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The Chicago Consensus on Peritoneal Surface Malignancies: Management of Gastric Metastases

  • Peritoneal Surface Malignancy
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Abstract

The Chicago Consensus Working Group provides multidisciplinary recommendations for the management of gastric cancer specifically as it relates to the management of peritoneal surface malignancy. These guidelines are developed with input from leading experts including surgical oncologists, medical oncologists, pathologists, radiologists, palliative care physicians, and pharmacists. These guidelines recognize and address the emerging need for increased awareness of the appropriate management of peritoneal surface disease. They are not intended to replace the quest for higher levels of evidence.

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Acknowledgments

Collaborators: Francisco J. Izquierdo, MD, Clínica Santa María, Department of Surgery, Providencia, Chile. Darryl Schuitevoerder, MBBS, University of Chicago, Department of Surgery, Chicago, IL. Alejandro Plana, BA, University of Chicago, Department of Surgery, Chicago, IL. Oliver S. Eng, MD, University of Chicago, Department of Surgery, Chicago, IL. Scott K. Sherman, MD, University of Chicago, Department of Surgery, Chicago, IL. Brian Badgwell, MD, MS, MD Anderson Cancer Center, Surgical Oncology, Houston, TX. Fabian M. Johnston, MD, MHS, Johns Hopkins University, Surgery, Baltimore, MD. Sherif Abdel-Misih, MD, Stony Brook University, Surgery, Stony Brook, NY. Dan G. Blazer III, MD, Duke University, Surgery, Durham, NC. Sean P. Dineen, MD, Moffitt Cancer Center, Gastrointestinal Oncology, Tampa, FL. Ana Luiza Gleisner, MD, PhD, University of Colorado, Surgery, Aurora, CO. Travis E. Grotz, MD, Mayo Clinic, Department of Surgery, Rochester, MN. Nader Hanna, MD, University of Maryland School of Medicine, Surgery, Baltimore, MD. Harveshp Mogal, MD, MS, Medical College of Wisconsin, Surgery, Milwaukee, WI. Mecker G. Möller, MD, University of Miami Miller School of Medicine, Department of Surgery, Division of Surgical Oncology, Miami, FL. Sanjay S. Reddy, MD, Fox Chase Cancer Center, Department of Surgery, Philadelphia, PA. Maheswari Senthil, MD, Loma Linda University Health, Surgical Oncology, Loma Linda, CA. Joshua H. Winer, MD, Emory University, Division of Surgical Oncology, Atlanta, GA. Daniel E. Abbott, MD, University of Wisconsin, Department of Surgery, Madison, WI. Steven A. Ahrendt, MD, University of Colorado, Department of Surgery, Aurora, CO. Mazin Al-kasspooles, MD, University of Kansas Medical Center, Department of Surgery, Division of Surgical Oncology, Kansas City, KS. Lindsay Alpert, MD, University of Chicago, Department of Pathology, Chicago, IL. Farin Amersi, MD, Cedars-Sinai Medical Center, Los Angeles, CA. Amanda K. Arrington, MD, University of Arizona, Surgery, Tucson, AZ. Robert M. Barone, MD, MS, Sharp HealthCare, University of San Diego School of Medicine, Division Surgical Oncology, Surgery, La Jolla, CA. Joel M. Baumgartner, MD, MAS, University of California San Diego, Surgery, La Jolla, CA. Richard N. Berri, MD, Ascension St. John Hospital, Surgical Oncology, Grosse Pointe Woods, MI. Lana Bijelic, MD, Inova Schar Cancer Institute, Surgical Oncology, Fairfax, VA. Wilbur B. Bowne, MD, Drexel University College of Medicine, Surgery, Philadelphia, PA. Charles Komen Brown, MD, PhD, AMITA Health, Surgery, La Grange, IL. Daniel V. Catenacci, MD, University of Chicago, Medicine, Chicago, IL. Carlos H.F. Chan, MD, PhD, University of Iowa Hospitals & Clinics, Department of Surgery, Iowa City, IA. Clifford S. Cho, MD, University of Michigan Medical School, Department of Surgery, Ann Arbor, MI. M. Haroon A. Choudry, MD, University of Pittsburgh, Surgery, Surgical Oncology, Pittsburgh, PA. Callisia N. Clarke, MD, MS, Medical College of Wisconsin, Surgery, Milwaukee, WI. Jordan M Cloyd, MD, The Ohio State University, Department of Surgery, Columbus, OH. James C. Cusack Jr, MD, Massachusetts General Hospital, Department of Surgery, Boston, MA. Abraham H. Dachman, MD, University of Chicago Medicine, Radiology, Chicago, IL. Jeremiah L. Deneve, DO, University of Tennessee Health Science Center, Surgery, Memphis, TN. Leopoldo J. Fernandez, MD, Virginia Commonwealth University Massey Cancer Center, Hunter Holmes McGuire VA Medical Center, Surgical Oncology, Richmond, VA. James Fleshman, MD, Baylor University Medical Center, Department of Surgery, Dallas TX. T. Clark Gamblin, MD, MS, MBA, Medical College of Wisconsin, Department of