Role of Laparoscopy in the Treatment of Endometrial Cancer in Women Over 70 Years of Age

Трифанов, Ю. Н.; Гавриш, Ю. Е.; Ibragimov, Zaur; Гусейнов, К. Д.; Микая, Н. А.; Ульрих, Е. А.; Урманчеева, А. Ф.; Berlev, I

doi:10.17650/1994-4098-2018-14-1-78-85

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Наиболее распространенным способом определения СЛУ является изотоп-ассоциированный метод с использованием рентгеноконтрастного вещества радиоактивного лимфотропного коллоида, способного проникать сквозь стенки лимфатических капилляров. Диагностика лимфатических узлов осуществляется при помощи стационарного гамма-томографа, а их интраоперационный поискпри помощи портативного гамма-сканера, что позволяет удостовериться в удалении СЛУ по накоплению радиофармпрепарата (РФП) [2,7,8].…”

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The First Experience of Using Laparoscopic Gamma Probe for Intraoperative Visualization of Sentinel Lymph Nodes in Gynecological Cancer

Очиров¹,

Коломиец²,

Чернов³

et al. 2018

Sib. onkol. ž.

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Visualization of sentinel lymph nodes (SLN) is now widely accepted for lymph node (LN) detection using a radioactive lymphotropic trace. Preoperative lymphoscintigraphy with intraoperative lymphatic mapping under gamma detecting probe guidance proved to be an easy and reliable method for SLN detection.Material and methods.In this article we present our experience in using laparoscopic gamma-probe for intraoperative visualization of sentinel lymph nodes in gynecological cancer.Results.Intraoperative visualization of sentinel lymph nodes in young cervical cancer patients and in patients with stage I endometrial cancer allowed us to perform radical surgery with personalization of the extent of lymph node dissection, especially for patients with low and intermediate risks of lymphogenic metastasis.

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The First Experience of Using Laparoscopic Gamma Probe for Intraoperative Visualization of Sentinel Lymph Nodes in Gynecological Cancer

Очиров¹,

Коломиец²,

Чернов³

et al. 2018

Sib. onkol. ž.

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Pathogenetic characteristics of endometrioid adenocarcinoma of uterus at present stage

Moiseenko,

Shatalova,

Nepomnyashchaya

et al. 2024

Medicinskij alfavit

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Endometrial cancer (EC) is one of the most common cancers with a constantly and steadily growing incidence worldwide. The main reason for EC development, in addition to the female population aging, involves the obesity epidemic and associated hyperinsulinemia. Screening for EC has not been developed. However, endometrial carcinoma (ECa) demonstrates a specific symptomatology and clinical picture, and diagnostic methods are available, sensitive and defined by a certain range of comorbid diseases. These factors allow early ECa diagnosis in 80 %. The methods of treatment are standardized, depending on the stage of RTM and the morphological structure of EC, the age of the patient and allow to achieve 72–76 % of the overall 5-year survival rate. The methods of treatment are standardized, depending on the EC stage, the morphological structure of ECa, and the patient’s age, and allow achieving the 5-year overall survival of 72–76 %. The disease promised a favorable outcome and seemed to be controlled. However, at the end of the last century, researchers started to report the clinical and morphological heterogeneity of ECa, which allowed Ya. V. Bohman to propose a dichotomous division of EC into clinical and pathological variants. Such a division was accepted all over the world and required re-evaluation of the prognostic value of various endometrial adenocarcinoma histotypes depending on the phenotype and hormonogenesis of ECa. Initially, adenosquamous cancer (or endometrioid adenocarcinoma with squamous metaplasia, in the modern classification) was also classified as estrogen-dependent endometrioid adenocarcinoma, and squamous cell endometrial cancer was classified as an unfavorable type with a poor prognosis and without hormonal influence. Interest in the squamous cell component in dimorphic endometrial adenocarcinoma has repeatedly arisen over the past decades due to its unpredictable clinical course. The newest TCGA molecular classification of EC did not clarify the issues, but gave rise to new ones related to the etiology and carcinogenesis of this ECa histotype and its clinical interpretation.

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Role of Laparoscopy in the Treatment of Endometrial Cancer in Women Over 70 Years of Age

Cited by 2 publications

References 8 publications

The First Experience of Using Laparoscopic Gamma Probe for Intraoperative Visualization of Sentinel Lymph Nodes in Gynecological Cancer

The First Experience of Using Laparoscopic Gamma Probe for Intraoperative Visualization of Sentinel Lymph Nodes in Gynecological Cancer

Pathogenetic characteristics of endometrioid adenocarcinoma of uterus at present stage

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