国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2015, Vol. 34 ›› Issue (2): 173-176.

• 综述 • 上一篇    

妊娠合并宫颈癌的处理

潘璐，张珂，朱珏，马胜林   

  1. 210029 南京医科大学（潘璐，朱珏）；杭州市第一人民医院（张珂，马胜林）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-15 发布日期:2015-03-15
  • 通讯作者: 马胜林

Treatment of Pregnancy with Cervical Cancer

PAN Lu，ZHANG Ke，ZHU Jue，MA Sheng-lin   

  1. Nanjing Medical University，Nanjing 210029，China（PAN Lu，ZHU Jue）；Hangzhou First People′s Hospital，Hangzhou 310006，China（ZHANG Ke，MA Sheng-lin）
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-15 Online:2015-03-15
  • Contact: MA Sheng-lin

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摘要： 宫颈癌病死率在女性肿瘤病死率中占第二位。宫颈癌是妊娠妇女中最常见的恶性肿瘤之一，严重威胁女性的身体健康、生育能力及心理状态。文献推荐对妊娠合并宫颈癌患者进行个体化治疗，并根据疾病分期、妊娠时间、患者对继续妊娠的意愿、淋巴转移情况、病理类型等进行调整，目前临床上对妊娠合并宫颈癌患者的治疗尚无明确的规范，有关妊娠如何影响疾病的诊治，疾病怎样改变妊娠的进程及根据疾病分期、妊娠时间的不同选择不同的治疗方案等问题需要进一步探讨。

关键词: 宫颈肿瘤, 妊娠并发症, 妊娠结局, 治疗, 诊断

Abstract: The mortality of cervical cancer is the second highest in women tumors, while cervical cancer is also one of the most common malignancies in pregnant women which is a serious threat to health, fertility and mental state. For those pregnant women with cervical cancer, the individualized treatment was recommended which was dependent on the stage of cancer, the gestational stage at the time of diagnosis, patients′ wish to pregnancy, metastasis of lymph nodes and histological subtype. Unfortunately, there is not a guideline accepted universally for the diagnosis and treatment of those patients. It is necessary to discuss deeply how pregnancy to affect the management of cancer, how cancer to affect the process of pregnancy, and how to treat according to the different stages of cancer and pregnancy.

Key words: Uterine cervical neoplasms, Pregnancy complications, Pregnancy outcome, Therapy, Diagnosis