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目的:探讨妊娠相关性宫颈癌的早期诊断、治疗和预后。方法:结合文献回顾分析我院2000年至2007年收治的13例妊娠相关性宫颈癌的诊治经过和预后。结果:妊娠相关性宫颈癌分化程度低,癌灶体积大,早期盆腔淋巴结转移率高,产褥期宫颈癌预后差。结论:宫颈细胞学检查应列为首次产检常规项目;妊娠期宫颈原位癌在密切随诊前提下可暂不予处理,待分娩后6~8周活检确认病变性质后,再采取相应治疗措施;新辅助化疗同样可为晚期别的妊娠相关性宫颈癌争取手术时机。
Objective: To investigate the early diagnosis, treatment and prognosis of pregnancy-related cervical cancer. Methods: Combined with literature review of our hospital from 2000 to 2007 admitted to the treatment of 13 cases of pregnancy-related cervical cancer and prognosis. Results: Pregnancy-related cervical cancer had a low degree of differentiation, a large volume of cancer, a high rate of early pelvic lymph node metastasis and a poor prognosis of puerperium cervical cancer. Conclusion: Cervical cytology should be listed as the first routine check-up project. Pregnancy-specific cervical carcinoma in situ can not be treated for a short period of time. After the biopsy is confirmed 6 to 8 weeks after childbirth, appropriate treatment measures ; Neoadjuvant chemotherapy can also be late for other pregnancy-related cervical cancer fight for the timing of surgery.