Definition

Cytoreductive surgery (CRS) is a procedure to remove visible tumors, primarily in the abdominal cavity, to improve the effectiveness of additional treatments like chemotherapy.

Causes Requiring CRS

  • Advanced cancers like ovarian, colorectal, or peritoneal carcinomatosis
  • Cancer spread within the peritoneal cavity

Symptoms Indicating CRS

  • Abdominal pain or swelling
  • Digestive issues
  • Weight loss
  • Visible tumor growth on imaging

Diagnosing

  • Imaging studies (CT, MRI)
  • Diagnostic laparoscopy to assess tumor spread
  • Blood markers (e.g., CA-125, CEA)

Treatment

  • Complete or partial removal of tumors
  • Often combined with HIPEC for residual microscopic disease

Prevention Tips

  • Early treatment of primary cancer to prevent metastasis
  • Regular monitoring in high-risk patients

Conclusion

CRS is a lifesaving option for advanced cancer patients, often enhancing survival and quality of life when combined with other therapies.