年轻早期宫颈癌患者手术保留卵巢相关问题

Study of retaining ovary in young women with early-stage cervical carcinoma

对于年轻早期宫颈鳞癌有保留卵巢意愿的患者,如果无乳腺癌家族史及卵巢癌家族史,年龄小于40岁,肿瘤直径<4cm,手术中剖检标本见宫体外及卵巢无转移,无淋巴转移及脉管内瘤栓,行保留卵巢手术是必要安全可行的。但保留的卵巢如行移位术,术前须与患者充分沟通,告知卵巢移位术后的风险及并发症。

For the young women with early stage cer- vical squamous carcinoma who are willing reserve ovaries, if there is no family history of breast cancer and ovarian cancer, less than 40 years of age, lesions 〈4cm, without ovarian metastasis, lymph node metastasis or vascular tumor thrombus in surgical pathological findings, the retained ovary is necessary, safe and feasible.But if there is need to transpose ovary, before surgery the patients should be fully informed of the risks and complications of ovarian transposition.