Mota F, De Oliveira C
Department of Gynaecology, University Hospital of Coimbra, Portugal.
Eur J Gynaecol Oncol. 2006;27(2):109-14.
The current FIGO staging system for locally advanced cervical cancer (Stages IIB to IVA) is considerably inaccurate, especially because lymph node metastases are ignored. Surgical staging has been used to overcome this insufficiency, allowing individualisation of therapy. However, this approach is controversial and should not be routinely undertaken considering the feasibility, adequacy and morbidity involved with the surgical procedure. Moreover, the survival benefit of surgical staging has yet to be proven and accurate non-invasive imaging alternatives, such as position emission tomography (PET) scanning, have become available. The management of patients with locally advanced cervical cancer based on PET and computed tomography (CT) imaging is proposed and discussed.
目前国际妇产科联盟（FIGO）针对局部晚期宫颈癌（IIB至IVA期）的分期系统相当不准确，尤其是因为忽略了淋巴结转移情况。手术分期已被用于克服这一不足，从而实现治疗的个体化。然而，这种方法存在争议，考虑到手术过程的可行性、充分性和发病率，不应常规进行。此外，手术分期的生存获益尚未得到证实，而诸如正电子发射断层扫描（PET）等准确的非侵入性成像替代方法已经出现。本文提出并讨论了基于PET和计算机断层扫描（CT）成像对局部晚期宫颈癌患者的管理。
