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What is peritoneal tumours?

The peritoneum is a thin layer of tissue that lines the abdominal muscle and organs such as liver, spleen, uterus, bladder, large intestine and small intestine. It protects the organs and produces fluid that will allow the organs to move inside the abdomen with minimal friction. 

However, peritoneal malignancies and tumours can seed the peritoneum. These can arise from;

1. Primary peritoneal cancers - mesothelioma

2. Secondary peritoneal cancers - appendiceal adenocarcinoma, colorectal adenocarcinoma

3. Secondary peritoneal tumours - low grade appendiceal mucinous neoplasm (LAMN), high grade appendiceal mucinous neoplasm (HAMN)

Peritoneal tumours from low grade appendiceal neoplasm (LAMN) does not invade into organs or spread to lung or brain. But these tumours produces mucin, that will eventually compress organs such as liver, spleen and small intestine (causing obstruction). Whereas, peritoneal cancers arising from colorectal cancer or appendiceal cancer can spread to other organs such as liver, lung and brain. 

How common is peritoneal tumours?

Peritoneal tumours are rare if it arise from the appendix or mesothelioma. However, researchers has estimated 10-15% of patients diagnosed with colorectal cancer has peritoneal cancers.

How is peritoneal tumours managed or treated?

The treatment for peritoneal tumour depends on:

  • Tumor size and location

  • Type of tumours ​​

  • Age and overall health

In an appropriately considered and selected peritoneal tumour, cytoreductive surgery and hyperthermic intra-peritoneal chemotherapy (HIPEC) will be offered. This is a highly specialised procedure that can only be performed in a few centres in Australia. The main goal is to remove all visible tumours and to use HIPEC for those (microscopic) tumours that are too small to be visualised with our own eyes.

 

Some tumour types have very favourable prognosis after cytoreductive surgery and HIPEC. These include low-grade mucinous appendiceal neoplasm and high-grade appendiceal neoplasm. The overall three-year and five-year survival rates for these tumours are 90-95% and 79-86%, respectively. Hence, these tumours will always be considered for surgery.

Contact Us

Call Dr Joe Kong or the room's directly if a patient needs to be seen urgently or if there is any query on any colorectal conditions that you may need advice on.

Colorectal Consulting Group (CCG)

Specialist in Colorectal Surgery 

Cabrini Hospital - Malvern

Suite 27, Cabrini Medical Centre,

Isabella Street,

Malvern 3144

Opening Hours: 9.00 am to 5.00 pm - Monday to Friday

Dr Joseph Kong is currently consulting at

Peter MacCallum Cancer Centre (public)

Alfred Health (public)

Cabrini Hospital - Malvern (private)

Cabrini Hospital - Brighton (private)

Cabrini Specialist Centre - Hawthorn East (private)

The Avenue Hospital (private)

Dr Joseph Kong has operating list at

Peter MacCallum Cancer Centre (public)

Alfred Health (public)

Cabrini Hospital - Malvern (private)

Cabrini Hospital - Brighton (private)

The Avenue Hospital (private)

Phone: 03 9500 2795

After hours: 03 9387 1000

Fax: 03 9576 0318

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