{"id":7570,"date":"2025-08-26T09:57:10","date_gmt":"2025-08-26T09:57:10","guid":{"rendered":"https:\/\/www.viamedsalud.com\/ivoqa\/?p=7570"},"modified":"2025-08-26T09:57:13","modified_gmt":"2025-08-26T09:57:13","slug":"ovarian-cancer-with-peritoneal-metastasis-current-treatment-options","status":"publish","type":"post","link":"https:\/\/www.viamedsalud.com\/ivoqa\/en\/disease\/breast-cancer\/ovarian-cancer-with-peritoneal-metastasis-current-treatment-options\/","title":{"rendered":"Ovarian Cancer with Peritoneal Metastasis: Current Treatment Options"},"content":{"rendered":"<p>In a new edition of the series <em>Beyond the Tumor: Answering Questions on Ovarian and Breast Cancer<\/em>, organized by IVOQA and AMOH Association, Dr. Delia Cort\u00e9s Guiral, surgical oncologist and director of IVOQA, presents the most advanced therapeutic strategies for the treatment of ovarian cancer with peritoneal metastasis. This condition, also known as peritoneal carcinomatosis, represents a clinical challenge that can now be addressed with highly specialized peritoneal oncology techniques.<\/p>\n<div style=\"position: relative; padding-bottom: 56.25%; height: 0; overflow: hidden; max-width: 100%; margin: 1em 0;\">\n  <iframe \n    src=\"https:\/\/www.youtube.com\/embed\/OsBKf7uJcRI?rel=0&#038;modestbranding=1&#038;playsinline=1\"\n    frameborder=\"0\"\n    allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\"\n    allowfullscreen\n    style=\"position: absolute; top:0; left:0; width:100%; height:100%;\"><br \/>\n  <\/iframe>\n<\/div>\n<p>&nbsp;<\/p>\n<h2><strong>What is Peritoneal Carcinomatosis in Ovarian Cancer?<\/strong><\/h2>\n<p><a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/disease\/peritoneal-carcinomatosis\/peritoneal-carcinomatosis-diagnosis-treatment-and-expectations\/\">Peritoneal carcinomatosis<\/a> is a form of ovarian cancer spread in which tumor cells implant on the surface of the peritoneum, the membrane lining the abdominal cavity. This condition, once considered inoperable, now has effective therapeutic options thanks to advances in advanced oncologic surgery and localized chemotherapy.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Cytoreductive Surgery: Removing All Visible Tumor<\/strong><\/h2>\n<p><a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/hipec\/\">Cytoreductive surgery<\/a> involves surgically removing all visible tumor implants in the abdominal cavity. It is a complex procedure that requires multidisciplinary expertise and precise surgical planning. This approach is part of advanced oncologic surgery and aims to minimize tumor burden as much as possible, thereby increasing the effectiveness of subsequent treatments.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>HIPEC: Hyperthermic Intraperitoneal Chemotherapy<\/strong><\/h2>\n<p>After surgery, <a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/hipec\/\">HIPEC (Hyperthermic Intraperitoneal Chemotherapy)<\/a> can be applied. This technique consists of delivering heated chemotherapy directly into the abdominal cavity. The combination of heat and drug enhances the destruction of residual tumor cells, with lower systemic toxicity compared to intravenous chemotherapy.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>What Are the Benefits of This Combined Approach?<\/strong><\/h2>\n<ul>\n<li>Greater local disease control.<\/li>\n<li>Improved survival in advanced ovarian cancer in selected patients.<\/li>\n<li>Reduced risk of recurrence.<\/li>\n<li>Lower systemic impact compared to conventional treatments.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><strong>PIPAC: Pressurized IntraPeritoneal Aerosol Chemotherapy<\/strong><\/h2>\n<p>In addition to cytoreductive surgery and HIPEC, Dr. Cort\u00e9s mentions the use of <a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/pipac\/\">PIPAC (Pressurized IntraPeritoneal Aerosol Chemotherapy)<\/a>, an innovative technique that allows localized chemotherapy to be administered in aerosol form directly into the peritoneal cavity under controlled pressure. This method improves drug distribution over tumor surfaces and enhances tissue penetration, with very low systemic toxicity.<\/p>\n<p>PIPAC is particularly indicated for patients with advanced or recurrent peritoneal disease who are not candidates for radical surgery and can be used repeatedly as a palliative or disease-control treatment.