Sugimori H
Dept. of Gynecol. & Obstet., Saga Med. School.
Gan No Rinsho. 1990 Aug;36(10):1187-91.
The cervical cancer has already attained high survival rate and there is a little room to improve the prognosis. The examination of recurred patients reveals that the recurrence was often found in the cervix, parametrium, pelvic wall, and distant organs. More intensive treatment to such part may be of beneficial to reduce recurrence. Post operative radiation to the pelvis for high risk patients seemed to improve the survival rate, although some authors failed to show its merit. Radiation to the para-aortic lymph node is matter of controversial. Chemotherapy is now expected to play an important role to control or prevent distant metastasis. Considering these facts, improvement of prognosis of the cervical cancer will be expected by 1. early detection by mass screening and 2. centralization the treatment facilities in order to do the individualized and multidisciplinary treatment.
宫颈癌已取得较高的生存率，改善预后的空间较小。对复发患者的检查发现，复发常出现在宫颈、宫旁组织、盆腔壁和远处器官。对这些部位进行更强化的治疗可能有助于减少复发。对高危患者进行术后盆腔放疗似乎可提高生存率，尽管一些作者未能证明其益处。对腹主动脉旁淋巴结进行放疗存在争议。目前认为化疗在控制或预防远处转移方面将发挥重要作用。考虑到这些事实，预计通过以下方式可改善宫颈癌的预后：1. 通过大规模筛查进行早期检测；2. 集中治疗设施以进行个体化的多学科治疗。
