Results of pelvic exenteration in a woman for cancers and radiotherapy complications
https://doi.org/10.17650/1726-9776-2015-1-55-63
Abstract
This investigation was conducted in women with small pelvic involvements. Thirty-five case reports were analyzed; treatment results were known in 33 (94.3 %) patients. The patients» age was 55.9 (34-82) years. According to the source of the pathological process, there were 3 patient groups: gynecological, urological, and colorectal. The basic surgical procedure was anterior or total pelvic exenteration. The specific features of all cases were locally advanced tumors, recurrences, and complications due to performed treatment (radiotherapy) for cancer of the cervix uteri. Surgical treatment was feasible in all cases; in this case bleeding was arrested, pain syndrome was relieved, and urination and defecation control was restored.
About the Authors
V. R. Latypov
Siberian State Medical University, Ministry of Health of the Russian Federation; 2, Moskovsky Road, Tomsk 634 050, Russia
Russian Federation
Russian Federation
G. Ts. Dambaev
Siberian State Medical University, Ministry of Health of the Russian Federation; 2, Moskovsky Road, Tomsk 634 050, Russia
Russian Federation
Russian Federation
O. S. Popov
Siberian State Medical University, Ministry of Health of the Russian Federation; 2, Moskovsky Road, Tomsk 634 050, Russia
Russian Federation
Russian Federation
A. N. Vusik
Siberian State Medical University, Ministry of Health of the Russian Federation; 2, Moskovsky Road, Tomsk 634 050, Russia
Russian Federation
Russian Federation
References
1. Косенко И.А., Матылевич О.П. Экзентерация таза у больных раком шейки матки: обзор литературы. Онколог журн;2(4):82–9. [Kosenko I.A., Matylevich O.P. Pelvic exenteration in patients with cervical cancer: review article. Oncologicheskiy Journal = Oncological Journal 2008;2(4)82–9. (In Russ.)].
2. Матылевич О.П., Косенко И.А., Красный С.А. и др. Ближайшие результаты экзентерации таза у больных раком шейки матки. Онколог журн 2010;4(1):22–7. http:// www.irinakosenko.com/for-spec/arcticles-forspec/1-exenter [Matylevich O.P, Kosenko I.A., Krasnyy S.A. et al. The short-term outcomes of pelvic exenteration in patients with cervical cancer. Oncologicheskiy Journal = Oncological Journal 2010;4(1):22–7. (In Russ.)].
3. Костюк И.П., Шестаев А.Ю., Шостка К.Г. Паллиативные эвисцерации малого таза в хирургическом лечении местно-распространенного и рецидивного рака шейки матки. Вестн Рос ВМА 2012;1(37):65–70. [Kostuk I.P., Shestaev A.J., Shostka K.G. Palliative pelvic exenteration in surgical treatment of the recurrent cervical cancer. The bulletin S. M. Kirov Military Medical Academy 2012;1(37):65-70 (In Russ.)].
4. Yoo H. J., Lim M.C., Seo S.S. et al. Pelvic exenteration for recurrent cervical cancer: ten year experience at National Cancer Center in Korea. J Gynecol Oncol 2005;23:4:242–50. http://dx.doi.org/10.3802/jgo.2012.23.4.242.
5. Diver E.J., Rauh-Hain J.A., Del Carmen M.G. Total pelvic exenteration for gynecologic malignancies. Int J Surg Oncol 2012; Art ID 693535:1–9.
6. Gadducci A., Tana R., Cosio S., Cionini L. Treatment options in recurrent cervical cancer (Review). Oncol letters 2010;1:3–11.
7. López-Basave H.N., Morales-Vásquez F., Herrera-Gómez A. et al. Pelvic exenteration for colorectal cancer: oncologic outcome in 59 patients at a single institution. Cancer Manag Res 2012;4:351–356. http://www. dovepress.com/pelvic-exenteration-forcolorectal-cancer-oncologic-outcome-in-59pati-peer-reviewed-article-CMAR.
