Peregrine wrote:Ron -
In case the malignant pelvic ascites actually become peritoneal mets, here are some references to procedures for dealing with peritoneal mets:
Special procedures for dealing with mCRC mets to the peritoneum
Pressurized Intraperitoneal Aerosolized Chemotherapy (PIPAC)
Hyperthermic Intraperitoneal Chemotherapy (HIPEC)
Cytoreductive Surgery (CRS)
Many thanks Peregrine, both HIPEC and CRS are quite major surgeries, both are performed on carefully selected patients, HIPEC itself take 30 days of hospitalization and it is quite hard to recover. While PIPAC sounds like a good option as it looks very safe and well tolerated surgery+chemo.