Transjugular intrahepatic portosystemic shunting in combined treatment of a patient with decompensated liver cirrhosis and malignant neoplasm of the uterus (clinical case)
- 作者: Alentyev S.A.1, Onnicev I.E.1, Berlev I.2, Muzharovskiy A.L.1
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隶属关系:
- S. M. Kirov Military Medical Academy
- N. N. Petrov National Medical Research Center of Oncology of the Ministry
- 期: 卷 39, 编号 3 (2020)
- 页面: 91-95
- 栏目: Original articles
- URL: https://journals.rcsi.science/RMMArep/article/view/64991
- DOI: https://doi.org/10.17816/rmmar64991
- ID: 64991
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Nowadays the treatment of patients with malignant neoplasms of the abdominal organs against the background of decompensated liver cirrhosis is largely an unsolved problem. Complications of portal hypertension syndrome such as ascites, hypersplenism, recurrent bleeding from the veins of the esophagus prevent the implementation of radical surgical treatment. Low trauma of endovascular methods of treatment, low level of complications and mortality are the main advantages of interventional techniques that make it possible to prepare a patient with portal hypertension syndrome for further radical treatment of oncological disease. The presented clinical case describes the results of a combined approach to the treatment of a patient with complications of portal hypertension syndrome and a competing disease — a giant tumor of the uterus. The patient was denied in surgical treatment for the neoplasm due to the presence of decompensated cirrhosis. Liver transplantation is not possible due to the presence of cancer. Transjugular intrahepatic portosystemic shunting led to relief of diuretic-resistant ascites, regression of the degree of esophageal varicose veins, which made it possible to remove the tumor with extirpation of the uterus with appendages. Up to now the observation period for the patient is more than 12 years (4 figs, bibliography: 7 refs).
作者简介
Sergey Alentyev
S. M. Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: koptata@mail.ru
M. D., D. Sc. (Medicine), Associate Professor, Associate Professor of the General Surgery Department
俄罗斯联邦, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044Igor Onnicev
S. M. Kirov Military Medical Academy
Email: koptata@mail.ru
M. D., D. Sc. (Medicine), Senior Lecturer of the General Surgery Department
俄罗斯联邦, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044Igor Berlev
N. N. Petrov National Medical Research Center of Oncology of the Ministry
Email: koptata@mail.ru
M. D., D. Sc. (Medicine), Professor, the Head of the Scientific Gynecological Oncology Department
俄罗斯联邦, bld. 68A, Leningradskaya str., Pesochny settlement, Saint Petersburg, 197758Anton Muzharovskiy
S. M. Kirov Military Medical Academy
Email: koptata@mail.ru
M. D., Ph. D. (Medicine), Surgeon of the General Surgery Department
俄罗斯联邦, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044参考
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