关键词: cervical cancer chemotherapy diagnosis pregnancy pregnancy with cervical cancer tumor management tumor staging

Mesh : Clinical Decision-Making Disease Management Female Humans Obstetric Labor, Premature / prevention & control Practice Guidelines as Topic Pregnancy Pregnancy Complications, Neoplastic / diagnosis therapy Risk Assessment Uterine Cervical Neoplasms / diagnosis therapy

来  源:   DOI:10.1002/cam4.2435   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
In recent years, the incidence of gynecological malignant tumors during pregnancy has increased, mainly due to the increased number of old age pregnancy. The most common gynecological malignant tumors in pregnancy are cervical cancer, accounting for 71.6%, followed by ovarian malignant tumors, accounting for 7.0%. The incidence of cervical cancer in pregnancy is itself not very high, and the symptoms are easily confused with other diseases in pregnancy. During pregnancy, gynecological examination is limited, and therefore, the rate of misdiagnosis is higher. The treatment of cervical cancer during pregnancy is related to many factors, such as tumor size, pathological type, period of gestation, lymph node involvement, and patients\' willingness to maintain pregnancy. As a reason of these factors, it is difficult to determine the optimal treatment. This article reviews the research progress on the diagnosis and treatment principles of cervical cancer in pregnancy, in order to strike a balance between effective treatment of tumors and protection of fetal health, and avoid delays in treatment and preterm delivery.
摘要:
近年来,怀孕期间妇科恶性肿瘤的发病率有所增加,主要是由于老年怀孕人数增加。妊娠期最常见的妇科恶性肿瘤是宫颈癌,占71.6%,其次是卵巢恶性肿瘤,占7.0%。子宫颈癌在妊娠期的发病率本身并不是很高,症状很容易与怀孕期间的其他疾病混淆。在怀孕期间,妇科检查是有限的,因此,误诊率较高。妊娠期宫颈癌的治疗与多种因素有关,如肿瘤大小,病理类型,妊娠期,淋巴结受累,和患者愿意维持妊娠。作为这些因素的原因,很难确定最佳治疗方法。本文就妊娠期宫颈癌诊治原则的研究进展作一综述,为了在有效治疗肿瘤和保护胎儿健康之间取得平衡,避免延误治疗和早产。
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