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Appendix

  1. In patients with moderate-poorly differentiated appendiceal adenocarcinoma undergoing cytoreductive surgery, which systemic therapy sequences and regimens are associated with superior survival and safety outcomes?
  2. In patients with unresectable pseudomyxoma peritonei, which management approaches offer the best symptom control and survival benefit (surgical interventions vs. systemic therapy vs. conservative management)?
  3. Is repeat cytoreduction-HIPEC safe and superior to systemic therapy alone or observation for recurrent peritoneal carcinomatosis after initial CRS for appendiceal tumors?