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Professor Dr. Paul Sugarbaker MD, abdominal peritoneal metastatic cancer treatment expert, co-author of The Sugarbaker Procedure - Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy CRS HIPEC, and Dr. Anton Titov MD PhD MBA / Exclusive interview
- It's important for cancer and serious diseases that require surgical treatment or complicated chemotherapy - for these patients to find out the most precise and complete diagnosis, and what is the best treatment protocol in the world? Then patients must find the place for surgery and medical oncology treatment that is the best in their region, and possibly internationally. This saves money, it saves lives, and ultimately it makes people live longer and happier. Anton, probably the worst way to die from cancer is with peritoneal metastases. It's the ugliest way to leave this Earth. Peritoneal metastatses lead to intestinal obstruction, patients have 1 or 2 or 3 operations to palliate the obstruction and the pain from cancer, so that they can live for a few more months. If we could prevent or completely treat peritoneal metastases from these cancers
- even though we perhaps did not cure the primary cancer completely - we would change the natural history of gastric cancer or pancreas cancer or colon cancer forever! One of the things that is a future for peritoneal surface oncology is tertiary prevention of peritoneal metastatic cancer. The patient might have some abdominal cancer, but we can prevent through some nuance in treatment the adverse outcome of that cancer. Preventing deaths from peritoneal metastases would be a huge accomplishment for oncology. So 23 years after actress Audrey Hepburn died from peritoneal metastases from appendiceal cancer, a huge progress has been made by you, Dr. Sugarbaker, and your colleagues to treat peritoneal metastases in cancer. And today, in your hands, Audrey Hepburn could have lived longer and had a higher quality of life. I'm careful not to use the word "cure" to describe her situation. But cure is a possibility today.
- Correct. One of the things that you were asking before... How is it that we have maintained our continued enthusiasm to combat peritoneal cancer metastases? And I would have to say that it's the relationships and the camaraderie that we have built up around the globe in an attack on peritoneal metastatic cancer - that has been most satisfying. Peritoneal metastatic cancer treatment is an effort, which involves the best groups in the US and the UK, France, Germany. Holland has been very active in CRS HIPEC development. Japan and Korea have participated also. We are all working together. We are worrying together about what the next best step is in curing this terrible manifestation of cancer. Cancer knows no borders. Therefore, what you are doing is a true international collaboration and you are spearheading this very important cancer treatment. Dr. Sugarbaker, thank you very much for this wonderful, detailed, and thorough conversation. I'm sure that it will be very helpful for those people around the world who will watch our conversation - physicians and patients, who clearly have to be more proactive in seeking the best treatment, and even pushing their surgeons for the best treatment. - Absolutely!
- Thank you very much!
- It's been a pleasure! Thank you, Anton
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