宫颈癌合并妊娠10例临床分析

Clinical Analysis of 10 Cases of Cervical Cancer Associated with Pregnancy

目的分析比较宫颈癌合并妊娠的临床处理方法。方法收集10例宫颈癌合并妊娠的临床资料,分析治疗手段,观察其预后。结果 7例原位癌患者及1例宫颈恶性苗勒氏管肿瘤Ⅰb1患者经治疗后均无复发及转移。1例宫颈高分化腺癌Ⅱb患者带瘤存活,但出现转移;1例宫颈鳞癌Ⅰb1患者死亡。结论宫颈癌合并妊娠患者,需根据宫颈癌的临床分期、孕周、患者对胎儿的需求程度等因素选择处理方案。

Objective To analyze the clinical intervention on cervical cancer patients associated with pregnancy.Methods We collected clinical data of 10 cases, analyzed clinical intervention and observed their prognosis.Results 7 cases with cancer in situ （CIN） and 1 case with cervical malignant mixed mullerian tumor at stage Ib survived after intervention without relapse and me- tastasis. 1 case with cervix adenocarcinoma at stage lib survived with liver metastasis. 1 case with cervical squamous carcinoma at stage I bt died, Conclusions For patients with cervical cancer associated with pregnancy, individualized therapy should be adopted considering cervical cancer stage, gestational week and the patients＇ demand for fetus.