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The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
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Medical Radiology and Radiation Safety. 2022. Vol. 67. № 1
Case of a Patient with Cervical Cancer after Wertheim Surgery
who Underwent Minimally Invasive Treatment of Giant Lymphocele
and Related Secondary Complications
N.S. Skreptsova, S.O. Stepanov, A.D. Kaprin, A. A. Kostin,
A.V. Boyko, L.V. Demidova, E.G. Novikova, L.A. Mitina,
D.V. Dolgacheva, N.V. Zelich, L.G. Serova
National Medical Research Radiological Center, Moscow, Russia
Contact person: Skreptsova Natalia Sergeevna: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABCTRACT
An experience of successful treatment of giant lymphocele and related secondary complications, such as signs of hydronephrosis of both kidneys of a patient after Wertheim surgery in case of cervical disease before radiotherapy is described. A complex of ultrasound studies using 3 types of echographic picture of the lymphocele was applied, which made it possible to determine the rational management of the patient using the technique of invasive sonography. Ultrasound examination, on the 17th day after the operation, revealed lymphocele in the iliac regions (1450 ml on the right, 1290 ml on the left) and signs of hydronephrosis of both kidneys. Drains under the control of sonography in both the lymphatic cavity were set up. Signs of hydronephrosis of both kidneys ceased to be located on the 2nd day after the installation of drains. Drains were removed after 13 days. During further ultrasound examinations of the patient, the lymphocele and signs of hydronephrosis were not rendered. Ultrasound examinations were performed on the 3rd, 7th, 12th, 21st, 35th, 62nd, 145th day after drains were removed.
Keywords: cervical cancer, pelvic lymphadenectomy, radiation therapy, ultrasound, invasive sonography, lymphocele, lymphatic cyst
For citation: Skreptsova NS, Stepanov SO, Kaprin AD, Kostin AA, Boyko AV, Demidova LV, Novikova EG, Mitina LA, Dolgacheva DV, Zelich NV, Serova LG. Case of a Patient with Cervical Cancer after Wertheim Surgery who Underwent Minimally Invasive Treatment of Giant Lymphocele and Related Secondary Complications. Medical Radiology and Radiation Safety. 2022;67(1):99-102.
DOI: 10.12737/1024-6177-2022-67-1-99-102
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PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution: N.S. Skreptsova, S.O. Stepanov: obtaining data for analysis, analysis of the obtained data, writing the text of the manuscript
A.D. Kaprin, A.A. Kostin, A.V. Boyko, L.A. Mitin: development of the theoretical basis of the study
L.V. Demidova, D.V. Dolgacheva: scientific editing of the text of the manuscript
N.V. Evtyagin, L.G. Serov: review of publications on the topic of the article
The patient signed an informed consent to participate in the study.
Article received: 17.09.2021. Accepted for publication: 05.12.2021