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Advanced Primary or Recurrent Cancer. CT Scan of Chest, Abdomen and Pelvis. PCI Determination. PCI < 12. PCI > 12. Exploratory Laparotomy. Continuous Infusion IV 5FU + Leucovorin. PCI Determination. Follow-up. PCI > 12. PCI < 12. Surgery Only for Symptoms. Cytoreduction. CC-0
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Advanced Primary or Recurrent Cancer CT Scan of Chest, Abdomen and Pelvis PCI Determination PCI < 12 PCI > 12 Exploratory Laparotomy Continuous Infusion IV 5FU + Leucovorin PCI Determination Follow-up PCI > 12 PCI < 12 Surgery Only for Symptoms Cytoreduction CC-0 CC-1 Palliative Debulking IV 5FU + Leucovorin CC-2 CC-3 Re-operation Only for Symptoms HIIC EPIC IV 5FU + Leucovorin Potential Cure Follow-up CT scans in 6 months; Re-enter Pathway