Peritoneal
metastatic cancer is a cancer caused by the direct growth
of cancer cells from the primary site through the bloodstream, lymph,
or peritoneum, which is a difficult part of current clinical treatment.
In the abdominal cavity of patients with metastatic peritoneal cancer,
there are usually nodules of various sizes and malignant ascites.
Among them, nodules of different sizes can obstruct intestinal movement
and form intestinal obstruction, while malignant ascites can cause
abdominal distension and discomfort, and even cause patients to have
difficulty in breathing. The pathology and physiology of peritoneal
metastatic cancer are complex and not fully understood. The main hypothesis
is “seed” and “soil”; i.e., cells from
the primary tumor are shed and implanted in the peritoneal cavity
(peritoneal metastasis). In the last two decades, the main treatment
modalities used clinically are cytoreductive surgery (CRS), systemic
chemotherapy, intraperitoneal chemotherapy, and combined treatment,
all of which help to improve patient survival and quality of life
(QOL). However, the small-molecule chemotherapeutic drugs used clinically
still have problems such as rapid drug metabolism and systemic toxicity.
With the rapid development of nanotechnology in recent years, therapeutic
nanoagents for the treatment of peritoneal metastatic cancer have
been gradually developed, which has improved the therapeutic effect
and reduced the systemic toxicity of small-molecule chemotherapeutic
drugs to a certain extent. In addition, nanomaterials have been developed
not only as therapeutic agents but also as imaging agents to guide
peritoneal tumor CRS. In this review, we describe the etiology and
pathological features of peritoneal metastatic cancer, discuss in
detail the clinical treatments that have been used for peritoneal
metastatic cancer, and analyze the advantages and disadvantages of
the different clinical treatments and the QOL of the treated patients,
followed by a discussion focusing on the progress, obstacles, and
challenges in the use of therapeutic nanoagents in peritoneal metastatic
cancer. Finally, therapeutic nanoagents and therapeutic tools that
may be used in the future for the treatment of peritoneal metastatic
cancer are prospected.