CAJ | 학술논문

妊娠合并宫颈癌的发生率随生育年龄推迟而呈上升趋势.由于妊娠早期细胞学筛查的普及,妊娠合并宫颈癌多被早期发现.细胞学异常患者必须行阴道镜检查,必要时行宫颈活检.宫颈锥切术仅用于排除浸润癌.孕12周前诊断的宫颈浸润癌需及时治疗；孕12周后诊断的宫颈浸润癌如为早期,可待胎儿成熟后延迟治疗.可使用新辅助化疗以稳定患者病情至胎儿分娩.妊娠合并宫颈癌治疗需依据临床分期、孕周及患者是否有继续妊娠的意愿,制定个性化方案.妊娠合并宫颈癌多为早期浸润癌,预后较好.
임신합병궁경암적발생솔수생육년령추지이정상승추세.유우임신조기세포학사사적보급,임신합병궁경암다피조기발현.세포학이상환자필수행음도경검사,필요시행궁경활검.궁경추절술부용우배제침윤암.잉12주전진단적궁경침윤암수급시치료；잉12주후진단적궁경침윤암여위조기,가대태인성숙후연지치료.가사용신보조화료이은정환자병정지태인분면.임신합병궁경암치료수의거림상분기、잉주급환자시부유계속임신적의원,제정개성화방안.임신합병궁경암다위조기침윤암,예후교호.
The incidence of cervical neoplasms complicated with pregnancy is rising,with delaying of reproouctive age.Because of the prevalence of cytology in pregnancy.eervical neoplasnis complicated with pregnancy are mostly detected early. All patients with cytological abnormalities should undergo colposcopy, and when necessary,they should undergo cervical biopsy.Conization is reserved for patients with suspected invasion.In cases of invasive carcinoma detected up to the 12th week of pregnancy,immediate treatment is prioritized.Regarding diagnoses made during the second trimester,in early-stage invasive cancers,delay of therapy seems to be safe.fetal pulmonary maturity can be awaited.And the use of neoadjuvant chemotherapy to stabilize the disease until the time of delivery appears to be viable.Doctors should draw up personalized program for the patients with cervical neoplasms complicated with pregnancy according to stage of disease, gestational weeks and the patient's desire for continued pregnancy.Cervical neoplasms complicated with pregnancy are mostly early-stage invasive cancers, so prognosis is good.