宫颈小细胞癌诊治临床案例分析

目的:探讨宫颈小细胞癌临床诊治体会。方法:对19例宫颈小细胞癌患者临床资料进行回顾性分析，内容包括临床影像检查结果、病理诊断结果、治疗方案、治疗效果以及随访结果等。结果:19例宫颈小细胞癌患者中，全部患者病理检查标本均对Syn标记结果呈阳性，73.68%的患者医学影像检查结果可知体内肿瘤形态呈菜花型，对比结果具有统计学意义。13例患者实施手术治疗，所有患者均实施新辅助化疗（NAC），其中6例患者接受了同步放、化疗治疗方案。6例患者治疗后发生淋巴结转移，复发部位大多为肺部，其中2例患者出现1枚淋巴结转移、4例患者出现2~6枚淋巴结转移。结论:对宫颈小细胞癌患者进行全面检查并准确判断病情，根据患者实际情况选择合适的治疗方案，可有效延长患者生存期。

Diagnosis and treatment of small cell carcinoma of the cervix

Objective:To study the diagnosis and treatment of small cell cervical cancer. Methods:The clinical data of 19 cases of small cell carcinoma of the cervix were retrospectively analyzed,including clinical results,imaging findings,pathologic diagnosis,treatment and follow-up results. Results:All 19 cases of small cell cervical carcinoma patients had pathologic specimens of Syn markers positive results,and 73. 68% patients had medical imaging results in vivo tumor morphology cauliflower type,the results were statistically significant. 13 cases were treated with opera-tion,all patients received neoadjuvant chemotherapy( NAC),including 6 patients received radiotherapy,chemothera-py,6 patients had lymph node metastasis,recurrence happened in lungs,and 2 patients had 1 LM,4 patients had 2~6 LM. Conclusion:To conduct a comprehensive inspection on patients with small cell carcinoma of the cervix and judge the condition accurately,choose the appropriate treatment according to the actual situation of patients,can effec-tively prolong the survival period,improve the quality of life of patients.