Surgery, Milwaukee, WI. Alexandra Gangi, MD, Cedars-Sinai Medical Center, Surgical Oncology, Department of Surgery, Los Angeles, CA. Georgios V. Georgakis, MD, PhD, Stony Brook University, Department of Surgery, Division of Surgical Oncology, Stony Brook, NY. Erin W. Gilbert, MD, Oregon Health & Science University, Department of Surgery, Portland, OR. Martin D. Goodman, MD, Tufts Medical Center, Surgical Oncology, Boston, MA. Anand Govindarajan, MD, MSc, Sinai Health System, University of Toronto, Division of General Surgery, Toronto, ON, Canada. Vadim Gushchin, MD, Institute for Cancer Care at Mercy, Surgical Oncology, Baltimore, MD. Carla Harmath, MD, University of Chicago, Radiology, Chicago, IL. Andrea Hayes-Jordan, MD, University of North Carolina School of Medicine, Department of Surgery, Division of Pediatric Surgery, Chapel Hill, NC. Aliya N. Husain, MD, University of Chicago, Pathology, Chicago, IL. Kamran Idrees, MD, MSCI, MMHC, Vanderbilt University Medical Center, Department of Surgery, Nashville, TN. Chukwuemeka Ihemelandu, MD, MedStar Georgetown University Medical Center, Surgical Oncology, Washington, DC. Hae** In, MD, MBA, MPH, Montefiore Medical Center, Surgery, Bronx, NY. David Jiang, MD, University of Chicago, Department of Surgery, Chicago, IL. John M. Kane III, MD, Roswell Park Comprehensive Cancer Center, Surgical Oncology, Buffalo, NY. Giorgos Karakousis, MD, Hospital of the University of Pennsylvania, Surgery, Philadelphia, PA. Kaitlyn J. Kelly, MD, University of California San Diego, Surgery, La Jolla, CA. Timothy J. Kennedy, MD, MBA, Rutgers Cancer Institute of New Jersey, GI Surgical Oncology, New Brunswick, NJ. Xavier M. Keutgen, MD, University of Chicago, Surgery, Division of Surgical Oncology, Endocrine Surgery Research Program, Chicago, IL. Hedy Lee Kindler, MD, University of Chicago, Section of Hematology/Oncology, Chicago, IL. Michael D. Kluger, MD, MPH, Columbia University College of Physicians and Surgeons, Division of GI & Endocrine Surgery, New York, NY. Byrne Lee, MD, City of Hope, Division of Surgical Oncology, Duarte, CA. Lloyd A. 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Pameijer, MD, Penn State College of Medicine, Department of Surgery, Hershey, PA. Patricio M. Polanco, MD, University of Texas Southwestern Medical Center, Department of Surgery, Division of Surgical Oncology, Dallas, TX. Sam G. Pappas, MD, Rush University Medical Center, Surgery, Chicago, IL. Blase N. Polite, MD, MPP, University of Chicago, Department of Medicine, Chicago, IL. Richard Royal, MD, MD Anderson Cancer Center, Surgical Oncology. George Salti, MD, Edward-Elmhurst Health and University of Illinois at Chicago, Surgical Oncology, Chicago, IL. Armando Sardi, MD, Mercy Medical Center, Surgical Oncology, Baltimore, MD. Namrata Setia, MD, University of Chicago, Department of Pathology, Chicago, IL. Lucas Sideris, MD, FRCSC, University of Montreal, Surgery, Montreal, QC, Canada. Joseph Skitzki, MD, Roswell Park Comprehensive Cancer Center, Department of Surgical Oncology, Buffalo, NY. Jula Veerapong, MD, University of California San Diego, Surgical Oncology, La Jolla, CA. Konstantinos I. Votanopoulos, MD PhD, Wake Forest, Surgery, Winston-Salem, NC. Michael G. White, MD, MSc, University of Chicago, Department of Surgery, Chicago, IL. Shu-Yuan **ao, MD, University of Chicago, Chicago, IL, and Wuhan University Zhongnan Hospital, Department of Pathology, Wuhan, China. Rhonda K. Yantiss, MD, Weill Cornell Medicine, Pathology and Laboratory Medicine, New York, NY. Nita Ahuja, MD, MBA, Yale University, Surgery, New Haven, CT. Andrew M. Lowy, MD, UC San Diego Health, Department of Surgery, La Jolla, CA. Paul H. Sugarbaker, MD, MedStar Washington Hospital Center, Washington, DC. Charles Staley, MD, Emory University School of Medicine, Department of Surgery, Atlanta, GA. Daniel M Labow, MD, Icahn School of Medicine at Mount Sinai, Department of Surgery, New York, NY. Jason M. Foster, MD, University of Nebraska/Nebraska Medicine, Surgery, Division of Surgical Oncology, Omaha, NE. Jesus Esquivel, MD, Frederick Memorial Hospital, Surgical Oncology, Frederick, MD. H. Richard Alexander Jr, MD, Rutgers Cancer Institute of New Jersey, Division of Surgical Oncology, New Brunswick, NJ. Edward A. Levine, MD, Wake Forest University, Surgical Oncology, Winston-Salem, NC. Laura A. Lambert, MD, Huntsman Cancer Institute/University of Utah, General Surgery, Salt Lake City, UT. David L. Bartlett, MD, University of Pittsburgh, Surgery, Pittsburgh, PA. Kiran Turaga, MD, MPH, University of Chicago, Department of Surgery, Chicago, IL.

