Peritoneal cancer is a rare cancer. It develops in a thin layer of tissue that lines the abdomen. It also covers the uterus, bladder, and rectum. Made of epithelial cells, this structure is called the peritoneum. Primary Peritoneal Cancer is more common in women than in men. Women at risk for ovarian cancer are also at increased risk for Peritoneal Cancer.
HIPEC stands for Hyperthermic Intraperitoneal Chemotherapy. The aim of a HIPEC operation is to remove as much of the cancer as possible and then destroy any cancers cells that can’t be seen with the naked eye by putting hot chemotherapy inside the abdomen.
PIPAC stands for Pressurised Intra Peritoneal Aerosolised Chemotherapy. PIPAC is part of a clinical trial to see if it can shrink secondary cancers growing on the inside lining of the abdominal cavity (known as the peritoneum). These tumours are known as peritoneal metastases.
PIPAC is a type of chemotherapy given directly into a patient’s abdomen during an operation. After PIPAC is given, it stays inside the abdomen for 30 minutes, with the whole operation takes approximately two hours.
Not all patients can undergo a HIPEC operation. One of the main reasons for this is some patients have too many tumours in their peritoneum. This is where PIPAC comes into play. The aim of the PIPAC operation is to get control of the cancer by shrinking the number and size of the tumours in the peritoneum. For some patients these tumours may shrink enough to mean that a HIPEC operation becomes possible in the future.
Cervical Cancer is the second most common cancer among Indian women (As per Globocan 2018). Cervical Cancer is a preventable disease as it has a well-defined, long pre-malignant phase which can be detected by regular screening tests and follow ups. Unfortunately, most women in India are not aware about the screening.
The Cervix is the lower part of the womb also known as uterine cervix. The Cervix connects the body of the uterus to the vagina (birth canal). The part of the Cervix closest to the body of the uterus is called the endocervix. The part next to the vagina is the endocervix. The Cervix is about 2-3 cms in length.