The Siberian Scientific Medical Journal
 
 
№ 4 / 2015 / 9-14

Optimization of the extent of surgery in organ-preserving treatment for invasive cervical cancer

Author Affiliations

Abstract

26 patients with IA1–IB1 stage of cervical cancer underwent organ-preserving surgery (trans-abdominal trachelectomy) have been included into the study. To visualize sentinel lymph nodes the radioactive nanocolloid 99mTc-labelled lymphotropic isotope was introduced in a day before the surgery. Intraoperative identification of sentinel lymph nodes has been carried out in mode of the pelvic single-photon emission computed tomography. The identification of sentinel lymph nodes has been performed by the gamma-sonde through the intraoperative gamma-radiation level measurements in all lymphatic node basins. The investigation of sentinel lymph nodes in patients with cervical cancer promotes the precise clinical judgment of regional lymph node status, spesifies the disease stage, individualizes the extent of surgery, and in particular determines the evidences for organ-preserving surgery as well as for objectivization of purposeful appliance of adjuvant therapy.

Key words

sentinel lymph nodes, cancer, trachelectomy, cervical
References
About Authors (Correspondence):

Chernyshova A.L. – doctor of medical sciences, leading researcher of department for genecology, e-mail: alacher@list.ru

Kolomiets L.A. – professor, head of department for genecology

Sinilkin I.G. – candidate of medical sciences, senior researcher of laboratory for radioisotopic research

Chernov V.I. – doctor of medical sciences, professor, head of laboratory for radioisotopic research

Pankova O.V. – candidate of medical sciences, senior researcher of department for pathomorphology

Lyapunov A.Yu. – student

Full Text

Received: 27/08/2015