妊娠相关性宫颈癌5例临床治疗体会

摘要

Objective:To explore the diangnosis , treatment and prognosis of cervical cancer associated with pregnancy. Methods: From January 2003 to November 2009,5 patients were treated with surgery, radiotherapy and chemotherapy. Regimens chemotherapy with VBP, TP and afterloading intracavitary treatment of cobalt before surgery, TP before external irradiation were performed. Results:Aee patients were with worse pathological differentiation , the right diagnosis all delayed , all 5 patients had rapidly progressive disease, 2 patients dead in 6 months, 1 patient dead in 12 months, 1 patient dead in 17 months. Conclusion:The prognosis of cervical cancer associated with pregnancy is very poor,early diagnosis is very important.%目的:探讨妊娠相关性宫颈癌的诊断、治疗及预后.方法:从2003年1月至2009年11月对收治的5例妊娠相关性宫颈癌患者进行手术、化疗、放疗.术前采用VBP、TP方案及后装治疗,根治性放疗前采用TP方案化疗.结果:5例妊娠相关性宫颈癌分化程度低,发现时病期较晚,病情发展较快,2例6月内死亡,1例12个月死亡,1例17个月死亡.结论:妊娠相关性宫颈癌预后差,早期诊断很重要,治疗方案个体化.