McDonald Sarah D, Faught Wylam, Gruslin Andrée
Department of Obstetrics, Gynecology and Newborn Care, University of Ottawa, Ottawa, ON.
J Obstet Gynaecol Can. 2002 Jun;24(6):491-8. doi: 10.1016/s1701-2163(16)31097-0.
Cervical cancer is one of the most devastating conditions that can complicate a pregnancy. Stage for stage, treatment for squamous cell cervical cancer is the same as that given in the non-pregnant patient. Radical surgery is the treatment of choice for the early stages of the disease. Although a planned delay in therapy may be considered for up to 20 weeks, for stages IA and IB1, it should be implemented cautiously and with the patient's full awareness of the risks. If delay is considered for higher stages, the patient must be aware of the paucity of data to support this plan. Chemoradiation is the standard treatment for advanced cancer of the cervix. When acceptable fetal maturity has been reached, a classical Caesarean section is usually performed prior to definitive treatment.
宫颈癌是妊娠可能出现的最具破坏性的病症之一。对于鳞状细胞宫颈癌，各期的治疗方法与非妊娠患者相同。根治性手术是该病早期阶段的首选治疗方法。尽管对于IA期和IB1期疾病，可考虑最多延迟20周进行治疗，但应谨慎实施，且要让患者充分了解风险。如果考虑对更高分期的患者延迟治疗，必须让患者知晓支持该计划的数据有限。同步放化疗是晚期宫颈癌的标准治疗方法。当胎儿达到可接受的成熟度时，通常在进行确定性治疗之前实施古典式剖宫产。
