结合典型病例谈年轻子宫内膜癌患者生育功能的保留

Combining Typical Case to Discuss the Preservation of Fertility in Young Endometrial Cancer

随着全球女性生育年龄的推迟,年轻子宫内膜癌患者保留生育功能越来越受到重视,是近年来国内外研究的热点及重点。大多数早期的年轻子宫内膜癌多为雌激素依赖型,具有病变局限、进展缓慢、分化及预后较好、对性激素治疗反应良好等特点,高效、大剂量、长期应用孕激素是子宫内膜癌患者保留生育功能治疗成功的关键,安全有效的全面评估尤为重要,介绍1例治疗成功的典型病例,就此领域的最新进展进行详细阐述。

With the postponement of the childbearing age of women worldwide,the preservation of fertility in young endometrial cancer patients has received more and more attention.Most early-stage young endometrial cancers are mostly estrogen-dependent,with limited lesions,slow progress,good differentiation and prognosis,and good response to sex hormone therapy.High-efficiency,high-dose,long-term use of progesterone is the key to the success of the treatment.The safe and effective comprehensive assessment is particularly important.This article takes the typical cases of successful treatment as a guide to elaborate on the latest developments in this field.