Does everyone with appendix cancer need cytoreduction surgery and peritoneal chemotherapy?

Only a specialist can determine which patients are the best candidates for this treatment, but it is often indicated when the appendix cancer has spread beyond the appendix to the surfaces inside of the abdomen.  This spread of cancer is called a peritoneal surface malignancy.  More information about this can be found at Peritoneal Surface Malignancy  and at Peritoneal CarcinomatosisThe seriousness of this type of cancer can also be determined using staging methods as outlined in  Staging of Peritoneal Cancer.