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The Irving Harris Foundation and the University of Chicago

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James C. Cusack reports grants from Lumicell Inc. outside the submitted work. Carla Harmath serves on the medical advisory council of Accumen. Hedy Kindler reports personal fees and non-financial support from Inventiva, AstraZeneca, Boehringer Ingelheim, Merck, and Paredox; personal fees from Aldeyra Therapeutics, Bayer, BMS, Erytech, Five Prime Therapeutics, Ipsen Pharmaceuticals, Kyowa, and MedImmune; and funds to support clinical trials at her institution from Aduro, AstraZeneca, Bayer, BMS, Deciphera, GSK, Lilly, Merck, MedImmune, Polaris, Verastem, and Blueprint, all outside the submitted work. Aytekin Oto reports grants from Philips Healthcare, Guerbet, and Profound Healthcare, and serves as a medical advisory board member for Profound Healthcare, all outside the submitted work. Nita Ahuja reports grant funding from Cepheid and Astex, has served as a consultant to Ethicon, and has licensed methylation biomarkers to Cepheid. Jesus Esquivel reports personal fees from Eight Medical. The remaining authors disclosed no conflicts of interest.

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The collaborators for the Chicago Consensus Working Group are listed in the acknowledgments.

Correspondence to: K. Turaga, MD

Department of Surgery, University of Chicago, Chicago, IL

e-mail: kturaga@surgery.bsd.uchicago.edu

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Chicago Consensus Working Group. The Chicago Consensus on Peritoneal Surface Malignancies: Management of Gastric Metastases. Ann Surg Oncol 27, 1768–1773 (2020). https://doi.org/10.1245/s10434-020-08320-0

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