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akusherstvo

Obstetrics, Gynecology and Reproduction

Акушерство, Гинекология и Репродукция

2313-73472500-3194

IRBIS LLC

10.17749/2313-7347/ob.gyn.rep.2025.675

akusherstvo-2567

Research Article

REVIEW ARTICLE

НАУЧНЫЙ ОБЗОР

Imaging diagnostics of abdomen and pelvis complications in female reproductive system malignancies

Лучевая диагностика осложнений органов брюшной полости и таза при злокачественных новообразованиях женской репродуктивной системы

https://orcid.org/0009-0003-4852-0099

Кочнева

П. Н.

Kochneva

P. N.

Кочнева Полина Николаевна

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Polina N. Kochneva

89 Chapaevskaya Street, Samara 443099

kochnevapolina43@gmail.com

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Идрисова

А. Б.

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350063 Краснодар, ул. имени Митрофана Седина, д. 4

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Фирсова Юлия Игоревна

344022 Ростов-на-Дону, Нахичеванский переулок, д. 29

Yuliya I. Firsova

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https://orcid.org/0009-0004-4495-660X

Тупикова

М. Х.

Tupikova

M. Kh.

Тупикова Маргарита Хазраилевна

344022 Ростов-на-Дону, Нахичеванский переулок, д. 29

Margarita Kh. Tupikova

29 Nakhichevansky Lane, Rostov-on-Don 344022

https://orcid.org/0009-0004-2086-9501

Крамской

В. С.

Kramskoi

V. S.

Крамской Владислав Сергеевич

390026 Рязань, ул. Высоковольтная, д. 9

Vladislav S. Kramskoi

9 Vysokovoltnaya Str., Ryazan 390026

https://orcid.org/0009-0009-9996-809X

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Д. В.

Besolova

D. V.

Бесолова Дана Витальевна

362019 Республика Северная Осетия-Алания, Владикавказ, Пушкинская ул., д. 40

Dana V. Besolova

40 Pushkinskaya Str., Vladikavkaz, Republic of North Ossetia–Alania 362019

https://orcid.org/0009-0004-3795-7532

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А. М.

Bekuzarova

A. M.

Бекузарова Амага Майрамовна

660022 Красноярск, ул. Партизана Железняка, д. 1

Amaga M. Bekuzarova

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Егорова Карина Андреевна

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Karina A. Egorova

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А. А.

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Alina A. Mullina

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ФГБОУ ВО «Самарский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSamara State Medical University, Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Майкопский государственный технологический университет»РоссияMaykop State Technological UniversityRussian Federation

ФГБОУ ВО «Кубанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияKuban State Medical University, Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Ростовский государственный медицинский университет Министерства здравоохранения Российской ФедерацииРоссияRostov State Medical University, Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Рязанский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияPavlov Ryazan State Medical University, Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Северо-Осетинская государственная медицинская академия» Министерства здравоохранения Российской ФедерацииРоссияNorth Ossetian State Medical Academy, Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого» Министерства здравоохранения Российской ФедерацииРоссияVoino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Башкирский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияBashkir State Medical University, Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Чувашский государственный университет имени И.Н. Ульянова»РоссияUlianov Chuvash State UniversityRussian Federation

БУ «Республиканский центр медицины катастроф и скорой медицинской помощи» Министерства здравоохранения Чувашской РеспубликиРоссияRepublican Center for Disaster Medicine and Emergency Medical Care, Ministry of Health of the Chuvash RepublicRussian Federation

ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияPavlov First Saint Petersburg State Medical University, Ministry of Health of the Russian FederationRussian Federation

2026

06102025

Online First

2567

Copyright © Kochneva P.N., Idrisova A.B., Sarkisyan V.K., Firsova Y.I., Tupikova M.K., Kramskoi V.S., Besolova D.V., Bekuzarova A.M., Shakirov R.D., Kirillova A.Y., Egorova K.A., Mullina A.A., Ivaniukovich A.F., 2026

2026

Кочнева П.Н., Идрисова А.Б., Саркисян В.К., Фирсова Ю.И., Тупикова М.Х., Крамской В.С., Бесолова Д.В., Бекузарова А.М., Шакиров Р.Д., Кириллова А.Ю., Егорова К.А., Муллина А.А., Иванюкович А.Ф.

