Pathophysiology of colorectal peritoneal carcinomatosis: Role of the peritoneum

• Published in: World journal of gastroenterology : WJG Vol. 22; no. 34; pp. 7692 - 7707
• Main Authors: Lemoine, Lieselotte, Sugarbaker, Paul, Van der Speeten, Kurt
• Format: Journal Article
• Language: English
• Published: United States Baishideng Publishing Group Inc 14.09.2016
• Subjects: Antineoplastic Combined Chemotherapy Protocols - therapeutic use; Carcinoma - physiopathology; Carcinoma - surgery; carcinomatosis;Pathophysiology;Peritoneal; cascade;Cytoreductive; Cell Proliferation; chemotherapy; Chemotherapy, Cancer, Regional Perfusion; Colorectal Neoplasms - physiopathology; Colorectal Neoplasms - surgery; Combined Modality Therapy; Cytoreduction Surgical Procedures; Humans; Hyperthermia, Induced; intraperitoneal; metastatic; Neovascularization, Pathologic; Peritoneal; Peritoneal Neoplasms - physiopathology; Peritoneal Neoplasms - surgery; Peritoneum - physiopathology; Peritoneum - surgery; peroperative; Quality of Life; Review; surgery;Peritoneum;Hyperthermic; Hyperthermic intraperitoneal peroperative chemotherapy; Pathophysiology; Peritoneal metastatic cascade; Cytoreductive surgery; Peritoneal carcinomatosis; Peritoneum
• ISSN: 1007-9327; 2219-2840; 2219-2840
• DOI: 10.3748/wjg.v22.i34.7692

Colorectal cancer(CRC) is the third most common cancer and the fourth most common cause of cancerrelated death worldwide. Besides the lymphatic and haematogenous routes of dissemination,CRC frequently gives rise to transcoelomic spread of tumor cells in the peritoneal cavity,which ultimately leads to peritoneal carcinomatosis(PC). PC is associated with a poor prognosis and bad quality of life for these patients in their terminal stages of disease. A loco-regional treatment modality for PC combining cytoreductive surgery and hyperthermic intraperitoneal peroperative chemotherapy has resulted in promising clinical results. However,this novel approach is associated with significant morbidity and mortality. A comprehensive understanding of the molecular events involved in peritoneal disease spread is paramount in avoiding unnecessary toxicity. The emergence of PC is the result of a molecular crosstalk between cancer cells and host elements,involving several well-defined steps,together known as the peritoneal metastatic cascade. Individual or clumps of tumor cells detach from the primary tumor,gain access to the peritoneal cavity and become susceptible to the regular peritoneal transport. They attach to the distant peritoneum,subsequently invade the subperitoneal space,where angiogenesis sustains proliferation and enables further metastatic growth. These molecular events are not isolated events but rather a continuous and interdependent process. In this manuscript,we review current data regarding the molecular mechanisms underlying the development of colorectal PC,with a special focus on the peritoneum and the role of the surgeon in peritoneal disease spread.