatment plan is usually to reduce the size and number of tumors. Surgery is typically the first line of defense, however, patients should also talk about the possibility of chemotherapy and immunotherapy.<br><br>In contrast to chest-based therapies for pleural mesothelioma, which are administered via the lung, the peritoneal mesothelioma treatment are administered either intravenously or orally. Chemotherapies like injections, such as heated intraperitoneal chemotherapy (HIPEC) have helped to prolong the lives of many patients. HIPEC is a technique that was developed by mesothelioma pioneer Paul Sugarbaker.<br><br>Patients suffering from peritoneal asbestosis may be able to sue negligent asbestos companies. A mesothelioma attorney can review the case of a patient and recommend legal options. Contact us today to start. Contact us now. It's free, private and there's absolutely no obligation. We offer nationwide representation.<br><br>Prognosis<br><br>Mesothelioma cancer is extremely rare. The doctors have limited experience with it, so many patients are misdiagnosed as having other illnesses. A mesothelioma expert can assist patients identify the cause and ensure that they receive the appropriate treatment.<br><br>The sole known cause of peritoneal mesothelioma is asbestos exposure. Asbestos fibers can cause irritation of abdominal tissues and cell changes when inhaled or consumed. Over time, this can cause tumors to form mesothelioma in the peritoneum.<br><br>The exposure to asbestos typically starts with work in construction or manufacturing. These industries could utilize asbestos-containing materials including fireproofing, insulation. Asbestos is also found in household products such as flooring and roofing tiles. Even the smallest amounts of exposure put a person 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 the initial exposure.<br><br>Peritoneal mesothelioma symptoms may be similar to those of other conditions and can be mistaken for a hernia, digestive problems such as Crohn's disease or colitis, or other types of abdominal cancer. Due to this, a lot of patients don't report their exposure to asbestos, and they do not seek medical treatment. A biopsy may be recommended by a specialist to confirm the diagnosis of mesothelioma. A biopsy is the removal tiny pieces of tissue to be examined. This procedure can help determine the stage of mesothelioma as well as whether it is epithelioid biphasic, or sarcomatoid.<br><br>If the mesothelioma is at an early stage, doctors can remove all the tumors and provide an effective treatment. The doctor will also be able to determine if the cancer has spread to the abdomen. They will then recommend palliative treatments for the patient. For instance paracentesis to remove fluid from the abdomen.<br><br>If a mesothelioma has advanced and the prognosis is less favorable, it becomes more difficult to treat. The tumors could become resistant to treatment and then recur. The doctor may recommend a combination of chemotherapy and surgery. Surgery options include cytoreduction along with hyperthermic intraperitoneal therapy. This combination is more likely to improve the prognosis of a patient than chemotherapy on its own.
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Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos signs typically affect the digestive system. This is due to asbestos fibers being consumed and then absorbed in a lining of the stomach, known as the peritoneum.<br><br>In time, these fibers cause changes in healthy peritoneal cells. In the end, cancerous tumors form in the peritoneum.<br><br>Mesothelioma is a difficult disease to identify. The initial signs may resemble symptoms of other conditions, such as hernia or IBS.<br><br>Symptoms<br><br>Asbestos fibers can move through the body when inhaled. The fibers can then get trapped in the linings of the abdomen and other organs. This causes inflammation and irritation that leads to tumor development. This process can take a long time to develop, and many victims are unaware that they are exposed to asbestos until it is too late.<br><br>Asbestos fibers can become 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 for doctors to diagnose since the first symptoms aren't specific. They can also be similar to digestive disorders. Patients suffering from peritoneal cancer typically experience fatigue, stomach pain and gastrointestinal problems.<br><br>After a physical exam followed by a review of medical history and a series tests in the laboratory, mesothelioma patients are diagnosed with peritoneal cancer. A CT scan and X-ray can aid in identifying lumps, or other indications of disease. In some cases, mesothelioma doctors will also request a biopsy for an precise diagnosis.<br><br>Peritoneal Mesothelioma symptoms usually start in the abdomen. They can cause extreme 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. When these symptoms occur it is essential to seek medical attention since they may be caused by other illnesses.<br><br>Despite the difficulties of diagnosing peritoneal mesothelioma, victims can often receive the proper treatment to extend their lives. In most cases, this is done through the use of surgery and chemotherapy that is heated.<br><br>If you or a loved one have been diagnosed with peritoneal mesothelioma, contact our [https://peatix.com/user/24285993 mesothelioma lawyers] to learn how we can help. We can connect you to mesothelioma specialists in your area who can assist you in filing a lawsuit against the asbestos companies responsible for your exposure. We can also help ensure that you receive the financial compensation you deserve. Fill out our online form to begin the process. We can assist you in obtaining the best possible outcome working with the best [https://www.metooo.co.uk/u/670a47f31df27c118a5ab433 mesothelioma lawyers].<br><br>Diagnosis<br><br>The first step to diagnose peritoneal mesothelioma is to get an exact medical history. Doctors will inquire about the patient's exposure to asbestos and the time it occurred. They may also conduct a physical exam. Initial examinations typically include X-rays and blood tests and CT scans.<br><br>Peritoneal mesothelioma is a difficult cancer to identify due to its long time of latency. Patients might experience symptoms such as abdominal pain, nausea and fever that are similar to those of other conditions. These non-specific symptoms can cause confusion for doctors. Mesothelioma is a rare cancer that can take years to manifest symptoms following exposure to asbestos, is a rare condition.