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Should We Be Doing Cytoreductive Surgery with HIPEC for Signet Ring Cell Appendiceal Adenocarcinoma? A Study from the US HIPEC Collaborative.

Nick C LevinskyMackenzie C MorrisKoffi WimaJeffrey J SussmanSyed A AhmadJordan M CloydCharles KimbroughKeith FournierAndrew LeeSean DineenSophie DessureaultJula VeerapongJoel M BaumgartnerCallisia ClarkeMohammad Y ZaidiCharles A StaleyShishir K MaithelJennifer LeitingTravis GrotzLaura LambertRyan J HendrixSean Ronnekleiv-KellyCourtney PokrzywaMustafa RaoofOliver S EngFabian M JohnstonJonathan GreerSameer H Patel
Published in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2019)
While signet cells are a negative prognostic feature, they should not be a contraindication to CRS-HIPEC in patients with well-moderately differentiated tumors with negative lymph nodes, where complete cytoreduction can be achieved.
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