title: Intra-thoracic cytoreduction of stage IV peritoneal malignancy: a case series.
abstract: BACKGROUND
  Women with ovarian cancer primarily present with advanced intra-abdominal disease, frequently involving the diaphragm.
  
  
  METHODS
  We present 2 cases of combined planned intra-thoracic and abdominopelvic radical cytoreduction for stage IV peritoneal malignancy.
  
  
  CONCLUSIONS
  Our case report indicates the importance of a multi-disciplinary approach in treating patients with advanced-stage peritoneal disease. Multi-disciplinary surgical procedures can achieve optimal cytoreduction and possibly improve overall survival.
authors: Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
authors: Marilyn
authors: M
authors: Huang
authors: Douglas A
authors: DA
authors: Levine
authors: Manjit
authors: M
authors: Bains
authors: Nabil
authors: N
authors: Rizk
authors: Nadeem R
authors: NR
authors: Abu-Rustum
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016190:Carboplatin / Q000008:administration & dosage; D017024:Chemotherapy, Adjuvant; D003964:Diaphragm / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D020360:Neoadjuvant Therapy; D009367:Neoplasm Staging; D017239:Paclitaxel / Q000008:administration & dosage; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*
chemical_list: D016190:Carboplatin; D017239:Paclitaxel