PURPOSE: @entity189 from @entity694 has always been regarded as a lethal condition. Recently, numerous reports suggest that long-term survival is possible in selected @entity1 if a definitive management strategy is used. An important task involves the clear description of the clinical features that influence prognosis in these @entity1 . METHODS: From June 1981 to November 2004, 156 @entity1 with @entity298 secondary to @entity14 underwent cytoreductive surgery with perioperative intraperitoneal chemotherapy. Among these @entity1 , 11 had @entity5 with @entity189 and are the focus of the present study. The survival of @entity1 with @entity298 of @entity5 origin was compared with @entity1 with @entity694 . In the data analysis, @entity1 were classified by completeness of cytoreduction score. RESULTS: The mean follow-up for 11 @entity1 with @entity5 was 15.7 (range, 3-51) months. At the end of the cytoreductive surgery, the cytoreduction was complete in six @entity1 , nearly complete in two @entity1 , and there was gross disease in three @entity1 . The median survival of the six @entity5 @entity1 with complete cytoreduction was 17 (range, 12-29) months and 35 (range, 3-241) months for 64 @entity694 @entity1 with complete cytoreduction (P = 0.126). The five-year survival for @entity1 with @entity5 with complete cytoreduction was 0 percent and for @entity1 with @entity694 was 33 percent. CONCLUSIONS: @entity1 with @entity298 secondary to @entity5 treated by cytoreductive surgery combined with intraperitoneal chemotherapy have a poor prognosis. Some improvement in these poor results may occur if resection of a @entity5 with @entity189 is delayed until definitive treatment of the primary @entity5 plus the @entity189 is possible.

Limited survival in the treatment of @entity189 from XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'rectal cancer'] @entity189 :: ('MESH:D002277', 'Disease') :: ['Carcinomatosis', 'carcinomatosis'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colon and rectal cancer', 'colon cancer'] @entity298 :: ('MESH:D010538', 'Disease') :: ['peritoneal carcinomatosis']
@entity5 :: (MESH:D009369,Disease) :: ['rectal cancer']
