NMRRC in persons. Olga Ivanovna Trushina.
Olga Ivanovna Trushina, MD, oncogynecologist, Head of the Reproductive Technologies Group of the Department of General and Reconstructive Urology of The N. Lopatkin Research Institute of Urology and Interventional Radiology – branch of the Federal State Budgetary Institution «National Medical Radiology Research Centre» of the Ministry of Health of the Russian Federation.
Olga Ivanovna became interested in oncology at the Tashkent Medical Institute. Olga Ivanovna remembers: “The lecture cycle was short, but Professor Munira Muslimovna Dodzhivaeva was a great teacher, passionate about her discipline, and I realized that even in the most difficult cases, you can find a solution and help a woman.”
And the passion for biology and medicine began even earlier, at school, when Olya Trushina, as the winner of the Olympiad in chemistry and physics, was invited to the Samarkand Medical Institute and, along with students, was allowed to participate in laboratory work, debates and partly in practical classes. There were no doctors in Olga Ivanovna’s family, but her mother taught biology and in two years, seeing her daughter’s genuine interest in medicine, prepared her for successful admission to a university.
In 1988, Trushina Olga Ivanovna graduated from the Tashkent Medical Institute, successfully worked in practical healthcare, but the desire to continue to study and improve her professional level, to engage in science led her to Moscow, and she entered the First Moscow State Medical University named after I.M. Sechenov Faculty of Obstetrics and Gynecology. After graduation, she entered graduate school and only in 1998, having defended her dissertation, considered herself ready for scientific work. She came to work in the department of oncogynecology of the MNII named after. P.A. Herzen to the unconditional authority in the profession – Professor Elena Grigorievna Novikova. She still considers her to this day her mentor.
“Elena Grigorievna Novikova expanded my worldview, she showed me that oncogynecology is not only a practical activity, but also a deep and interesting science. Under her guidance, I defended my doctoral dissertation.
For many years, Olga Ivanovna dealt with the problem of papillomavirus infection, since it has already been proven that this is the etiological factor of cervical cyrokinesis, that is, cervical cancer. In those days, when making such a diagnosis, women, as a rule, were offered to remove the uterus, means they put an end to their further reproductive function. Since all these cases were associated with the human papillomavirus (HPV), Olga Ivanovna devoted her scientific work to the eradication of HPV and the cure of precancer and primary cervical cancer using photodynamic therapy (PDT). Pregnancy against the background of HPV is fraught with serious complications, both for the fetus and for the mother. For example, the risk of recurrent papillomatosis of the upper respiratory tract in the fetus is high.
“In the course of the research, we obtained good results, in 96% of cases we achieved the destruction of HPV in the early stages with the help of photodynamic therapy,” continues Olga Ivanovna. “This is the best and most effective method, thanks to which it is not always necessary to perform operations such as conization or amputation of the cervix. The PDT method can be used as an independent type of treatment, or in combination with surgical intervention. This approach allows you to simultaneously achieve both antitumor and antiviral effects.
“Thereby, we allowed the woman to realize her reproductive function, while neither the anatomical and functional integrity of the cervix, nor the menstrual function, that is, everything that is necessary in order to become pregnant and bear a child, did not suffer.”
Is it a true happiness in the profession, isn`t it?
Olga Ivanovna devotes some time to educational and preventive work, talking about the importance of timely examinations by a gynecologist, careful attitude to patient’s health and the health of patient partner, works with couples, because the examination of both partners prevents the reinfection of HPV in women and is a prevention of the recurrence of cervical disease.
“In our work, the most important thing is to get the result and see the effectiveness of the treatment, which includes: a correctly performed examination, the right treatment tactics and further monitoring of the fate and health of the patient. Women infected with high-gene HPV genotypes should be under the supervision of both an oncologist and a gynecologist, emphasizes Dr. Trushina, in order not to miss a relapse of the disease and identify it at the very initial stages, thereby minimizing the amount of surgical intervention and other types of treatment. We observe our patients not only before pregnancy, but for many years. As Andrey Dmitrievich Kaprin says, we leave no man behind!”