宫颈癌不同分期方式的优劣势及其对后续治疗的指导价值

摘要

At present,many gynecological cancers,such as endometrial cancer and ovarian cancer,are used surgical stage. However,cervical cancer is still using the federation international of gynecology and obstetrics( FIGO)staging, which are directly related to the choice of treatment options and prognosis. But the drawback is that the evaluation of parametrial invasion and pelvic wall assault are lack of objectivity,and it does not consider lymph nodes. It easily leads to inadequate or excessive staging that related with inadequate or over-treatment,and affects on prognosis. Ra-diographic stage can improve accuracy and reliability of cervical cancer FIGO stage,and lymph node status is evalua-ted more accurately by surgical staging. In this paper,we reviewed the advantages and disadvantages of different stag-ing system in cervical cancer.%目前很多妇科肿瘤，比如子宫内膜癌、卵巢癌，均采用手术病理分期，然而宫颈癌仍沿用国际妇产科联盟（ federation international of gynecology and obstetrics，FIGO）分期，它可直接关系到治疗方案的选择及预后，但不足之处是对宫旁浸润、盆壁侵犯等判断缺乏客观性，且未考虑到淋巴结因素，易导致分期不足或过度分期，从而引起治疗不足或过度治疗，对其预后也有一定的影响。影像学分期可提高宫颈癌 FIGO 分期的准确率及可信度，而手术病理分期更准确评价淋巴结状态，现就对宫颈癌不同分期方式的优劣势做一综述。