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妊娠期Ⅰb期宫颈癌:计划性延迟治疗——病例报告

Stage Ib cervical cancer during pregnancy: planned delay in treatment--case report.

作者信息

Traen K, Svane D, Kryger-Baggesen N, Bertelsen K, Mogensen O

机构信息

Department of Gynaecologic Oncology, Odense University Hospital, Odense, Denmark.

出版信息

Eur J Gynaecol Oncol. 2006;27(6):615-7.

Abstract

Approximately 0.05% of pregnancies are complicated with cervical cancer. Treatment of this malignancy during pregnancy depends on the stage of disease and gestational age at the time of diagnosis. In women with Stage IB cervical cancer immediate treatment, without regard to the pregnancy, is traditionally advocated in the first and second trimester. A planned delay of treatment, to achieve foetal maturity, may be acceptable if there are no adverse maternal and foetal consequences. We present a case of a Stage IB1 cervical cancer, diagnosed during a twin pregnancy, and treated with a planned delay of 19 weeks. We have reviewed the literature and focused on what is known about planned delay in therapy of Stage IB cervical cancer, diagnosed before 30 weeks of gestational age.

摘要

约0.05%的妊娠合并宫颈癌。孕期这种恶性肿瘤的治疗取决于疾病分期及诊断时的孕周。对于ⅠB期宫颈癌女性,传统上主张在孕早期和孕中期立即治疗,不考虑妊娠情况。如果对母体和胎儿没有不良影响,为实现胎儿成熟而计划推迟治疗可能是可以接受的。我们报告一例ⅠB1期宫颈癌病例,在双胎妊娠期间诊断,计划推迟19周进行治疗。我们回顾了文献,并重点关注了孕30周前诊断的ⅠB期宫颈癌计划性延迟治疗的相关情况。

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