宫颈癌诊治热点与进展  

AHotspots and advances on diagnosis and treatment for cervical cancer

作　　者：张清伟 尹如铁 ZHANG Qingwei;YIN Rutie(Department of Obstetrics and Gynecology,West China Second University Hospital of Sichuan University,Chengdu 610041,China;Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan Univer-sity),Ministry of Education,Chengdu 610041,China;Henan Key Laboratory of Fertility Protection and Aristo-genesis,Luohe 462003,China;不详)

机构地区：[1]四川大学华西第二医院妇产科,成都610041 [2]出生缺陷与相关妇儿疾病教育部重点实验室,成都610041 [3]河南省生育力保护和优生重点实验室,河南漯河462003

出　　处：《实用医学杂志》2024年第17期2357-2362,共6页The Journal of Practical Medicine

基　　金：四川省科学技术厅重点研发项目(编号:2019YFS0532);四川大学横向科技项目(编号:23H1223,21H1419);四川省干部保健科研项目(编号:2023-1702);四川省卫生健康委员会科技项目(编号:2022JDXM001);河南省医学科技攻关计划联合共建项目(编号:LHGJ20230939);北京科创医学发展基金会基金(编号:KC2023-JX-0186-RQ065)。

摘　　要：宫颈癌是发病率最高的妇科恶性肿瘤。其诊疗规范为早期手术,术后根据病理是否具有高、中危因素进行辅助放化疗,各期均可采用根治性同步放化疗、晚期及复发患者进行综合治疗。近年来,宫颈癌的手术病理分期、手术路径、早期宫颈癌手术方式、新辅助化疗、放疗技术及新药临床研究等方面均取得了诸多进展,使本病治疗更加精准化和个体化。该文就与本病诊治相关研究热点和进展做简要述评,以期为临床实践提供更多参考。Cervical cancer is a prevalent gynecological malignancy worldwide,and despite established mea-sures for prevention,detection,and treatment at different stages,limited success has been achieved in effectively reducing its incidence.While treatments such as surgery for early-stage patients,adjuvant chemoradiotherapy based on postoperative pathology assessment of high-risk factors and intermediate risk factors,combined radiochemotherapy for patients at all stages,and systemic treatment for advanced cervical cancer have demonstrated effectiveness in numerous cases.Recent advancements in surgical pathology staging,selection of surgical approaches,options available for early-stage cases,utilization of neoadjuvant chemotherapy,novel approaches to radiotherapy adminis-tration,as well as clinical trials investigating new drugs targeting recurrent and metastatic cervical cancer have con-tributed to more precise and individualized treatment strategies while providing a wider range of choices.Therefore,this manuscript comprehensively discusses important developments concerning the diagnosis and treatment of cervi-cal cancer with the aim of offering an improved reference for clinical practice.

关 键 词：宫颈癌 诊断 治疗 妇科肿瘤 放化疗 

分 类 号：R737.3[医药卫生—肿瘤]