Peritoneal cancer program at the UVM Medical Center

Peritoneal cancer is an abnormal growth of cells in the membrane that lines the abdominal cavity and covers the abdominal organs (peritoneum). This cancer can start in the peritoneum or spread there from another location.

At The University of Vermont Medical Center, we provide comprehensive peritoneal cancer care in a supportive, caring environment. Our skilled providers take a coordinated, team-based approach, working together to develop your customized treatment plan. Physicians across the region refer their patients to us for our expertise and access to advanced therapies, such as hyperthermic intraperitoneal chemotherapy (HIPEC).

As a leading cancer program in the region, we offer:

  • Expert team: You receive care from a multidisciplinary team, led by board-certified surgical oncologists with deep experience in peritoneal cancers. When necessary, they work alongside medical oncologists, radiation oncologists, pathologists and radiologists who specialize in gastrointestinal cancers or gynecologic cancers. As an academic medical center, our physician-leaders are also active researchers, many of whom help train the next generation of experts.
  • Personalized care: Most people with peritoneal cancer receive more than one kind of treatment. Based on your unique condition, your care team determines the most appropriate therapies, and at what point in your treatment they might offer the greatest benefit. Throughout your care journey, we monitor your progress and adjust treatment as necessary.
  • Leading-edge treatments: At the UVM Cancer Center, you’ll find treatments not available elsewhere in the region. We are the only cancer program in Vermont and northern New York to offer hyperthermic intraperitoneal chemotherapy (HIPEC), which delivers a heated chemotherapy solution to the abdomen after surgery to destroy any remaining cancer cells.
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Peritoneal cancer program services

At the UVM Cancer Center, we offer care for all types of peritoneal cancer, including:

  • Primary peritoneal cancer: Starts in the peritoneum and includes peritoneal mesothelioma
  • Secondary peritoneal cancer: Spreads to the peritoneum from other locations, such the appendix, stomach, colon, rectum or ovary

Your treatment may include one or more of the following therapies:

At the UVM Cancer Center, we offer care for all types of peritoneal cancer, including:

  • Primary peritoneal cancer: Starts in the peritoneum and includes peritoneal mesothelioma
  • Secondary peritoneal cancer: Spreads to the peritoneum from other locations, such the appendix, stomach, colon, rectum or ovary

Your treatment may include one or more of the following therapies:

Cytoreduction surgery is the preferred treatment for peritoneal cancer. Cytoreduction involves the removal of all visible cancer.

Depending on the type and severity of cancer, you may also receive HIPEC in conjunction with cytoreduction to destroy any remaining cancer cells. During HIPEC, the surgeon applies a chemotherapy solution heated to 104-109 degrees Fahrenheit to the peritoneal cavity. The solution circulates for about 90 minutes and is then removed.

Our surgical oncologists have a high level of expertise in performing cytoreduction surgery and HIPEC. Patients typically stay in the hospital for seven to ten days following the procedure.

Medical oncology uses the latest drug therapies to treat cancer. For peritoneal cancer, we offer advanced medical oncology treatment options, including:

  • Chemotherapy: Chemotherapy slows or stops the growth of cancer cells. Your doctor may use chemotherapy before surgery to reduce tumor size and prevent the cancer from spreading to other tissues. After surgery, chemotherapy can reduce the risk of cancer returning.

  • Targeted therapy: Targeted therapy agents bind to specific molecules on cancer cells and attack them. Genetic testing on a sample of cancer tissue collected through a biopsy or during surgery determines if targeted therapy will be effective. We are the only cancer program in the area with on-site genetic testing. Your doctor may recommend targeted therapy after surgery or if you are unable to have surgery.
  • Immunotherapy: Immunotherapy, which trains your immune system to destroy cancer cells, is an appropriate treatment for some types of peritoneal cancer. Your doctor will let you know if immunotherapy is an option for you as an approved treatment or through a clinical trial.

Doctors typically only use radiation therapy to treat peritoneal cancer when surgery is not an option. In these cases, radiation therapy can help control tumor growth or relieve tumor-related symptoms.

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Peritoneal cancer program highlights

At the UVM Medical Center, you receive high-quality, compassionate cancer care. Features of our peritoneal cancer program include:

Our physicians are active researchers who participate in and lead clinical trials to develop more effective ways of treating peritoneal cancer. Through participation in a clinical trial, eligible patients have access to new drugs, treatment regimens and combinations of treatments.

Clinical trials are always part of care team discussions. If you are eligible for a specific trial, your provider will explain the benefits and risks of participating and let you know the next steps for enrollment. Participation in a clinical trial is entirely voluntary.

We understand that cancer treatment can be stressful for you and your family. Our nurse navigators are by your side throughout your cancer journey to coordinate appointments, answer questions and guide your care.

At the UVM Medical Center, we also offer a full range of supportive care services. Social workers provide emotional support and can help solve practical challenges, like arranging transportation to appointments and navigating health insurance. Nutritional counseling and physical therapy are also important, since patients with peritoneal cancer often experience malnutrition. These services can help you improve your strength before surgery.

Other support services we provide include health coaching, massage therapy and support groups.

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If you live more than 40 miles from the UVM Cancer Center, we partner with the American Cancer Society to offer free accommodations at Hope Lodge while you are in Burlington for treatment. Hope Lodge provides a comfortable, supportive healing environment right next to the UVM Medical Center. You’ll find amenities such as private guest rooms and bathrooms, a fully equipped kitchen and free laundry facilities.