Peritoneal metastases (PM) documented in a patient with
primary colon or rectal cancer places the patient at extreme risk for local
recurrence or progressive PM diagnosed in follow-up.
In the past, peritoneal seeding diagnosed with the surgical
exploration did not result in any major changes in the surgical approach to the
disease process. Rather, conventional surgery was performed and then the
patient was referred for palliative systemic chemotherapy. At this point in
time potentially curative treatments for PM have evolved and become an
important part of the standard of care of colorectal malignancy.
In order to optimize the management of peritoneal metastases, a new approach to the primary
cancer presenting with PM is required. The goal of manuscript is to describe a
clinical pathway so that patients with PM diagnosed at the time of primary
colorectal cancer resection receive treatment with curative intent.
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