妊娠相关性宫颈癌13例临床分析  

Clinical Analysis of 13 Patients with Cervical Cancer Associated with Pregnancy

作　　者：柴丹[1] 郑艾[1] 张健[1] 张云燕[1] 

机构地区：[1]四川大学华西第二医院妇产科,四川成都610041

出　　处：《华西医学》2009年第1期108-111,共4页West China Medical Journal

摘　　要：目的：探讨妊娠相关性宫颈癌的早期诊断、治疗和预后。方法：结合文献回顾分析我院2000年至2007年收治的13例妊娠相关性宫颈癌的诊治经过和预后。结果：妊娠相关性宫颈癌分化程度低，癌灶体积大，早期盆腔淋巴结转移率高，产褥期宫颈癌预后差。结论：宫颈细胞学检查应列为首次产检常规项目；妊娠期宫颈原位癌在密切随诊前提下可暂不予处理，待分娩后6～8周活检确认病变性质后，再采取相应治疗措施；新辅助化疗同样可为晚期别的妊娠相关性宫颈癌争取手术时机。Objective： To investigate the early diagnosis, treatment and prognosis of cervical cancer associated with pregnancy. Methods： The clinical data of 13 cases having cervical cancer associated with pregnancy from 1999 to 2006 were analyzed retrospectively. Results：Compared those cervical cancer without associated with pregnancy, the character- istics were different., worse pathological differentiation, larger volume of mass, more lymph node metastases in early stage, and poor prognosis in patients during puerperium. Conclusion： It is necessary to make cervical cytological examination as a normal routine in the first prenatal examination;it is allowable to leave alone the pregnant women with cervical carcinoma in situ 6-8 weeks after delivery,the cervical tumor should undergo biopsy to make clear its nature,then ap- propriate treatment should be given. Neo adjuvant chemotherapy could also be used to struggle the surgical treatment possible in the advanced cases of cervical cancer associated with pregnancy.

关 键 词：妊娠相关性宫颈癌 细胞学 首次产检 原位癌 密切随诊 新辅助化疗 

分 类 号：R737.33[医药卫生—肿瘤]