Preview

Creative surgery and oncology

Advanced search

Mineralization of the Peritoneum — a New Target in the Treatment of Peritoneal Carcinomatosis

https://doi.org/10.24060/2076-3093-2018-8-4-279-284

Abstract

Introduction. This article presents data on the manifestations of changes in the microenvironment of the peritoneal cavity in patients with carcinomatosis, expressed by the mineralization of the peritoneum, which in turn leads to functional changes in drainage of the peritoneal cavity.

Materials and methods. We examined autopsy tissue of the peritoneum with symptoms of carcinomatosis and intact peritoneum using comparative scanning electron microscopy.

Results and discussion. The study of the ultrastructure of peritoneum in patients with PC, revealed the phenomenon of SLL mineralization. The resulting elemental composition profile showed a high content of Ca, P, Na.

Conclusions. 1. Carcinomatosis is not a local, but rather a systemic process. Determining the role of mineralization in carcinomatosis is of fundamental importance in carcinogenesis. 2. The serous membranes mineralization in patients with carcinomatosis can become a new treatment target, the impact on which may increase life expectancy and improve the quality of life. 3. The serous membranes demineralization can serve as a part of a combination treatment that includes the subsequent endolymphatic anti-tumour drug therapy.

About the Authors

Sh. Kh. Gantsev
Bashkir State Medical University
Russian Federation

Gantsev Shamil Khanafievich — Doctor of Medical Sciences, Professor, Director of the Scientific Research Institute of Oncology.

3 Lenin str., Ufa, 450006


V. M. Moiseenko
St. Petersburg Clinical Research and Practical Center for Specialized Types of Medical Care (Oncologic)
Russian Federation

Moiseenko Vladimir Mikhaylovich — Doctor of Medical Sciences, Professor, Director of St. Petersburg Clinical Scientific and Practical Center for Specialized Types of Medical Care (Oncologic).

68A Leningradskaya str., St. Petersburg, 197758



K. Sh. Gantsev
Bashkir State Medical University
Russian Federation

Gantsev Kamil Shamilevich — Doctor of Medical Sciences, Professor, Professor of the Department of Oncology with Oncology and Anatomical Pathology courses in the Institute of Additional Professional Education.

3 Lenin str., Ufa, 450006



S. V. Solomenny
City Clinical Hospital № 13
Russian Federation

Solomenny Sergey Vladimirovich — Candidate of Medical Sciences, Oncologist.

28 Nezhinskaya str., Ufa, 450112



Sh. R. Kzyrgalin
Bashkir State Medical University
Russian Federation

Kzyrgalin Shamil Rimovich — Candidate of Medical Sciences, Associate Professor of the Department of Oncology with Oncology and Anatomical Pathology courses in the Institute of Additional Professional Education.

3 Lenin str., Ufa, 450006



V. A. Dokichev
Ufa State Aviation Technical University
Russian Federation

Dokichev Vladimir Anatolevich — Doctor of Chemical Sciences, Professor, Head of the Department of General Chemistry.

12 K. Marxa str., Ufa, 450008



F. V. Moiseenko
St. Petersburg Clinical Research and Practical Center for Specialized Types of Medical Care (Oncologic)
Russian Federation

Moiseenko Fedor Vladimirovich — Doctor of Medical Sciences, Head of the Department of Biotherapy.

68A Leningradskaya str., St. Petersburg, 197758



R. S. Minigazimov
Bashkir State Medical University
Russian Federation

Minigazimov Ramil Sultanovich — Candidate of Medical Sciences, Associate Professor of the Department of Anatomy.

3 Lenin str., Ufa, 450006


References

1. Cabalag C.S., Chan S.T., Kaneko Y., Duong C.P. A systematic review and meta-analysis of gastric cancer treatment in patients with positive peritoneal cytology. Gastric Cancer. 2015;18(1):11-22. DOI: 10.1007/s10120-014-0388-5

2. Kitayama J., Emoto S., Yamaguchi H., Ishigami H., Onoyama H., Yamashita H., et al. Flow cytometric quantification of intraperitoneal free tumor cells is a useful biomarker in gastric cancer patients with peritoneal metastasis. Ann Surg Oncol. 2015;22(7):2336-42. DOI: 10.1245/s10434-014-4238-9

