Successful implementation of reproductive function in women after radical trachelectomy
Background. The priority area of modern oncology is to develop and introduce organ-sparing treatments for patients of reproductive age.Chernyshova A.L., Kolomiets L.A., Chernov V.I., Gyunter V.E., Marchenko E.S., Artymuk N.V., Karmanova A.V., Skorokhodova T.V.
Case report. The paper describes a case of successful implementation of reproductive function in a patient with invasive cervical cancer after laparoscopic radical trachelectomy using high-tech diagnostic and treatment techniques. The sentinel lymph nodes were detected applying the innovative radiopharmaceutical Alotech by means of a Rad Pointer laparoscopic gamma scanner. A uterine obturator was intraoperatively formed using a titanium nickelide shape memory implant. The result of the study was a full-term pregnancy and successful delivery via cesarean section.
Conclusion. The recommendations for a follow-up and delivery were formulated in this category of patients.
Keywords
cervical cancer
trachelectomy
implant
sentinel lymph nodes
reproductive function
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Received 06.05.2019
Accepted 21.06.2019
About the Authors
Alyena L. Chernyshova, MD, Professor, Leading Researcher, Gynecology Department, Cancer Research Institute, Tomsk National Research Medical Center, RussianAcademy of Sciences, Tomsk, Russia. Author ID Scopus : 55220758100 Reseacher ID WoS: C-8608-2012 Orcid: 0000-0002-8194-2811 РИНЦ:
Author ID: 557924 SPIN-code: 2522-7513
Larisa A. Kolomiets, MD, Professor, Honored Scientist of the Russian Federation, Head of Gynecology Department, Cancer Research Institute, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia. Author ID (Scopus): 7004921120. Reseacher ID (WOS): C-8573-2012. ORCID: 0000-0002-6854-8940.
Vladimir I. Chernov, MD, Professor, Deputy Director for Science and Innovation, Head of Nuclear Medicine Department, Cancer Research Institute , Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia, phone: +7 3822 42-62-84. E-mail: chernov@tnimc.ru. Researcher ID (WOS): B-6789-2016.
Author ID (Scopus): 7201429550. ORCID: 0000-0002-5524-9546. ESPIN-code: 6301-3612
Viktor E. Gyunter, Professor, Director of Research Institute of Medical Implants, Tomsk, Russia. ID: T-1762-2017. Scopus Author ID: 6701858261.
Ekaterina S. Marchenko, PhD, Senior Researcher, Research Institute of Medical Implants, Tomsk, Russia.ORCID:0000-0003-4615-5270.WoS Researcher
ID: E-9914-2017. Scopus Author ID: 24832211500.
Natalia V. Artymuk, MD, Professor, Head of the Department of Obstetrics and Gynecology, Kemerovo State Medical University, Kemerovo, Russia.
Alla V. Karmanova, PhD, I.D. Evtushenko Regional Perinatal Center, Tomsk, Russia.
Tatiana V. Skorokhodova, PhD, I.D. Evtushenko Regional Perinatal Center, Tomsk, Russia.
For citation: Chernyshova A.L., Kolomiets L.A., Chernov V.I., Gyunter V.E., Marchenko E.S., Artymuk N.V., Karmanova A.V., Skorokhodova T.V. Successful implementation of reproductive function in women after radical trachelectomy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (10): 194-99. (in Russian).
https://dx.doi.org/10.18565/aig.2019.10.194-199
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