ⅡB期宫颈癌诊治中国专家共识(2024)  

The Chinese expert consensus of the diagnosis and treatment of FIGO stageⅡB cervical cancer(2024 version)

作　　者：尧良清 向阳[2] 王育 林仲秋[4] 王平 胡克[6] 中国医师协会妇产科医师分会妇科肿瘤学组 中国医药教育学会妇科肿瘤专业委员会 Yao Liangqing;Xiang Yang;Wang Yu;Lin Zhongqiu;Wang Ping;Hu Ke;The Gynecological Oncology Group of Chinese Obstetricians and Gynecologists Association;The Gynecological Oncology Committee of Chinese Medicine Education Association(Department of Gynecologic Oncology,Guangzhou Women and Children′s Medical Center,Guangzhou 510180,China;Gynecological Oncology Center,Peking Union Medical College Hospital,Beijing 100730,China;Department of Gynecologic Oncology,Tongji University Affiliated Obstetrics and Gynecology Hospital,Shanghai 200040,China;Department of Gynecologic Oncology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China;Department of Gynecology,West China Second Hospital of Sichuan University,Chengdu 610044,China;Department of Rdiotherapy,Peking Union Medical College Hospital,Beijing 100730,China;不详)

机构地区：[1]广州医科大学附属妇女儿童医疗中心妇瘤科,广州510180 [2]北京协和医院妇瘤中心,北京100730 [3]同济大学附属妇产科医院妇瘤科,上海200040 [4]中山大学孙逸仙纪念医院妇瘤科,广州510120 [5]四川大学华西第二医院妇科,成都610044 [6]北京协和医院放疗科,北京100730 [7]不详

出　　处：《中华转移性肿瘤杂志》2024年第2期99-107,共9页Chinese Journal of Metastatic Cancer

摘　　要：ⅡB期宫颈癌在所有宫颈癌患者中占一定比例。由于妇科检查的主观性及影像学检查对宫旁组织受侵诊断的局限性,其诊断可能与临床分期存在分期升级或降级现象,因此选择同步放化疗还是手术治疗也成为临床上最大的困惑和争议。目前,关于ⅡB期宫颈癌的诊断和治疗在各国临床指南中尚存争议,对于不同患者的推荐治疗模式尚无统一共识。提高ⅡB期宫颈癌的精准诊断和个体化治疗是改善患者生存的关键。为此,编委会组织专家制订本共识,以期为ⅡB期宫颈癌诊断及治疗决策提供参考和借鉴。StageⅡB cervical cancer accounts for a certain proportion of all cervical cancer patients.Due to the subjectivity of gynecological examination and the limitation of imaging examination in the diagnosis of parametrial tissue invasion,the diagnosis of stageⅡB cervical cancer may be inconsistent with the true clinical stage,which is often upgraded or downgraded.Therefore,the choice of concurrent chemoradiotherapy or surgery has become the biggest confusion and controversy in clinical practice.At present,the diagnosis and treatment of stageⅡB cervical cancer are still controversial in the clinical guidelines of various countries,and there is no consensus on the recommended treatment mode for different patients.To improve the accurate diagnosis and individualized treatment of stageⅡB cervical cancer is the key to improve the survival of patients.Therefore,the Editorial Board organized experts to formulate this expert consensus,in order to provide reference for diagnosis and treatment decision-making of stageⅡB cervical cancer.

关 键 词：子宫颈癌 ⅡB期 诊断 治疗 同步放化疗 根治性全子宫切除术 

分 类 号：R737.33[医药卫生—肿瘤]