宫颈癌的筛查及诊治进展

摘要

宫颈癌筛查是早期发现宫颈癌的重要手段,由于流行病学及对乳头瘤病毒研究的进展,美国妇产科学会(ACOG)对宫颈癌筛查的起始时间及频率等作了重要修改.鳞状细胞抗原检测对宫颈癌诊断及病情监测起重要作用.宫颈癌治疗手段的改革与创新,如保留生育功能的宫颈广泛性切除术、新辅助化疗、同步放化疗、调强放疗等,使宫颈癌的治疗效果不断提高.%Cervical cancer screening is an important means to early diagnosis for cervical cancer. Because of progress in epidemiology and HPV research,ACOG made an important modification to screening start time and frequency etc. Squmous cell carcinoma antigen detection plays an important role in diagnosis and disease monitors for cervical cancer. The reform and innovation of treatment,such as redical trachelectomy,neoadjuvant chemotherapy,concurrent chemotherapy and radiotherapy,intensity-modulated radiation therapy etc,make the treatment effect continuously improved.