中国全科医学 ›› 2022, Vol. 25 ›› Issue (03): 259-263.DOI: 10.12114/j.issn.1007-9572.2021.02.105

所属专题: 指南/共识最新文章合集 肿瘤最新文章合集 述评栏目最新文章合集

• 述评 •    下一篇

宫颈癌治疗的现状及问题:从临床指南到真实世界研究

张军   

  1. 100029 北京市,首都医科大学附属北京安贞医院妇产科 心血管重症妇产医学中心
  • 收稿日期:2021-08-05 修回日期:2021-10-25 出版日期:2022-01-20 发布日期:2021-12-29
  • 基金资助:
    北京卫健委医疗服务与保障能力提升项目(20190542)

Current Status and Challenges of Cervical Cancer Treatmentfrom Clinical Guidelines to Real-world Study

ZHANG Jun   

  1. Department of Obstetrics and GynecologyBeijing Anzhen HospitalCapital Medical University/Obstetrics and Gynecology Center for Severe Cardiovascular DiseasesBeijing 100029China

  • Received:2021-08-05 Revised:2021-10-25 Published:2022-01-20 Online:2021-12-29

摘要: 宫颈癌是严重威胁女性健康的恶性肿瘤之一,关于宫颈浸润癌的治疗,需要术前规范地分期和评估,早期宫颈癌以手术治疗为主,重视国内外指南更新,选择合适的手术范围和入路;晚期及复发性宫颈癌以放化疗为主,宫颈癌的治疗和临床研究中存在诸多挑战和争议。本文主要就宫颈癌的诊断及治疗的现状及问题进行探讨,以更好地应用临床指南指导真实世界的诊疗。

关键词: 妇科肿瘤, 生殖器肿瘤, 女(雌)性, 宫颈肿瘤, 诊断, 治疗

Abstract:

Cervical cancer is a type of malignancy that severely threatens women's health. For invasive cervical cancer, standardized preoperative staging and assessment are essential before the start of treatment. With regard toearly cervical cancer, surgery is the major treatment, with considerations for the latest updates in relevant guidelines, and the determination of extent of resection as well as the selection of proper surgical approach. For advanced or relapsed cervical cancer, radiotherapy and chemotherapy are the main treatments. However, there are many challenges and controversies regarding the treatment and clinical research of cervical cancer. We mainly discussed the present status and challenges of cervical cancer diagnosis and treatment based on clinical guidelines and practices, aiming at bettering the real-world practice with the support of clinical guidelines.

Key words: Gynecologic neoplasms, Genital neoplasms, female, Uterine cervical neoplasms, Diagnosis, Therapy

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