Kochneva P.N., Idrisova A.B., Sarkisyan V.K., Firsova Y.I., Tupikova M.K., Kramskoi V.S., Besolova D.V., Bekuzarova A.M., Shakirov R.D., Kirillova A.Y., Egorova K.A., Mullina A.A., Ivaniukovich A.F.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.gynecology.su/jour/article/view/2567

Female reproductive system malignancies are frequently associated with a high risk of abdominopelvic complications, arising both from the tumor process itself and due to therapeutic interventions, including surgery, radiotherapy, chemotherapy, and immunotherapy. Such complications may profoundly worsen prognosis, impair quality of life, and hinder further treatment. Imaging diagnostics plays a crucial role in their timely detection, providing an opportunity not only to evaluate an extent and distribution of pathology but also to differentiate expected post-therapeutic changes from true complications. This article reviews the most common complications encountered after surgical procedures, such as lymphatic complications, fistulas, and infectious processes, as well as those following pelvic exenteration. Radiation-induced toxic effects are described, including both early and late changes affecting the gastrointestinal tract, urinary system, and musculoskeletal structures. Particular attention is paid to complications associated with chemotherapy and contemporary systemic therapies, including targeted agents and immunotherapy, which may result in hepatobiliary, pancreatic, gastrointestinal, vascular, and skeletal toxicities. Typical radiological manifestations related to such complications are discussed primarily outlining those following computed tomography (CT) and magnetic resonance imaging (MRI) exerting an essential role for early diagnosis, treatment planning, and follow-up. A comprehensive understanding of imaging features for abdominopelvic complications in patients with gynecologic malignancies is required for accurate diagnosis, prevented misinterpretation, and patient care optimization.

Злокачественные новообразования (ЗНО) женской репродуктивной системы сопровождаются высоким риском развития абдоминально-тазовых осложнений, связанных как с самим опухолевым процессом, так и с проводимой терапией, включая хирургическое вмешательство, лучевую терапию, химио- и иммунотерапию. Эти осложнения могут существенно ухудшать прогноз, снижать качество жизни пациенток и затруднять проведение последующего лечения. Ключевую роль в их своевременном выявлении играет лучевая диагностика, позволяющая не только оценить степень и распространенность патологического процесса, но и дифференцировать ожидаемые посттерапевтические изменения от истинных осложнений. В статье представлены основные виды осложнений, возникающих после хирургических вмешательств (лимфатические осложнения, свищи, инфекционные процессы), экзентерации органов малого таза, а также токсические эффекты лучевой терапии, включая ранние и поздние изменения со стороны желудочно-кишечного тракта, мочевыводящей системы и опорно-двигательного аппарата. Особое внимание уделено осложнениям, связанным с химиотерапией и современными методами системного лечения, включая таргетные препараты и иммунотерапию, которые могут приводить к повреждениям со стороны печени, поджелудочной железы, кишечника, сосудистой и костной систем. Рассмотрены типичные рентгенологические проявления осложнений при использовании компьютерной томографии и магнитно-резонансной томографии, что имеет решающее значение для ранней диагностики, выбора тактики лечения и последующего наблюдения. Понимание особенностей визуализации осложнений у пациенток с ЗНО женской репродуктивной системы необходимо для повышения точности диагностики, предотвращения диагностических ошибок и оптимизации лечебного процесса.

злокачественные новообразования женской репродуктивной системыабдоминальные осложнениятазовые осложнениялучевая диагностикакомпьютерная томографиямагнитно-резонансная томографияпослеоперационные осложнения

gynecologic malignanciesabdominal complicationspelvic complicationsimagingcomputed tomographymagnetic resonance imagingpostoperative complications

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The authors declare that there are no conflicts of interest present.