Am I a candidate?

In order for you to benefit from HIPEC, your cancer must be confined to the abdominal cavity.  Performing HIPEC will not improve your outcome if you already have cancer spread to other sites such as the brain or the lungs.  The most common cancers treatable with HIPEC are colon or rectal cancer, cancer of the appendix, stomach cancer, pseudomyxoma peritonei, peritoneal mesothelioma, and certain other non GI cancers.

Even if your cancer is localized to the abdomen, in order to benefit from HIPEC, your surgeon must be able to remove all of the tumor, or at least leave only tumor deposits smaller than 1 centimeter. If larger deposits are left behind, the chemotherapy might not be able to travel deep into the tumor, and therefore would not kill all of the cancer cells. A surgeon experienced in HIPEC must evaluate your CT scan or MRI to determine whether or not all the tumor deposits are removable.

Finally, candidates for HIPEC must be relatively healthy.  HIPEC involves both surgery and chemotherapy, and there are risks associated with both parts of the procedure.  However, there is no strict age cut-off, and HIPEC has been safely performed in older patients providing that they are otherwise in good condition.

It is important that a Surgical Oncologist with experience performing HIPEC evaluate you to determine if HIPEC is suitable for you.