Surgical procedure ensures minimally invasive approach in the treatment of cervical cancer

The Amazon is the Brazilian state that has the highest number of cases of the disease among the units of the federation.
01/02/2017 14h36 - Updated 1/02/2017 14h36
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The Foundation Amazonas State Oncology Control Center (FCecon), unit linked to the Department of Health (Sesame), recorded another breakthrough in the treatment of cervical cancer, this time, in the surgical area. In January this year, oncological surgery team of the institution began performing part of uterine removals (radical hysterectomies) laparoscopic. The technique basically consists of small apertures – much lower than those of conventional surgery – and the use of tweezers and a micro, providing a minimally invasive approach and rapid recovery, He explained the oncological surgeon hospital, Jesus Manuel Pinheiro Júnior.

According to the National Cancer Institute (Inca), body of the Ministry of Health (MS), Amazon is the Brazilian state that has the highest number of cases of the disease among the units of the federation. The latest forecast of the Institute points 680 cervical cancer diagnoses, or equivalent 37 cases for each 100 thousand women in the State, as the crude incidence rate.

radical hysterectomy
According to Manoel Jesus Pinheiro Júnior, three women have already undergone minimally invasive surgery, in this year, na FCecon, for the treatment of cervical cancer at an intermediate stage. All showed satisfactory recovery. The expert explains that the cases of the disease are classified according to the stage, pointing extension of the cancerous lesion in the body. The staging table ranges from I to IV, and has several subdivisions. In the initial phase, hysterectomy may prove an effective therapy and, in most cases, You do not need complementation of chemotherapy and / or radiotherapy.

In advanced stages, this type of surgery is ruled out, indicating the combination of chemotherapy and radiation therapy in the fight against malignant lesion and remission. "We emphasize that there is still a second type of surgical procedure, that can be applied to women with advanced cervical cancer, who have gone through chemotherapy and radiotherapy and that responded showed no unsatisfactory results. We call rescue treatment ".

Called pelvic exenteração, surgery includes the removal of urinary bladder, urethra, vagina, uterine colo, uterus, oviducts, ovary, challenge, anus and, in some cases, a vulva, and it is only indicated when found the spread of the disease to other organs, committing them fully or partially.

Chemotherapy
The manager of Clinical Oncology Service of FCECON, Drag. Brena Uratani, explains that the localized disease, Chemotherapy is considered a complementary treatment, which potentiates the action of radiation on the tumor and increases patient survival. It consists of cycles, that consider the individual characteristics of the patient and the type of pathology it presents. "When the tumor is enclosed and involves no other tissues, usually, the indication is surgical. At this stage, the disease is asymptomatic. Those who exceed this measure, They are referred to chemotherapy and radiotherapy. The answer, depending on the size of the lesion, It may be complete or later require surgery. Each case is unique ", he explained.

The bimodal treatment (radiotherapy and chemotherapy) It has a positive response rate of at least 60% of patients with disease at an intermediate stage (stages 2 e 3 a classification that goes up 4 staging). In more advanced cases, the treatment aims to increase the survival of patients.

According to the specialist, most women is received for treatment in FCECON cases of cervical cancer in advanced stage. "When cancer begins to progress, has a bleeding that most women confused with a secondary process to menstruation or some hormonal change, which slows the investigation ".

A pilot project of Drug Standardization Committee of FCECON, considered an achievement by clinical oncologists from hospital, incorporated, recently, a drug used for other purposes, the drug list of the fight against cervical cancer in advanced stage. Today, Six high cost chemotherapeutics are part of this list in the institution.

Cervical cancer develops through a cronificada injury by the Human Papilloma Virus (HPV), which can be found through a simple test: a Pap, indicated to be held annually, from the beginning of sexual life.

Radiotherapy

The manager of the Radiotherapy Department Abelardo Pampolha, radioterapeuta Leandro Baldino, He explains that radiotherapy significantly evolved, in the last years, with the advent of new technologies. In the case of FCECON, which now has, a few months ago, supported by a linear accelerator, end equipment for this type of therapy, women with cervical cancer have also directly benefited. "Today, we offer a treatment which is more concentrated in the tumor region, preserving surrounding tissue and promoting less sequels and more quality of life for patients in general ", highlighted. He recalls that the FCECON also has the form of brachytherapy, widely used in patients with cervical cancer, it reaches internally lesions, reducing tumors through direct effect of radiation.

"A radiotherapy, currently, It can be applied to women with cervical cancer in various stages, with curative purpose and also increase survival ", destacou.'Todos treatments are offered free of charge by FCECON and the indication of the same depends on the clinical status of each patient, factor that is analyzed individually by a multidisciplinary team.


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