Symptoms and signs of cancer spread in the abdomen and peritoneal cavity. Ovarian cancer, colorectal cancer, gastric cancer, appendiceal cancer. They can spread in the peritoneum before any symptoms appear. Expanding abdominal girth is often the first symptom of metastatic cancer spread in the peritoneum. What are other common symptoms of peritoneal metastases? Metastatic peritoneal cancer symptoms include expanding abdomen. Dr. Anton Titov, MD. People report getting fat and increasing abdominal girth. Dr. Paul Sugarbaker, MD. Patients have a very significant peritoneal cancer burden. peritoneal cancer is diagnosed late. Symptoms of abdominal cancer spread to peritoneum are: (1) an expanding abdomen, (2) a new hernia or (3) perforation of the large bowel or appendix. Symptoms of Colon cancer, gastric cancer, ovarian cancer spread in the peritoneal cavity. Dr. Paul Sugarbaker, MD. Peritoneal metastases in advanced cancer spread. Medical second opinion clarifies colon cancer or ovarian cancer diagnosis. Dr. Anton Titov, MD. Medical second opinion confirms peritoneal cancer metastases. Intraperitoneal chemotherapy treatment for advanced stage 4 cancer with metastatic lesions in the abdomen. Medical second opinion helps to select clarify symptoms of stage 4 ovarian cancer or stage 4 colon cancer or metastatic stage 4 gastric cancer. Get medical second opinion on advanced cancer with peritoneal metastases. Best peritoneal metastatic advanced cancer treatment by surgical operation and regional chemotherapy. Renowned Harvard-trained American cancer surgeon discusses cancer. Dr. Paul Sugarbaker, MD. Video interview with Dr. Paul Sugarbaker. Leading expert in peritoneal metastatic cancer treatment (cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC), hot chemo bath, heated chemotherapy. Metastatic peritoneal cancer symptoms. Dr. Anton Titov, MD. Abdominal cavity cancer symptoms. How cancer spreads in abdomen. Peritoneal cancer spread. Dr. Anton Titov, MD. How is peritoneal spread of cancer usually diagnosed? Is peritoneal cancer diagnosed after the symptoms appear? Does a vigilant oncologist pick up peritoneal cancer spread? Or a particular CT scan or technological method diagnoses cancer spread in the abdomen? How do you identify patients with peritoneal cancer spread? Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. I would say that the greatest problem with success in treating peritoneal cancer spread is this. Patients very often come with extensive cancer dissemination. For example, with peritoneal mesothelioma or with appendiceal cancer the most common symptom is an expanding abdomen. Patients say: "I thought I was getting fat. I went on a diet but my belly got bigger even though I lost weight." Then they have a CT scan. Dr. Paul Sugarbaker, MD. Patients find out that they have extensive intra-abdominal cancer. Because the peritoneal space is very large. Patients can develop a very significant peritoneal cancer burden. But there is no correct diagnosis of peritoneal cancer until very late in cancer growth. The most common presenting features of peritoneal cancer metastases are (1) an expanding abdomen, (2) a new onset of hernia, or (3) perforation of the organ that is involved. It could be the appendix or the colon. Bowel perforation leads to infection. This infection becomes the signal that patient has an advanced cancer. Cancer has now seeded itself around the peritoneal space. Gastrointestinal cancer is colon cancer, rectal cancer, gastric cancer. Dr. Paul Sugarbaker, MD. Metastatic peritoneal cancer symptoms include expanding abdomen, new onset of hernia and perforation of large bowel. Dr. Anton Titov, MD. Leading peritoneal cancer surgeon explains.