The results of combined treatment of patients with local widespread cervical cancer
Based on the clinical material 275 patients with cervical cancer II III stage, presented a new decision of scientific problems of the modern oncogynecology effectivization treatment of local widespread cervical cancer by increasing evidence for surgical treatment. Using the developed method of combined treatment, based on a split course of radiation therapy combined against neoadjuvant chemotherapy has allowed to result in 49,6 % of cases immobile tumoral process in the state of resectable with the subsequent performance of a hysterectomy with appendages, whereas in a traditional course of radiotherapy combined resectability rate was 6.9%. The developed way of chemioradial treatment of unresectable local widespread cervical cancer reduces the incidence of early postradiation complications by 1.5 times compared with the control group, and to exclude those late radiation complications such as fistulas. Satisfactory results of 5year survival are received 68,4% for the general group of studied patients and 75,5 % for patients which were exposed to operative treatment respectively.