摘要
妊娠合并宫颈癌的治疗策略包括妊娠期宫颈癌的筛查,以及确诊后妊娠期宫颈癌的处理原则。对于妊娠合并宫颈低级别病变可以延迟到产后随访;对于妊娠合并宫颈高级别病变,在除外浸润癌后,可以在妊娠期间定期随访,并延至在产后复查。对已确诊的妊娠合并宫颈癌,在征得患者及家属的知情同意后,可以采取不保留胎儿或继续妊娠的治疗。由于妊娠合并宫颈癌多为个案报道,需要积累更多的前瞻性资料进行研究。
There are two aspects involved in the treatment strategy of cervical cancer in pregnancy:screening for cervical cancer during pregnancy and treatment for cervical cancer after diagnosis.Low-grade cervical lesions diagnosed in pregnancy can be delayed to postpartum follow-up.For high-grade cervical lesions diagnosed in pregnancy,regular follow-up during pregnancy,with the exception of invasive cancer,can be extended to postpartum.For cervical cancer in pregnancy,treatment without fetal retention or continuing pregnancy may be undertaken with the informed consent of the patient and her family.Since cervical cancer in pregnancy is mostly described in case reports,more prospective data need to be accumulated for research.
作者
魏丽惠
李明珠
WEl Li-hui;LI Ming-zhu(Department of Ob-stetrics and Gynecology,Peking University People's Hospital,Beifing 100044,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2018年第10期1079-1084,共6页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
妊娠
宫颈癌
宫颈癌筛查
新辅助化疗
pregnancy
cervical cancer
cervical can-cer screening
neoadjuvant chemotherapy