WE KNEW WE HAD TO ACT QUICKLY!

Successful Ovary Removal Surgery for a Patient with Chronic Kidney Disease at National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation

Fifty-five-year-old Natalia sought help from the Department of Reconstructive and Plastic Gynecology and Oncology at the N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the Federal State Budgetary Institution of the “National Medical Research Radiological Centre” of the Ministry of Health of the Russian Federation. This complex case required not only surgical intervention but also additional hemodialysis due to chronic kidney disease.

In early August, Natalia noticed frequent fevers and an increase in her abdominal volume. She admits that she only occasionally visited a gynecologist. After consulting a doctor, she was immediately prescribed an MRI of the pelvic and abdominal organs. The examination revealed cystic, multilocular masses in both ovaries, each up to 15 centimeters in diameter. Additionally, lab tests showed elevated tumor markers in her blood.

Since Natalia suffered from chronic kidney disease, gynecologists referred her to the N. Lopatkin SRI of Urology and Interventional Radiology for comprehensive treatment, as she required scheduled hemodialysis.

“The mass was multilocular, and we knew we had to act quickly! Given the size of the tumor, elevated tumor markers, as well as the risk of capsule rupture, increased pain, and compression of neighboring organs, we had to act without delay,” says Yulia Aldushkina, obstetrician-gynecologist at the Department of Reconstructive and Plastic Gynecology and Oncology of the SRI of Urology and Interventional Radiology.

During the surgery, a tissue examination confirmed the borderline nature of the tumors. To prevent further tumor spread, and considering the patient’s age, the surgeons decided to remove the uterus along with the adnexa and the greater omentum.

After the complex surgery, Natalia recovered quickly. The multidisciplinary team’s collaborative effort not only ensured the surgery’s success but also minimized risks associated with her comorbid conditions.