Diagnostic and therapeutic algorithm for colorectal peritoneal metastases. A consensus of the peritoneal surface malignancies onco-team of the Italian society of surgical oncology.

Autor: Sommariva A; Unit of Surgical Oncology of the Esophagus and Digestive Tract, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy., Ansaloni L; Unit of General and Emergency Surgery, Bufalini Hospital, Cesena, Italy., Baiocchi GL; Department of Clinical and Experimental Sciences, University of Brescia, Italy., Cascinu S; Department of Medical Oncology Vita-Salute, San Raffaele University IRCCS, Milan, Italy., Cirocchi R; General Surgery and Clinical Anatomy, University of Perugia, Perugia, Italy., Coccolini F; Department of Surgery, Pisa University Hospital, Pisa, Italy., Deraco M; Peritoneal Surface Malignancies Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. Electronic address: Marcello.Deraco@istitutotumori.mi.it., Fiorentini G; Department of Onco-Hematology, Azienda Ospedaliera 'Ospedali Riuniti Marche Nord', Pesaro, Italy., Gelmini R; General and Oncological Surgery Unit, AOU of Modena University of Modena and Reggio Emilia, Italy., Di Giorgio A; Surgical Unit of Peritoneum and Retroperitoneum, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Rome, Italy., Lippolis PV; Chirurgia Generale e Peritoneale Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy., Pasqual EM; Advanced Surgical Oncology Unit, Department Area Medica, University of Udine, Italy., Sassaroli C; Abdominal Oncology Department, Fondazione Giovanni Pascale, IRCCS, Naples, Italy., Macrì A; Department of Human Pathology, Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, University of Messina, Italy., Sammartino P; Department of Surgery 'P. Valdoni', Sapienza University of Rome, Rome, Italy., Scaringi S; Digestive Surgery Unit - IBD Unit, Careggi University Hospital, Florence, Italy., Valle M; Surgical Oncology Peritoneum and Abdomen Pathologies, National Cancer Institute 'Regina Elena' Rome, Italy., Vaira M; Unit of Surgical Oncology, Candiolo Cancer Institute, Turin, Italy.
Jazyk: angličtina
Zdroj: European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology [Eur J Surg Oncol] 2021 Jan; Vol. 47 (1), pp. 164-171. Date of Electronic Publication: 2020 Sep 29.
DOI: 10.1016/j.ejso.2020.09.035
Abstrakt: Aim: the surgical workup for colorectal cancer peritoneal metastases (CRCPM) is complex and should be managed in specialized centers. Diagnostic and therapeutic algorithms (DTA) have been proposed to balance optimal patients management and correct use of resources. Aim of this study was to establish a consensus on DTA for CRCPM patients in Italy.
Method: a panel of 18 delegated members of centers afferent to Peritoneal Surface Malignancies Onco-team of the Italian Society of Surgical Oncology was established. A list of statements regarding the DTA of patients with CRCPM was prepared according to different activities and decision-making nodes with a defined entry and exit point. Consensus was obtained through RAND UCLA methodology.
Results: two different DTA were defined and approved according to the modality of presentation of CRCPM (synchronous and metachronous). A consensus was also obtained on 17 of the 19 statements related to DTA.
Conclusion: a shared model of DTA is now available for healthcare providers to monitor appropriateness in diagnosis and treatment of patients with isolated peritoneal metastases from CRC.
Competing Interests: Declaration of competing interest None of the authors have any conflicts of interest.
(Copyright © 2020. Published by Elsevier Ltd.)
Databáze: MEDLINE
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