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目的分析35岁以下年轻妇女宫颈癌(以下简称年轻宫颈癌)的发病趋势、病因、临床表现、治疗方法以及预后因素。方法对200例宫颈癌患者的临床资料进行回顾性分析。结果年轻宫颈癌临床表现以接触性阴道出血为主要表现,分期以ⅠA～ⅡA期为主,非鳞癌比例高,以手术治疗为主,ⅠA～ⅡA期年轻宫颈癌的2年复发率高于中老年组。结论年轻宫颈癌发病呈逐年上升趋势,临床及病理特征具有特殊性,预后差,较高的误诊率及复发率提示加强对年轻妇女的筛查,早诊断早治疗,是影响宫颈癌预后的重要因素。
Objective To analyze the incidence, etiology, clinical manifestations, treatment and prognostic factors of cervical cancer in young women under 35 years old (hereinafter referred to as young cervical cancer). Methods The clinical data of 200 cases of cervical cancer were analyzed retrospectively. Results The clinical manifestations of young cervical cancer were mainly contact vaginal bleeding. Stage ⅠA-ⅡA was the main stage. The proportion of nonsquamous squamous cell carcinoma was high, which was mainly treated by surgery. The 2-year recurrence rate of young cervical cancer in stage ⅠA-ⅡA was higher than that of young cervical cancer Middle-aged group. Conclusion The incidence of young cervical cancer is increasing year by year. The clinical and pathological features are special. The prognosis is poor. The higher misdiagnosis rate and recurrence rate suggest that the screening of young women should be strengthened. The early diagnosis and early treatment of cervical cancer is an important factor affecting the prognosis of cervical cancer. factor.