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妊娠相关宫颈癌是发生于孕期或产后最常见的恶性肿瘤,发病率低,缺乏诊治经验。患者多为有生育要求的年轻女性,应尽可能保留其生育功能,必要时行新辅助化疗改善预后。而对于神经内分泌小细胞癌或伴有盆腔淋巴结转移者,应立即终止妊娠接受根治性治疗。术前对患者进行预后风险评估是选择继续妊娠还是立即行根治性治疗的决定因素。妊娠相关宫颈癌患者应制定个体化诊疗方案,使母儿双方最大获益。
Pregnancy-related cervical cancer is the most common malignancy occurring during pregnancy or after childbirth, with a low incidence and lack of experience in diagnosis and treatment. Most patients with reproductive requirements of young women, should retain their reproductive function as possible, if necessary, neoadjuvant chemotherapy to improve prognosis. For neuroendocrine small cell carcinoma or pelvic lymph node metastasis, should immediately terminate the pregnancy to accept radical treatment. Prognostic risk assessment of patients before surgery is the deciding factor in choosing to continue pregnancy or immediate radical treatment. Pregnancy-related cervical cancer patients should develop individualized treatment programs, so that both mother and child benefit the most.