宫颈腺癌保留卵巢的若干问题

近年来,宫颈腺癌的发病率呈明显上升趋势,且大多数为年轻女性,因此,是否保留卵巢变得尤为重要,而宫颈腺癌保留卵巢的安全性仍同样存在质疑。通过对宫颈腺癌卵巢转移的危险因素、转移率以及保留卵巢患者的预后等问题进行文献复习研究发现,遵循合适的选择标准,年轻早期宫颈腺癌患者保留卵巢是安全的,对于绝经前的早期宫颈腺癌患者同样可以考虑保留卵巢。双侧输卵管卵巢切除术在早期宫颈腺癌治疗中的应用价值需要重新评估。

The incidence of adenocarcinoma of the uterine cervix is rising significantly in recent years,and most patients are young women.Thus,the question of whether to preserve ovaries or not become particularly important,and there is considerable controversy regarding the safety of ovarian preservation in patients with adenocarcinoma of the uterine cervix.This review summarized the currently available literature regarding the risk factors and incidence of ovarian metastasis in patients with adenocarcinoma of the uterine cervix,as well as the outcome of patients with ovarian preservation,and concluded that it is safe for ovarian preservation in young women with early-stage cervical cancer following the appropriate selection criteria,and the ovaries could also be preserved in premenopause women with early-stage adenocarcinoma of the cervix.The value of bilateral salpingo-ovariectomy in the treatment of women with early-stage adenocarcinoma of the uterine cervix should be reestimated.