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Prognostic Ceiling Effect of the Peritoneal Cancer Index in Super-Extended Pseudomyxoma Peritonei of Appendiceal Origin: Impact of Anatomical Disease Distribution and Surgical Complexity

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Background: Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy is widely adopted as the principal treatment for selected patients with pseudomyxoma peritonei from low-grade appendiceal mucinous neoplasms. Progno... ...