Tumors of female reproductive systemTumors of female reproductive systemОпухоли женской репродуктивной системы1994-40981999-8627Publishing House ABV Press53310.17650/1994-4098-2017-13-1-34-40GYNECOLOGY. REVIEWSГИНЕКОЛОГИЯ. ОБЗОРНЫЕ СТАТЬИApproaches to surgical staging of cancer of the uterine cervixВозможности хирургического стадирования рака шейки маткиBezhanovaE. G.БежановаЕ. Г.
Russian Federation
bezhani@bk.ruBerlevI. V.БерлевИ. В.
Russian Federation
I.I. Mechnikov North-Western State Medical UniversityФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. И. Мечникова»I.I. Mechnikov North-Western State Medical University, N.N. Petrov Research Institute of OncologyФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. И. Мечникова», ФГБУ «НИИ онкологии им. Н. Н. Петрова»0505201713134400505201705052017https://ojrs.abvpress.ru/ojrs/article/view/533

Cancer of the uterine cervix is staged using a clinical, rather than a surgical staging system, which is the approach used for other gynecologic tumors. Surgical staging is potentially more accurate. However, the International Federation of Gynecology and Obstetrics (FIGO) has determined that clinical staging is preferable for assessing locally advanced disease (i. e., tumor size, vaginal and parametrial involvement); and it allows to avoid surgery in women who are not candidates for surgical treatment. The staging and pelvic and paraaortic lymph node evaluation for cervical cancer are reviewed here.

Диагноз инвазивного рака шейки матки, по рекомендациям Международной федерации акушеров и гинекологов, до сих пор ставится на основании клинических, а не хирургических данных. На основе оценки локализации и размера опухоли и результатов пальпаторного определения параметральной инфильтрации мы не имеем точных данных поражения лимфатических узлов. В статье приводится обсуждение роли хирургического стадирования рака шейки матки у больных с начальными проявлениями инвазии опухоли, а также рассмотрены вопросы лимфаденэктомии.

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