国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (1): 96-100.

• 综述 • 上一篇    下一篇

ⅠB~ⅡB期宫颈癌治疗相关研究进展

陈丹丹,阳志军,李力   

  1. 530021 南宁,广西医科大学肿瘤医院妇瘤科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-15 发布日期:2015-02-15
  • 通讯作者: 李力

Progress of Cervical Cancer Treatment withⅠB-ⅡB Stage

CHEN Dan-dan,YANG Zhi-jun,LI Li   

  1. Department of Gynecologic Oncology,Affiliated Tumor Hospital of Guangxi Medical University,Nanning 530021,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-15 Online:2015-02-15
  • Contact: LI Li

摘要: 宫颈癌是全世界女性因癌症死亡的第4大原因,部分ⅠB期以上患者5年生存率仅为50%左右,其治疗失败的原因主要为局部肿瘤未控制或远处转移,合理的治疗对减少宫颈癌患者的复发起到重要作用。手术和放疗仍是ⅠB~ⅡB期宫颈癌的传统治疗模式,近20年来,综合治疗及个体化治疗成为宫颈癌的主要治疗方法,并取得了一定的成效。国内外妇科肿瘤医生对ⅠB~ⅡB期宫颈癌患者在治疗方面开展了新辅助化疗、术后辅助化疗、同步放化疗、三维适形调强放射治疗、三维腔内后装治疗、淋巴结取样、前哨淋巴结活检、保留神经手术等方法,最佳治疗模式目前仍存在争议。手术、放疗和(或)化疗三者合理应用可有效地改善宫颈癌ⅠB~ⅡB期患者预后和提高患者生存率,但并发症也较多。就ⅠB~ⅡB期宫颈癌治疗模式现況,包括化疗、手术、放疗及综合治疗进行综述。

关键词: 宫颈肿瘤, 化学疗法, 辅助, 抗肿瘤联合化疗方案, 放射疗法

Abstract: Cervical cancer is the fourth leading cause of cancer deaths in women worldwide,5-year survival of some patients with stage ⅠB or more is only about 50%,the main reasons for treatment failure is uncontrol local tumor or distant metastasis. The surgery and radiotherapy are still traditional treatment pattern for patients withⅠB-ⅡB stage. The reasonable treatment play an important role in reducing the recurrence of cervical cancer. In the past 20 years,the comprehensive therapy and individualized therapy as the main treatment for cervical cancer,and achieved some results,but there are still controversial. Various treatments have been used, including neoadjuvant chemotherapy, postoperative adjuvant chemotherapy, concurrent chemotherapy and radiotherapy, three dimensional conformal intensity modulated radiation therapy, three dimensional intracavitary brachytherapy, lymph node sampling, sentinel lymph node biopsy, nerve-sparing radical hysterectomy. Recently, the best treatment mode of cervical cancer ⅠB-ⅡB are still controversial. Surgery, radiotherapy and(or) chemotherapy are applied reasonably and effectively in improving of prognosis and increasing survival rate of cervical cancer ⅠB-ⅡB, but there are many complications at the same time. In this paper,the status of the treatment of cervical cancer ⅠB-ⅡB mode period,including chemotherapy,surgery,radiotherapy and combined therapy were reviewed.

Key words: Uterine cervical neoplasms, Chemotherapy, adjuvant, Antineoplastic combined chemotherapy protocols, Radiotherapy