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中华产科急救电子杂志 ›› 2024, Vol. 13 ›› Issue (04) : 202 -208. doi: 10.3877/cma.j.issn.2095-3259.2024.04.003

妊娠期非产科手术

妊娠合并子宫颈癌的管理
黎璞1, 生秀杰1,()   
  1. 1.510150 广州医科大学附属第三医院妇产科广东省妇产疾病临床医学研究中心
  • 收稿日期:2024-06-23 出版日期:2024-11-18
  • 通信作者: 生秀杰
  • 基金资助:
    广东省卫生健康适宜技术推广项目(202303131300431262)

Management of pregnancy complicated with cervical cancer

Pu Li, Xiujie Sheng()   

  • Received:2024-06-23 Published:2024-11-18
  • Corresponding author: Xiujie Sheng
引用本文:

黎璞, 生秀杰. 妊娠合并子宫颈癌的管理[J]. 中华产科急救电子杂志, 2024, 13(04): 202-208.

Pu Li, Xiujie Sheng. Management of pregnancy complicated with cervical cancer[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2024, 13(04): 202-208.

子宫颈癌是妊娠期最常见的妇科恶性肿瘤之一,总体发病率较低,临床虽不常见,但流行病学研究显示其发病率不断上升。其症状常与妊娠相关疾病混淆,易误诊或漏诊。妊娠合并子宫颈癌的临床管理极具挑战性,需要兼顾母胎、平衡肿瘤与妊娠的关系,以获得最佳结局。近年妊娠合并子宫颈癌的诊治理念和策略也有很大变化,本文结合国内外权威指南、专家共识及文献报道对其进行阐述。

Cervical cancer is one of the most common gynecological malignant tumors during pregnancy.The rare combination of cancer and pregnancy is expected to rise,as already demonstrated by population-based studies,and the symptoms are easily confused with other diseases in pregnancy,making it easy to be misdiagnosed or underdiagnosed.Cervical cancer during pregnancy is probably one of the most challenging medical conditions;it requires multidisciplinary care.Both diagnosis and treatment should take into consideration maternal and fetal health while not compromising the chances for cure.Our article aims to present management strategies for cervical cancer during pregnancy based on the guidelines,expert consensus,and literature reports.

图1 妊娠合并子宫颈癌管理—2019年国际妇科癌症学会和欧洲妇科肿瘤学会基于第三次国际共识会议的指南
图2 妊娠合并子宫颈癌有继续妊娠意愿者管理流程图—2023年中国专家共识 注:LVSI:(lymphvascular space invasion)淋巴脉管间隙浸润;NACT:(neoadjuvant chemotherapy)新辅助化疗
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