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Alexandra Bartko

Polikliniku Mlynska Dolina, Slovakia

Presentation Title:

Cervical cancer - Controversies in treatment of higher stages - Case report - Could be multi organ surgical approach benefiting for patient?

Abstract

In 2015 patient underwent all diagnostic methods with conclusion of histologically proven squamocellular advanced cervical carcinoma with infiltration of the basis of urinary bladder in convolute with right ureter with II.grade hydronephrosis.  Oncomarkers CEA, CA 125 and CA 19-9 were positive.  The staging was T4 [1 -2 ?, urinary bladder and rectum ?], N1, M0. 

After multidisciplinary consultation of gynecologist, surgeon and urologist, according to the age of patient and the fact of lacking distant metastases we decided for surgical treatment which could end up just like probatory laparotomy or potential radical multi organ operation.

Until now, the optimal treatment of stage IVB cervical cancer patients still remains controversial.  Lack of case numbers and the diversity of clinical manifestations of stage IVB patients leads to deficiency of related researches.  Furthermore, to the available studies found that survival advantage significantly favors patients who underwent surgery plus chemotherapy compared with chemotherapy alone, revealing the important role of surgery in stage IVB cervical cancer patients.

Biography

Alexandra Bartko is experienced and highly skilled professional with rich experience in providing compassionate and comprehensive women's healthcare services. Excel at overseeing all aspects of gynaecology and obstetrics, and leading multidisciplinary teams in high-pressure healthcare settings. Proven expertise in managing complex medical scenarios, performing precise surgical procedures, and ensuring comprehensive patient care.