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Andrei Kulaga
N.N. Blokhin National Medical Research Center of Oncology, Russian FederationPresentation Title:
Clinical case: Multi-organ en-bloc resection of the solitary metastasis of cervical cancer to the spine
Abstract
Introduction:
Metastases of squamous cell cervical cancer to the spine are an actual issue. This category of patients is characterized by the young age and the frequent solitary metastasis to spine. The feasibility of enlarged En-bloc resections in solitary spine metastases of cervical cancer is questionably, therefore it requires additional research.
Methods:
In January 2021 33 years old patient (cervical cancer T1b2N1Mo, IIIB 2018) underwent an extended multi-organ En-bloc resection of the solitary metastasis of squamous cell cervical cancer to the L5 vertebra. Hemicolectomy on the left with anastomosis. Nephrectomy on the left with ureter removal. Aortic bifurcation resection with prosthetics. Corp otectomy L5 vertebrae. Endoprosthesis of the body of the vertebrae. LS stabilization.
Results:
The postoperative period proceeded without complications. The patient was activated on the 5th day, discharged from the hospital on the 14th day. To date, the patient is under the dynamic supervision without progression. As a result of the treatment the patient has achieved full control over the disease and monitoring is ongoing. Overall survival is 58 months. Survival from local treatment is 26 months. Remote functional results are good enough. PS ECOG 2. The patient moves independently with a cane support. According to QLQ,SF36,SOSGOQ the patients quality of life considers as good.
Conclusion:
According to our observations and latest data available, patients with solitary spine metastasis of cervical cancer indicated for an En-bloc resection including multi-organ resection which significantly increases survival, while maintaining a high QLQ and performance status.
Biography
Gülçin Kuru graduated from Istanbul Technical University with a degree in Physics Engineering in 2015. She completed her master’s degree in Health Physics at Istanbul University, where she is currently pursuing her PhD studies in the same field. With six years of experience as a medical physicist in various hospitals, Kuru has specialized in Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiotherapy (SBRT). She is now the Head of the Radiotherapy Program at Fenerbahçe University, continuing her academic and professional career. Gülçin Kuru is dedicated to advancing innovative applications in the fields of medical physics and radiotherapy through her expertise and extensive experience.
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