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>T<\/strong><strong>he Importance of Referral Centers in Peritoneal Oncology<\/strong><\/h2>\n<p>Dr. Cort\u00e9s emphasizes that the treatment of ovarian cancer with peritoneal metastasis requires a high level of specialization, surgical expertise, and access to advanced technologies. Therefore, it is essential that patients be evaluated at referral centers in peritoneal oncology, such as IVOQA, where multidisciplinary teams, specific protocols, and active participation in international clinical trials are available.<\/p>\n<div style=\"max-width: 800px; margin: 2em auto; font-family: Segoe UI, Arial, sans-serif;\">\n<h2 style=\"font-size: 1.8em; color: #005b99; font-weight: 600;\">Frequently Asked Questions about Ovarian Cancer with Peritoneal Metastasis<\/h2>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">What does it mean to have peritoneal metastasis in ovarian cancer?<\/div>\n<div style=\"color: #444; font-size: 1em;\">It means that ovarian cancer cells have spread to the membrane lining the abdomen (peritoneum), forming tumor implants. This is an advanced stage of the disease, but effective treatment options are currently available.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">Is ovarian cancer with peritoneal carcinomatosis operable?<\/div>\n<div style=\"color: #444; font-size: 1em;\">In many cases, yes. Thanks to cytoreductive surgery and techniques such as HIPEC, it is possible to remove or reduce tumor burden even in cases once considered inoperable.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">What advantages does HIPEC offer compared to conventional chemotherapy?<\/div>\n<div style=\"color: #444; font-size: 1em;\">HIPEC delivers heated chemotherapy directly into the abdomen, improving treatment effectiveness on tumor cells and reducing systemic side effects.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">What is PIPAC and when is it recommended?<\/div>\n<div style=\"color: #444; font-size: 1em;\">PIPAC is a pressurized aerosol chemotherapy technique applied laparoscopically. It is mainly used in patients with advanced or recurrent peritoneal disease who cannot undergo surgery.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">Which centers are specialized in these treatments?<\/div>\n<div style=\"color: #444; font-size: 1em;\">Referral centers in peritoneal oncology, such as IVOQA, have multidisciplinary teams and advanced technology to manage these complex cases with a personalized approach.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">Do these treatments increase life expectancy?<\/div>\n<div style=\"color: #444; font-size: 1em;\">In selected patients, the combination of cytoreductive surgery and HIPEC has been shown to significantly improve overall survival and disease control.<\/div>\n<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What does it mean to have peritoneal metastasis in ovarian cancer?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"It means that ovarian cancer cells have spread to the membrane lining the abdomen (peritoneum), forming tumor implants. 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This condition, also known as peritoneal carcinomatosis, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7576,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47,36],"tags":[],"class_list":["post-7570","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-breast-cancer","category-treatments"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ovarian Cancer with Peritoneal Metastasis: Treatment Options - IVOQA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/disease\/breast-cancer\/ovarian-cancer-with-peritoneal-metastasis-current-treatment-options\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ovarian Cancer with Peritoneal Metastasis: Treatment Options - IVOQA\" \/>\n<meta property=\"og:description\" content=\"In a new edition of the series Beyond the Tumor: Answering Questions on Ovarian and Breast Cancer, organized by IVOQA and AMOH Association, Dr. Delia Cort\u00e9s Guiral, surgical oncologist and director of IVOQA, presents the most advanced therapeutic strategies for the treatment of ovarian cancer with peritoneal metastasis. 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