<br><br>Asbestos fibers inhaled or consumed move into the stomach lining known as the peritoneum. Once inside the peritoneum the asbestos fibers' sharp edges cause irritation to the mesothelium. In time this irritation can cause inflammation and scar tissue. Then, it leads to abnormal cell growth and tumors forming.<br><br>Researchers are working to develop methods to detect the disease in its earliest stages. The stage of mesothelioma determines the treatment options.<br><br>A mesothelioma expert can conduct a paracentesis or percutaneous needle biopsy to take a sample of 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 help doctors develop a treatment plan.<br><br>Specialists in mesothelioma can also determine the stage of the patient. The stage determines the most effective treatment and helps mesothelioma lawyers know which asbestos-related companies are responsible in [https://doodleordie.com/profile/changelily19 mesothelioma lawsuits].<br><br>If a mesothelioma specialist analyzes the results of an examination, he or she creates a pathology report which contains details about the type mesothelioma. The report may also contain a staging scale that indicates how far the cancer has spread throughout the body. The more advanced the stage is, the less likely it will respond to treatment. A lawyer can explain the significance of this for a client's case.<br><br>Treatment<br><br>Asbestos fibers can be inhaled or consumed and are absorbed in the tissue lining the abdomen and other organs. These fibers damage DNA and can cause irritation to cells. As time passes, this leads to the formation of tumors in the lining. The majority of the time, peritoneal [https://www.metooo.com/u/670d286e1df27c118a5ed134 mesothelioma attorney] is found in the lining of the abdomen known as the peritoneum. Peritoneal mesothelioma occurs less frequently than pleural mesothelioma, and typically affects women more.<br><br>The symptoms of peritoneal cancer are similar to those that are associated with gastrointestinal disorders, such as Crohn's and irritable bowel disease, making it hard for doctors to recognize. Because of this, early symptoms can be mistaken for normal ailments and may last for months or years before a patient receives an mesothelioma-related diagnosis.<br><br>A doctor may also perform tests of blood and imaging to rule out other conditions or diseases that could cause the same symptoms of mesothelioma. These tests will also aid in determining the best treatment options.<br><br>Because peritoneal mesothelioma develops in the abdominal lining A doctor will conduct a biopsy to confirm a diagnosis. A biopsy involves the removal of small amounts of the affected area for examination by pathologists. Biopsies can detect cancerous cells and identify the type of mesothelioma.<br><br>Once a peritoneal mesothelioma diagnosis has been established, doctors will discuss the options for treatment with the patient. Generally speaking, the aim of a treatment plan is to reduce the size and number of tumors. Surgery is usually the first line of defense, however, patients must also consider the possibility of immunotherapy and chemotherapy.<br><br>Unlike the chest-based treatments for pleural mesothelioma that are administered via the lungs, peritoneal mesothelioma treatments are administered either intravenously or orally. Injections of chemotherapy, such as heated intraperitoneal therapy (HIPEC), helped extend the life expectancy of many patients. HIPEC is a method that was invented by mesothelioma pioneer Paul Sugarbaker.<br><br>Individuals with peritoneal asbestosis may be eligible to bring a lawsuit against negligent asbestos companies. A mesothelioma lawyer with experience will review the case of a patient and recommend legal options. Contact us today to start. It is no cost, it's confidential and there is no obligation. We offer nationwide representation.<br><br>Prognosis<br><br>Mesothelioma is a rare cancer. Because doctors lack experience in diagnosing patients, many are mistakenly diagnosed with other diseases. A mesothelioma expert can assist patients identify the cause and ensure they receive appropriate treatment.<br><br>The only cause that is known for mesothelioma peritoneal is exposure to asbestos. When asbestos fibers are breathed in or consumed, they may irritate the tissues of the abdomen and cause cells to change. In time, this may result in tumors that develop into mesothelioma of peritoneum.<br><br>Manufacturing or construction work is often the first place where asbestos exposure starts. These industries could utilize asbestos-containing materials including fireproofing, insulation. Asbestos may also be found in household products, such as roofing tiles and flooring. Even the smallest amount of asbestos exposure could put a person in danger of mesothelioma. Due to the long time of latency patients may be diagnosed with peritoneal mesothelioma many decades after their first exposure.<br><br>Peritoneal Mesothelioma is a type of cancer that can be diseases. It is often mistaken for hernias, gastrointestinal issues like colitis or Crohn's and other types of abdominal cancers. Many patients do not disclose their asbestos exposure, and do not seek medical care. A biopsy may be recommended by a specialist to confirm the diagnosis of mesothelioma. A biopsy involves removing only a small amount of affected tissue for testing. This test will reveal whether the mesothelioma is epithelioid (epidermoid) or sarcomatoid (sarcomatoid) or biphasic.<br><br>If the mesothelioma is in an early stage, doctors can remove all of the tumors and offer an effective treatment. The specialist can also determine if the cancer has been able to spread to the abdomen. They can then prescribe palliative treatments for the patient. For instance paracentesis to remove abdominal fluid.<br><br>When a mesothelioma is advanced and the prognosis is less favorable, it becomes more difficult to treat. This is because the tumors may become resistant to certain treatments, and they may develop a recurrence. The doctor might recommend an amalgamation of chemotherapy and surgery. Surgery options include cytoreduction with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy by itself to improve the outlook of a patient.

