妊娠相关性宫颈癌5例临床治疗体会

目的:探讨妊娠相关性宫颈癌的诊断、治疗及预后。方法:从2003年1月至2009年11月对收治的5例妊娠相关性宫颈癌患者进行手术、化疗、放疗。术前采用VBP、TP方案及后装治疗,根治性放疗前采用TP方案化疗。结果:5例妊娠相关性宫颈癌分化程度低,发现时病期较晚,病情发展较快,2例6月内死亡,1例12个月死亡,1例17个月死亡。结论:妊娠相关性宫颈癌预后差,早期诊断很重要,治疗方案个体化。

Uterine cervix cancer associated with pregnancy:Report of 5 cases

Objective:To explore the diangnosis,treatment and prognosis of cervical cancer associated with pregnancy.Methods:From January 2003 to November 2009,5 patients were treated with surgery,radiotherapy and chemotherapy.Regimens chemotherapy with VBP,TP and afterloading intracavitary treatment of cobalt before surgery,TP before external irradiation were performed.Results:Aee patients were with worse pathological differentiation,the right diagnosis all delayed,all 5 patients had rapidly progressive disease,2 patients dead in 6 months,1 patient dead in 12 months,1 patient dead in 17 months.Conclusion:The prognosis of cervical cancer associated with pregnancy is very poor,early diagnosis is very important.