Treatment of cervical cancer with metastases

A 48-year-old patient underwent successful treatment for metastatic cervical cancer.

A 48-year-old patient was diagnosed with cervical cancer, a condition after uterine extirpation in 2004. Progression in 2015 - metastases to the paraaortic and iliac lymph nodes. The patient is shown to undergo radiation therapy using the RapidArc technique.

MRI scan (from 04/24/2015) before treatment:

MR is a picture of the progression of the disease in the pelvis in the form of metastatic lesions of the pelvic lymph nodes (external, internal iliac on the right and paracaval on the right).
The bulky formation of the right ovary must, first of all, be differentiated from a secondary (metastatic) lesion.
Effusion in the pelvic cavity.
MR-signs of adhesions in the pelvis.

CT-controlled biopsy (dated 04/28/2015):

Intense membrane-cytoplasmic expression of SC5/14, nuclear-cytoplasmic expression of p16, and nuclear expression of p63 are detected in tumor cells.

CT scan (dated 08.09.2015) after treatment:

Compared with 04/24/2015, there was a positive trend in the form of a decrease in the size of previously enlarged lymph nodes (retroperitoneal on the right and subcutaneous on the right), the disappearance of previously detected fluid formations in the pelvic cavity on the right, and the disappearance of free fluid in the abdominal cavity.
CT scan is a picture of liver cysts, a node in the thyroid gland.

MRI scan (dated 08.09.2015) after treatment

In the control study, in comparison with the previous MRI data, there was a positive trend in the form of the absence of a two-chamber cyst structure in the projection of the right ovary in this study, as well as a 50% decrease in the volume of the previously identified conglomerate of lymph nodes of the iliac group on the right.
The condition after extirpation of the uterus. MR-signs of adhesions in the pelvis.

On 26.11.2015, during the operation, the patient's material was taken, the examination of which showed the absence of malignant tumor growth in the examined material.