Latest revision as of 20:40, 21 January 2025

Peritoneal Mesothelioma Asbestos Symptoms

Peritoneal mesothelioma asbestos signs typically affect the digestive system. This is due to asbestos fibers being consumed and then absorbed in a lining of the stomach, known as the peritoneum.

In time, these fibers cause changes in healthy peritoneal cells. In the end, cancerous tumors form in the peritoneum.

Mesothelioma is a difficult disease to identify. The initial signs may resemble symptoms of other conditions, such as hernia or IBS.

Symptoms

Asbestos fibers can move through the body when inhaled. The fibers can then get trapped in the linings of the abdomen and other organs. This causes inflammation and irritation that leads to tumor development. This process can take a long time to develop, and many victims are unaware that they are exposed to asbestos until it is too late.

Asbestos fibers can become 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 for doctors to diagnose since the first symptoms aren't specific. They can also be similar to digestive disorders. Patients suffering from peritoneal cancer typically experience fatigue, stomach pain and gastrointestinal problems.

After a physical exam followed by a review of medical history and a series tests in the laboratory, mesothelioma patients are diagnosed with peritoneal cancer. A CT scan and X-ray can aid in identifying lumps, or other indications of disease. In some cases, mesothelioma doctors will also request a biopsy for an precise diagnosis.

Peritoneal Mesothelioma symptoms usually start in the abdomen. They can cause extreme 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. When these symptoms occur it is essential to seek medical attention since they may be caused by other illnesses.

Despite the difficulties of diagnosing peritoneal mesothelioma, victims can often receive the proper treatment to extend their lives. In most cases, this is done through the use of surgery and chemotherapy that is heated.

If you or a loved one have been diagnosed with peritoneal mesothelioma, contact our mesothelioma lawyers to learn how we can help. We can connect you to mesothelioma specialists in your area who can assist you in filing a lawsuit against the asbestos companies responsible for your exposure. We can also help ensure that you receive the financial compensation you deserve. Fill out our online form to begin the process. We can assist you in obtaining the best possible outcome working with the best mesothelioma lawyers.

Diagnosis

The first step to diagnose peritoneal mesothelioma is to get an exact medical history. Doctors will inquire about the patient's exposure to asbestos and the time it occurred. They may also conduct a physical exam. Initial examinations typically include X-rays and blood tests and CT scans.

Peritoneal mesothelioma is a difficult cancer to identify due to its long time of latency. Patients might experience symptoms such as abdominal pain, nausea and fever that are similar to those of other conditions. These non-specific symptoms can cause confusion for doctors. Mesothelioma is a rare cancer that can take years to manifest symptoms following exposure to asbestos, is a rare condition.

Asbestos fibers inhaled or consumed move into the stomach lining known as the peritoneum. Once inside the peritoneum the asbestos fibers' sharp edges cause irritation to the mesothelium. In time this irritation can cause inflammation and scar tissue. Then, it leads to abnormal cell growth and tumors forming.

Researchers are working to develop methods to detect the disease in its earliest stages. The stage of mesothelioma determines the treatment options.

