Renowned Harvard-trained American cancer surgeon talks about importance of active stance of patients in seeking best cancer treatment. Patients must demand best cancer treatment from oncologists and surgeons. International collaboration between cancer specialists is important to spread best cancer treatment methods around the world. Find best treatment for peritoneal metastatic cancer. Dr. Anton Titov, MD. Metastatic cancer patients must seek the best and most aggressive surgeon to treat metastatic colon cancer, gastric cancer, ovarian cancer, appendiceal cancer. Dr. Paul Sugarbaker, MD. Patients have to learn what is the best treatment in the world for their cancer. Future for peritoneal surface oncology is tertiary prevention of peritoneal metastatic cancer from colon cancer or ovarian cancer. Colon cancer, gastric cancer, ovarian cancer spread in the abdomen and peritoneal cavity. Peritoneal metastases in advanced stage 4 colon cancer treatment by cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) [hot chemo bath, heated chemotherapy]. Medical second opinion clarifies colon cancer or ovarian cancer diagnosis. Dr. Anton Titov, MD. Medical second opinion confirms that cure is possible in metastatic colon cancer. Intraperitoneal chemotherapy treatment for advanced stage 4 cancer with metastatic lesions in the abdomen. Dr. Paul Sugarbaker, MD. Medical second opinion helps to select a precision medicine treatment for stage 4 ovarian cancer or stage 4 colon cancer or metastatic stage 4 gastric cancer. Get medical second opinion on advanced cancer with peritoneal metastases. Best peritoneal metastatic advanced cancer treatment by surgical operation and regional chemotherapy. Video interview with Dr. Paul Sugarbaker. Leading expert in peritoneal metastatic cancer treatment (cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC), hot chemo bath, heated chemotherapy. Find best treatment for peritoneal cancer. Cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). Dr. Anton Titov, MD. It is important for patients with many serious diseases to find the most precise and complete diagnosis. Dr. Anton Titov, MD. Especially for cancers that will require surgical treatment. And for complicated chemotherapy treatments. Patients have to learn what is the best treatment in the world for their cancer. Patients have to know the best treatment protocols. Then patients must try to find the place for the surgery and medical oncology treatment. Cancer treatment is the best in their region and possibly internationally. This method to diagnosis and treatment saves money. It saves lives and ultimately it makes people live longer and happier. Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. Anton, probably the worst method to die from cancer is with peritoneal metastases. It is the ugliest method to leave this Earth. Peritoneal cancer metastases lead to intestinal obstruction. Patients with peritoneal metastatic cancer usually have one or two or three operations to palliate the the obstruction and the pain from cancer. that they can live for a few more months. Dr. Paul Sugarbaker, MD. Sometimes we could prevent peritoneal metastases from colon cancer, gastric cancer or pancreas cancer or ovarian cancer. Sometimes we could completely prevent or treat peritoneal metastases from these cancers. Even though we perhaps did not cure the primary cancer completely. But we would change the natural history of gastric cancer or pancreas cancer or colon cancer forever. Dr. Paul Sugarbaker, MD. That the one of the things that is a future for peritoneal surface oncology is tertiary prevention of peritoneal metastatic cancer. The patient might have abdominal cancer. It is colon cancer, gastric cancer, ovarian cancer, pancreatic cancer. But if we can prevent through some nuance in treatment the adverse outcome of that cancer. Sometimes we could prevent deaths from peritoneal metastases from cancer. This would be a huge accomplishment for oncology. Dr. Anton Titov, MD. 23 years after actress Audrey Hepburn died from peritoneal metastases from appendiceal cancer, a huge progress in peritoneal metastatic cancer treatment has been made. You, Dr. Sugarbaker, and your colleagues made enormous progress in treatment of peritoneal metastases from colon cancer, ovarian cancer, gastric cancer. Dr. Anton Titov, MD. Today if Audrey Hepburn was treated in your hands, she could have lived longer and had a higher quality of life. I'm careful not to use the word "cure" to describe Audrey Hepburn's peritoneal metastatic cancer from the appendix. But cure is a possibility today in similar cancer that Audrey Hepburn had. Correct. Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. OK. One of the things that you were asking before is this. How is it that we have maintained our continued enthusiasm to combat peritoneal cancer metastases? I would have to say the following to answer that question. Dr. Anton Titov, MD. It is the relationships and the camaraderie that we have built up around the globe to attack peritoneal metastatic cancer together. This camaraderie has been most satisfying. Peritoneal metastatic cancer treatment is an effort this involves the best groups in the United States and the UK, France, Germany. Holland has been very active in effort to develop cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). Japan and Korea have participated in advancing of cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. we are all working together. We all are worrying together about what the next best step is in curing this terrible manifestation of cancer. Dr. Anton Titov, MD. Cancer has no borders. Cancer knows no borders. Therefore, what you are doing is a true international borderless collaboration to treat peritoneal metastatic cancer. you are spearheading this very important cancer treatment. Dr. Sugarbaker, thank you very much for this wonderful detailed and thorough conversation. Dr. Anton Titov, MD. I'm sure that this conversation about treatment of peritoneal metastases in cancer will be very helpful for those people around the world. They will watch our conversation. Physicians and patients will hopefully watch and learn about best practices of peritoneal metastatic cancer treatment. Dr. Paul Sugarbaker, MD. Patients clearly have to be more proactive in seeking the best treatment. Patients even have to be pushing their surgeons for the best treatment. Thank you very much! Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. - Absolutely. It is been a pleasure! Thank you, Anton. Cancer patients must demand the best treatment and quality of care from surgeons and doctors. Dr. Anton Titov, MD. Find best treatment for metastatic cancer - leading cancer surgeon.