妊娠合并宫颈癌1例诊治体会并文献复习

Diagnosis and Treatment of Pregnancy Complicated with Cervical Cancer:a Case Report and Literature Review

妊娠合并宫颈癌的发病率呈上升趋势,其临床表现与妊娠期其他疾病易混淆,且妇科检查会因妊娠而受到限制,从而导致误诊、漏诊。妊娠合并宫颈癌的诊治尚无成熟统一的方案,需要根据病理结果、临床分期、妊娠周数、胎儿发育情况及患者继续妊娠的意愿等制订个体化治疗方案。本文结合1例初诊为先兆流产的妊娠合并宫颈癌患者的诊治,从筛查、诊断、治疗以及终止妊娠的时机和方式等总结诊治体会,并进行相关文献复习,以期为妊娠合并宫颈癌的诊治提供参考。

The incidence rate of pregnancy with cervical cancer is on the rise. Its clinical manifestations are easily confused with other diseases during pregnancy, and gynecological examination will be limited due to pregnancy, resulting in misdiagnosis and missed diagnosis. There is no mature and unified plan for the diagnosis and treatment of pregnancy complicated with cervical cancer. It is necessary to formulate individualized treatment plan according to pathological results, clinical stages, weeks of pregnancy, fetal development and the patient’s willingness to continue pregnancy. Based on the diagnosis and treatment of a pregnant woman with cervical cancer who was initially diagnosed as threatened abortion, the paper summarized the diagnosis and treatment experience from the aspects of screening, diagnosis, treatment, and the timing and manner of termination of pregnancy, and reviewed the relevant literature in order to provide reference for the diagnosis and treatment of pregnancy with cervical cancer.