宫颈小细胞癌诊治临床案例分析

Diagnosis and treatment of small cell carcinoma of the cervix

目的：探讨宫颈小细胞癌临床诊治体会。方法：对19例宫颈小细胞癌患者临床资料进行回顾性分析,内容包括临床影像检查结果、病理诊断结果、治疗方案、治疗效果以及随访结果等。结果：19例宫颈小细胞癌患者中,全部患者病理检查标本均对Syn标记结果呈阳性,73.68%的患者医学影像检查结果可知体内肿瘤形态呈菜花型,对比结果具有统计学意义。13例患者实施手术治疗,所有患者均实施新辅助化疗（NAC）,其中6例患者接受了同步放、化疗治疗方案。6例患者治疗后发生淋巴结转移,复发部位大多为肺部,其中2例患者出现1枚淋巴结转移、4例患者出现2~6枚淋巴结转移。结论：对宫颈小细胞癌患者进行全面检查并准确判断病情,根据患者实际情况选择合适的治疗方案,可有效延长患者生存期。

Objective： To study the diagnosis and treatment of small cell cervical cancer. Methods： The clinical data of 19 cases of small cell carcinoma of the cervix were retrospectively analyzed,including clinical results,imaging findings,pathologic diagnosis,treatment and follow-up results. Results： All 19 cases of small cell cervical carcinoma patients had pathologic specimens of Syn markers positive results,and 73. 68% patients had medical imaging results in vivo tumor morphology cauliflower type,the results were statistically significant. 13 cases were treated with operation,all patients received neoadjuvant chemotherapy（ NAC）,including 6 patients received radiotherapy,chemotherapy,6 patients had lymph node metastasis,recurrence happened in lungs,and 2 patients had 1 LM,4 patients had 2 ~6 LM. Conclusion： To conduct a comprehensive inspection on patients with small cell carcinoma of the cervix and judge the condition accurately,choose the appropriate treatment according to the actual situation of patients,can effectively prolong the survival period,improve the quality of life of patients.