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Table 2 Suggested management strategy for pseudomyxoma peritonei syndrome occurring during pregnancy.

From: Management of appendiceal pseudomyxoma peritonei diagnosed during pregnancy

 

Aggressive Malignancy

Low-Moderate Grade Malignancy

Week of Pregnancy

Diagnostic Tests

CRS + HIPEC

Diagnostic Tests

CRS + HIPEC

0–12

Unsafe

Consider pregnancy termination

Unsafe

Delay treatment to 35 weeks

13–27

Safe

Consider pregnancy termination

Safe

Delay treatment to 35 weeks

28–40

Safe

Delay treatment to 35 weeks

Safe

Delay treatment to term

  1. (CRS = cytoreductive surgery, HIPEC = hyperthermic intraperitoneal chemotherapy)