8. Trustin S. Domes, Patrick H.D. Colquhoun, Brian Taylor, Jonathan I. Izawa et al. Total pelvic exenteration for rectal cancer: outcomes and prognostic factors. Can J Surg 2011;54(6):387–3.
9. Wanebo H.J., Koness R.J., Vezeridiz M.P. et al. Pelvic resection of recurrent rectal cancer. Ann Surg 1994;220(4):586–97.
10. Петров С.Б., Левковский Н.С., Король В.Д., и др. Радикальная цистэктомия, как основной метод лечения мышечно-инвазивного рака мочевого пузыря (показания, особенности техники, профилактика осложнений). Практ онкол 2003;4(4):225–30. [Petrov S.B., Levkovskij N.S., Korol V.D. et al. Radical cystectomy as the basic method of treatment of muscleinvasive bladder cancer (the indication, feature of technics, preventive maintenance of complications). Prakticheskay onkologia = Pract oncol 2003;4(4):225–30. (In Russ.)].
11. Queipo Zaragozá J.A., Chicote Pérez F., Borrell Palanca A. et al. Unusual bladder tumors: primary epidermoid carcinoma, adenocarcinoma, and sarcoma. Clinical behavior. Our experience. Act Urol Esp 2003;27(2):123–31.
12. Xu A.X., Wang X.X., Hong B.F. et al. Nonepithelial tissue tumors of the urinary bladder. Zhonghua Wai Ke Za Zhi 2003;41(7):530–3.
13. Abol-Enein H., Kava B.R., Carmack A.J. Nonurothelial cancer of the bladder. Urology 2007;69(1 Suppl):93–104.
14. Dahm P., Gschwend J.E. Malignant nonurothelial neoplasms of the urinary bladder. Eur Urol 2003;44:672–81.
15. Ploeg M., Aben K.K., Hulsbergen-van de Kaa C.A. et al. Clinical epidemiology of nonurothelial bladder cancer: analysis of the Netherlands Cancer Registry. J Urol 2010;183(3):915–20.
16. Wang X, Bai P, Su H. et al. Management of primary adenocarcinoma of the female urethra: Report of two cases and review of the literature. Oncol Letters 2012;4:951–4.
17. Клиническая онкоурология. Под ред. Б.П. Матвеева. М.: ООО «АБВ-пресс», 2011. [Сlinical oncourology. Ed. B.P. Matveev. М: OOO"ABV-PRESS", 2011 (In Russ.)].
18. Lez C., Altarac S., El-Safadi S. et al. Primary malignant melanoma of the female urethra. 2012;3(1):73–5.
19. Gakis G., Witjes J.A., Compérat E. et al. Guidelines on primary urethral carcinoma. European Association of Urology, 2013; p. 1–16.
20. Петров Л.О., Алексеев Б.Я., Сидоров Д.В. и др. Возможности реконструкции мочевыделительной системы после тотальных экзентераций малого таза у пациентов с местно-распространенными первичными и рецидивными опухолями прямой кишки. Онкоурология 2011;1:95–100. [Petrov L.O., Alekseev B.J., Sidorov D.V., et al. Possibility of reconstruction urinary systems after total pelvic exenteration patients with primary the locally -extended and of recurrent rectal cancer. Oncourologia = Oncourology 2011;1:95–100 (In Russ.)].
21. Ungar L., Palfalvi L. Pelvic exenteration without external urinary or fecal diversionin gynecological cancer patients. Int J Gynecol Cancer 2006;16(1):364–8.
Review
For citations:
Latypov V.R., Dambaev G.Ts., Popov O.S., Vusik A.N. Results of pelvic exenteration in a woman for cancers and radiotherapy complications. Cancer Urology. 2015;11(1):55-63. (In Russ.) https://doi.org/10.17650/1726-9776-2015-1-55-63
Views:
1666
Email this article 