The study was carried out on 584 women with carcinoma of the uterine cervix, hospitalized and treated at the gynecological clinic of the Higher Medical Institute in the town of Pleven for a period of 9 years (1980-1983). The mean age of the patients was 48.26 +/- 13.31 years. The hospitalized women had 2.25 +/- 0.92 deliveries and 1.87 +/- 0.69 abortions. Investigating premorbid background of the patients, the authors studied frequency and character of the most frequently encountered operative interventions--appendectomy, herniotomies, cholecystectomies, ectopic pregnancy, ulcer, which did not show special differences from the remaining population. Adenocarcinoma of the uterine cervix had, 1.34% of the women and was found more rarely in comparison with some literary data. A 5-year survival was 61.05% of the cases with established metastases and undergone treatment. The mean age of women, in whom the operation of Wertheim was made, was 35 +/- 4.52 years, but that of those with combined x-rays therapy was 62 +/- 15.49 years. Possibilities for finding carcinoma of the uterine cervix at early stages of development, according to the authors, depend to a large degree on the oncological training of gynecologists, organization of cytological examinations and exact usage of the results from colposcopic and morphological investigations.
The purpose is to investigate the characteristics of the performed mini-invasive surgical treatment by patients with III-IV stage of pelvic endometriosis and to establish the advantages of this surgical approach, such as the concomitant complications.90 patients, who underwent operation, with histologically proved endometriosis were studied for a period of 2 years: 60 of them with moderate and 14--with severe endometriosos, determinated by the revised ASRM classification.The most commonly done laparoscopic operation is the cystectomy--totally 57 (77%) for the whole group, followed by the cystadnexectomy--11 cases (14.9%). By 4 of the cases (5.5%) there was a conversion into laparotomy and by 2 of the cases (2.7%) mini-invasive surgical procedures were accomplished.Mini-invasive approach by patients with pelvic endometriosis offers several options: to stage the condition, to diagnose the tubal sterility and to perform surgical treatment. In this study we establish the structure of the accomplished operations, noting the low count of complications and conversions, such as the short operative time and recovery days.
After brest cancer the endometrial cancer is the most common gynaecological malignancy. The lymphno destatus is with great prognostic value. There is no agreement for the therapeutic valuae and the contents of the lymph node desectionin early stages. That is why the sentinel lymph node biopsy is a part of modern operative treatment of endometrial cancer.
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