子宫颈癌合并妊娠的诊断及处理——附5例临床分析

目的:探讨子宫颈癌合并妊娠的临床诊断和处理.方法:对5例子宫颈癌合并妊娠患者的临床资料进行回顾性分析.结果:3例子宫颈癌于孕早期确诊,1例子宫颈癌于孕中期确诊,1例于孕37+周确诊.3例子宫颈浸润癌于孕35 ～ 38+周终止妊娠,其中2例延迟10周和7个月处理,新生儿均存活.结论:子宫颈癌合并妊娠的临床表现和处理原则同非妊娠期.妊娠早期常规行妇科检查及宫颈细胞学检查可早期发现子宫颈癌.子宫颈癌合并妊娠的处理应依据肿瘤临床分期、疾病诊断时孕周以及患者意愿综合考虑给予个体化治疗.

Diagnosis and treatment of pregnant women with invasive cervical carcinoma

Objective： To investigate the clinical diagnosis and treatment of pregnant women with invasive cervical carcinoma （ICC）. Methods： Clinical materials of 5 pregnant women with ICC were retrospectively analyzed. Results： Three cases were diagnosed in the first trimester of pregnancy ; 1 case was confirmed in the middle trimes ter, while the rest 1 case were diagnosed at the 37th week of gestation respectively, of the 5 cases, 3 cases terminated their pregnancies during the 37th -38th week of gestation; 2 cases were treated 10 weeks and 7 months later, respectively. All the neonates were alive. Conclusion： The clinical manifestations and principles of treatments of patients with ICC complicating with pregnancy are identical with the non-pregnant patients. Gynecological examination and cervical cytological test in the first trimester may early detect cervical carcinoma. The treatment of pregnant women with ICC should be designed individually, according to the clinical stage of the tumor, the gestational age as well as the desires of the patients.