Fluorescence hysteroresectoscopy in the clarifying diagnosis of early endometrial cancer
- Autores: Pronin S.M.1, Matsneva I.A.2, Maltsagov M.R.1
-
Afiliações:
- National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- Edição: Nº 1 (2019)
- Páginas: 104-108
- Seção: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248449
- DOI: https://doi.org/10.18565/aig.2019.1.104-108
- ID: 248449
Citar
Texto integral
Acesso aberto
Acesso está concedido
Acesso é pago ou somente para assinantes
Resumo
Objective. To acquaint practitioners with a fluorescence hysteroresectoscopy technique in improving the diagnosis of atypical hyperplasia and early endometrial cancer. Material and methods. The paper describes the fluorescence hysteroresectoscopy technique performed at the Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Results. Fluorescence hysteroresectoscopy makes it possible to identify the topography of neoplasia and the selectivity of photosensitizer (5-ALA) accumulation in tumor tissue and to perform a targeted biopsy from the maximum fluorescence foci for histological verification. Conclusion. The introduction of fluorescence hysteroresectoscopy in clinical practice will be able to assess the possibility and success of organ-sparing treatment (hormone therapy) in reproductive-aged women, to monitor the endometrial status, and to timely diagnose a recurrence during or after hormone therapy in patients with early endometrial cancer.
Texto integral
Sobre autores
Stanislav Pronin
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia
Email: psm_doc@mail.ru
PhD, oncologist, obstetrician-gynecologist, senior Researcher of Department of Innovative Oncology and Gynecology
Irina Matsneva
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: via.white.doc@gmail.com
student of the 6th year medical faculty
Muslim Maltsagov
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia
Email: terekman94@gmail.com
clinical resident of Ith year
Bibliografia
- Каприн А.Д., Старинский В.В., Петрова Г.В., ред. Злокачественные новообразования в России в 2016 году (заболеваемость и смертность). М.: МНИОИ им. П.А. Герцена - филиал ФГБУ «НМИЦ радиологии» Минздрава России; 2018.
- Edometrial Cancer Treatment (PDQ). National Cancer Institute. 23 April 2014. Archived from the original on 3 September 2014. Retrieved 3 September 2014.
- Gunderson C.C., Fader A.N., Carson K.A., Bristow R.E. Oncologic and reproductive outcomes with progestin therapy in women with endometrial hyperplasia and grade 1 adenocarcinoma: a systematic review. Gynecol. Oncol. 2012; 125(2): 477-82.
- Gonthier C., Walker F., Luton D., Yazbeck C., Madelenat P., Koskas M. Impact of obesity on the results of fertility-sparing management for atypical hyperplasia and grade 1 endometrial cancer. Gynecol. Oncol. 2014; 133(1): 33-7.
- Pal N., Broaddus R.R., Urbauer D.L., Balakrishnan N., Milbourne A., Schmeler K.M. et al. Treatment of low-risk endometrial cancer and complex atypical hyperplasia with the levonorgestrel-releasing intrauterine device. Obstet. Gynecol. 2018; 131(1): 109-16.
- Loiacono R.M., Trojano G., Del Gaudio N., Kardhashi A., Deliso M.A., Falco G. et al. Hysteroscopy as a valid tool for endometrial pathology in patients with postmenopausal bleeding or asymptomatic patients with a thickened endometrium: hysteroscopic and histological results. Gynecol. Obstet. Invest. 2015; 79(3): 210-6.
- PRACTICE BULLETIN clinical management guidelines for obstetrician-gynecologists. Number 149, April 2015.
- Ашрафян Л.А., Киселев В.И. Опухоли репродуктивных органов (этиология и патогенез). М.: Издательство Дмитрейд График Групп; 2007.
- Серова Л.Г. Флуоресцентная диагностика у больных с предопухолевой и опухолевой патологией эндометрия: автореф. дисс. канд. мед. наук. М.; 2012.
- Чиссов В.И., Филоненко Е.В., ред. Флюоресцентная диагностика и фото динамическая терапия в клинической онкологии. Монография. М.: Триумф; 2012.
- Новикова О.В., Новикова Е.Г., Лозовая Ю.А., Чулкова О.В., Пронин С.М. Самостоятельная гормонотерапия как альтернатива хирургическому лечению предрака и начального рака эндометрия у пациенток репродуктивного возраста. Онкогинекология. 2015; 3: 25-33.
Arquivos suplementares
