What are the treatment options for primary peritoneal cancer?

Because this cancer affects the lining of the abdomen, scans and surgery help show where disease is present. Ovarian cancer debulking surgery aims to remove as much visible cancer as the team can safely remove. Chemotherapy may be given before surgery to reduce disease, after surgery to treat remaining microscopic cells, or as the principal treatment when an operation is not appropriate. The plan also considers nutrition, bowel function, kidney health, blood counts and the ability to recover between treatments. A gynaecologic oncologist and medical oncologist usually coordinate these decisions.

Ask whether surgery first or chemotherapy first is recommended and why. Discuss the likely effect on the bowel, bladder, reproductive organs and recovery. Tell the team about abdominal swelling, pain, constipation, nausea, appetite changes and breathlessness, since fluid in the abdomen can worsen comfort and eating. Keep an updated medicine list and ask about fertility, menopause, nutrition and emotional support. Report new symptoms before treatment rather than waiting for the next visit.

Seek urgent assessment for severe abdominal pain, repeated vomiting, a swollen abdomen with inability to pass stool or gas, fever, fainting, or new breathlessness. After chemotherapy or surgery, fever, worsening wound redness, heavy bleeding or inability to keep fluids down needs prompt medical advice. Emergency help is appropriate for collapse or severe breathing difficulty.

Where is the cancer seen, and can it be removed safely? Should chemotherapy come before or after surgery? What organs might surgery involve? How will bowel symptoms and abdominal fluid be managed? What signs after treatment require urgent contact?