A mesothelioma expert can conduct a paracentesis or percutaneous needle biopsy to take a sample of 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 help doctors develop a treatment plan.

Specialists in mesothelioma can also determine the stage of the patient. The stage determines the most effective treatment and helps mesothelioma lawyers know which asbestos-related companies are responsible in mesothelioma lawsuits.

If a mesothelioma specialist analyzes the results of an examination, he or she creates a pathology report which contains details about the type mesothelioma. The report may also contain a staging scale that indicates how far the cancer has spread throughout the body. The more advanced the stage is, the less likely it will respond to treatment. A lawyer can explain the significance of this for a client's case.

Treatment

Asbestos fibers can be inhaled or consumed and are absorbed in the tissue lining the abdomen and other organs. These fibers damage DNA and can cause irritation to cells. As time passes, this leads to the formation of tumors in the lining. The majority of the time, peritoneal mesothelioma attorney is found in the lining of the abdomen known as the peritoneum. Peritoneal mesothelioma occurs less frequently than pleural mesothelioma, and typically affects women more.

The symptoms of peritoneal cancer are similar to those that are associated with gastrointestinal disorders, such as Crohn's and irritable bowel disease, making it hard for doctors to recognize. Because of this, early symptoms can be mistaken for normal ailments and may last for months or years before a patient receives an mesothelioma-related diagnosis.

A doctor may also perform tests of blood and imaging to rule out other conditions or diseases that could cause the same symptoms of mesothelioma. These tests will also aid in determining the best treatment options.

Because peritoneal mesothelioma develops in the abdominal lining A doctor will conduct a biopsy to confirm a diagnosis. A biopsy involves the removal of small amounts of the affected area for examination by pathologists. Biopsies can detect cancerous cells and identify the type of mesothelioma.

Once a peritoneal mesothelioma diagnosis has been established, doctors will discuss the options for treatment with the patient. Generally speaking, the aim of a treatment plan is to reduce the size and number of tumors. Surgery is usually the first line of defense, however, patients must also consider the possibility of immunotherapy and chemotherapy.

Unlike the chest-based treatments for pleural mesothelioma that are administered via the lungs, peritoneal mesothelioma treatments are administered either intravenously or orally. Injections of chemotherapy, such as heated intraperitoneal therapy (HIPEC), helped extend the life expectancy of many patients. HIPEC is a method that was invented by mesothelioma pioneer Paul Sugarbaker.

Individuals with peritoneal asbestosis may be eligible to bring a lawsuit against negligent asbestos companies. A mesothelioma lawyer with experience will review the case of a patient and recommend legal options. Contact us today to start. It is no cost, it's confidential and there is no obligation. We offer nationwide representation.

Prognosis

Mesothelioma is a rare cancer. Because doctors lack experience in diagnosing patients, many are mistakenly diagnosed with other diseases. A mesothelioma expert can assist patients identify the cause and ensure they receive appropriate treatment.

The only cause that is known for mesothelioma peritoneal is exposure to asbestos. When asbestos fibers are breathed in or consumed, they may irritate the tissues of the abdomen and cause cells to change. In time, this may result in tumors that develop into mesothelioma of peritoneum.

Manufacturing or construction work is often the first place where asbestos exposure starts. These industries could utilize asbestos-containing materials including fireproofing, insulation. Asbestos may also be found in household products, such as roofing tiles and flooring. Even the smallest amount of asbestos exposure could put a person in danger of mesothelioma. Due to the long time of latency patients may be diagnosed with peritoneal mesothelioma many decades after their first exposure.

Peritoneal Mesothelioma is a type of cancer that can be diseases. It is often mistaken for hernias, gastrointestinal issues like colitis or Crohn's and other types of abdominal cancers. Many patients do not disclose their asbestos exposure, and do not seek medical care. A biopsy may be recommended by a specialist to confirm the diagnosis of mesothelioma. A biopsy involves removing only a small amount of affected tissue for testing. This test will reveal whether the mesothelioma is epithelioid (epidermoid) or sarcomatoid (sarcomatoid) or biphasic.

If the mesothelioma is in an early stage, doctors can remove all of the tumors and offer an effective treatment. The specialist can also determine if the cancer has been able to spread to the abdomen. They can then prescribe palliative treatments for the patient. For instance paracentesis to remove abdominal fluid.

When a mesothelioma is advanced and the prognosis is less favorable, it becomes more difficult to treat. This is because the tumors may become resistant to certain treatments, and they may develop a recurrence. The doctor might recommend an amalgamation of chemotherapy and surgery. Surgery options include cytoreduction with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy by itself to improve the outlook of a patient.