Cervical cancer is an urgent problem due to its high morbidity, its growth tendency in women of reproductive age, and late presentation. As a result of insufficiently effective surgical and/or radiation treatment of the primary tumor, local recurrences occur in 10-40% of treated patients, and distant metastases in 35% of patients [10]. The first place according to the frequency of distant metastasis in RCC patients is occupied by para-aortic lymph nodes (31.2%), the second - lungs (16.1%), the third - bones (12.9%) [9]. Treatment of recurrent and generalized cervical cancer is a complex and unresolved problem of modern oncology due to the extremely limited range of possible therapeutic measures. The leading role in conservative therapy of cervical cancer relapses and metastases is played by highly toxic, but not specific cytostatics, which aggravates the condition of patients and the immunological failure of the organism [11].
According to the World Health Organization, uterine tumours rank second in the structure of oncological morbidity in women. Epithelial tumours account for 95% of all genital tumours and only 5% are mesenchymal tumours. Malignant mesenchymal tumours include uterine sarcomas. Annually, 10 cases of uterine sarcomas are diagnosed in 1 million women worldwide. The problems of early diagnosis and screening of malignant uterine mesenchymal tumours (sarcomas) have not yet been solved. Due to the fact that this disease is rare and the treatment of uterine sarcomas remains a pressing problem.
Оценить эффективность реабилитационных мероприятии у детей после хирургического лечения патологии тазобедренного сустава.
The article analyzes the experience of palliative treatment of 68 patients with dysphagia due to esophageal obstruction. In 61 patients, stenting was performed as planned, and 7 patients were operated on for emergency indications due to progressive dysphagia of the III-VI degree with damage to the upper 5 (7.3%) patients, the middle 24 (35.29 %) patients and the lower third of the esophagus of 39 (57.3 %) patients. Among them, esophageal tracheal and esophageal bronchial fistulas were detected in 28 patients with esophageal cancer. In 9 (32.14 %) patients, a fistula appeared after radiation therapy on the area of the primary tumor, in 19 (67.85 %) it was the result of the collapse of the primary tumor. According to our study of patients with esophageal cancer with dysphagia, men were 43 (63.2%), and women – 25 (36.7%), the average age was 65-85 years. Of the 68 patients with esophageal cancer with dysphagia, the urban population was 23 (33.82 %) patients and the rural population was 45 (66.17 %) patients.
All patients were recanalized and self-expanding stents with a company coating (FLEXTENT) were installed.
The study of morphological variants of the tumor showed: that 39 (57.35%) patients had adenocarcinoma and 29 (42.640%) squamous cell carcinoma.
Based on our analysis, endoscopic stenting should be recognized as the leading method of palliative treatment of patients with esophageal cancer complicated by dysphagia.
To improve the result of surgical treatment of locally advanced gastric cancer y using palliative resection and gastrectomy.