LAPAROSCOPIC ANTERIOR PELVIC EXENTERATION FOR STAGE IVa CERVICAL CANCER (A CASE REPORT)
https://doi.org/10.21294/1814-4861-2017-16-5-104-109
Abstract
Recently, there has been an increasing use of laparoscopy in the surgical treatment of gynecologic cancer. We aimed to analyze the feasibility of performing laparoscopic pelvic extentaration for stage IVa cervical cancer. Case report. We present the case of a 61-year-old patient diagnosed with stage IVa (T4N0M0) cervical cancer. The examination revealed cervical cancer invading the bladder wall and extending to the mouth of uretersю The patient underwent laparoscopy and bilateral uretherocutaneostomy as the first line treatment. When creatinine and urea blood levels were in the normal range, the patient underwent laparoscopic anterior pelvic exentaration as the second line treatment. After surgery the patient received pelvic external beam radiation therapy. The follow-up period was 6 months. Conclusion. We have shown the feasibility of performing laparoscopic anterior pelvic exenteration for stage IVa cervical cancer complicated by complete obstruction of one kidney and partial obstruction of another kidney
About the Authors
S. V. Molchanov
Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
MD, PhD, Department of Gynecology
SPIN-code: 2719-3289
5, Kooperativny Street., 634009-Tomsk
L. А. Kolomiets
Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
MD, DSc, Professor, Head of the Department of Gynecology
SPIN-code: 6316-1146.
5, Kooperativny Street., 634009-Tomsk
О. V. Shpileva
Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
MD, Researcher, Department of Gynecology
SPIN-code: 1441-0681.
5, Kooperativny Street., 634009-Tomsk
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Review
For citations:
Molchanov S.V., Kolomiets L.А., Shpileva О.V. LAPAROSCOPIC ANTERIOR PELVIC EXENTERATION FOR STAGE IVa CERVICAL CANCER (A CASE REPORT). Siberian journal of oncology. 2017;16(5):104-109. (In Russ.) https://doi.org/10.21294/1814-4861-2017-16-5-104-109
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