3. Kurashige J., Mima K., Sawada G., Takahashi Y., Eguchi H., Sugi-machi K., et al. Epigenetic modulation and repression of miR-200b by cancer-associated fibroblasts contribute to cancer invasion and peritoneal dissemination in gastric cancer. Carcinogenesis. 2015;36(1):133-41. DOI: 10.1093/carcin/bgu232

4. Lim B., Kim C., Kim J.H., Kwon W.S., Lee W.S., Kim J.M., et al. Genetic alterations and their clinical implications in gastric cancer peritoneal carcinomatosis revealed by whole-exome sequencing of malignant ascites. Oncotarget. 2016;7(7):8055-66. DOI: 10.18632/oncotarget.6977

5. Liu X., Chu K.M. E-cadherin and gastric cancer: cause, consequence, and applications. Biomed Res Int. 2014;2014:637308. DOI: 10.1155/2014/637308

6. Montori G., Coccolini F., Ceresoli M., Catena F., Colaianni N., Poletti E., et al. The treatment of peritoneal carcinomatosis in advanced gastric cancer: state of the art. Int J Surg Oncol. 2014;2014:912418. DOI: 10.1155/2014/912418

7. Mehta S., Schwarz L., Spiliotis J., Hsieh M.C., Akaishi E.H., Goere D., et al. Is there an oncological interest in the combination of CRS/HIPEC for peritoneal carcinomatosis of HCC? Results of a multicenter international study. Eur J Surg Oncol. 2018;44(11):1786-92. DOI: 10.1016/j.ejso.2018.05.021

8. Di Vita M., Cappellani A., Piccolo G., Zanghi A., Cavallaro A., Bertola G., et al. The role of HIPEC in the treatment of peritoneal carcinomatosis from gastric cancer: between lights and shadows. Anticancer Drugs. 2015;26(2):123-38. DOI: 10.1097/CAD.0000000000000179

9. Ishmuratova R.S., Kzyrgalin S.R., Gantsev K.S., Minigazimov R.S., Solomenny S.V., Khalikova L.V. Background of the anatomy of peritoneal carcinomatosis. Analysis of literature and shareholders data. Creative surgery and oncology. 2013;(3):79-84 (in Russ.). DOI:10.24060/2076-3093-2013-0-3-79-84

10. Devuyst O., Rippe B. Water transport across the peritoneal membrane. Kidney Int. 2014;85(4):750-8. DOI: 10.1038/ki.2013.250

11. Lemoine L., Sugarbaker P., Van der Speeten K. Pathophysiology of colorectal peritoneal carcinomatosis: role of the peritoneum. World J Gastroenterol. 2016;22(34):7692-707. DOI: 10.3748/wjg.v22.i34.7692

12. Gantsev Sh. Kh., Ishmuratova R.Sh., Solomennyi S.V., Kzyrgalin Sh.R. Mineralization of the peritoneum in peritoneal carcinomatosis. Science and Healthcare. 2016;(1):54-65 (in Russ.).

13. Roriz D., Abreu I., Costa J.F., Soares P.B., Caseiro-Alves F. An unusual case of extensive peritoneal calcification: a case report. Eur J Radiol Open. 2015;2:7-10. DOI: 10.1016/j.ejro.2014.12.001

14. Wojcik G., Piskorz J., Bulikowski W. Massive peritoneal cavity calcification in the course of advanced ovarian cancer: a case report. Prz Menopauzalny. 2015;14(2):149-51. DOI: 10.5114/pm.2015.52156

15. Chandrashekhara S.H., Triveni G.S., Kumar R. Imaging of peritoneal deposits in ovarian cancer: a pictorial review. World J Radiol. 2016;8(5):513-7. DOI: 10.4329/wjr.v8.i5.513


Review

For citations:


Gantsev Sh.Kh., Moiseenko V.M., Gantsev K.Sh., Solomenny S.V., Kzyrgalin Sh.R., Dokichev V.A., Moiseenko F.V., Minigazimov R.S. Mineralization of the Peritoneum — a New Target in the Treatment of Peritoneal Carcinomatosis. Creative surgery and oncology. 2018;8(4):279-284. (In Russ.) https://doi.org/10.24060/2076-3093-2018-8-4-279-284

Views: 1052


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2076-3093 (Print)
ISSN 2307-0501 (Online)