妇科恶性肿瘤

Gynecologic malignancies.

作者信息

Whitcomb Bradford P

机构信息

Department of Obstetrics and Gynecology, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859-5000, USA.

出版信息

Surg Clin North Am. 2008 Apr;88(2):301-17, vi. doi: 10.1016/j.suc.2008.01.004.

DOI:10.1016/j.suc.2008.01.004

PMID:18381115

Abstract

The pioneers in the field of gynecologic oncology set out to establish an evidence-based approach to the care of women with gynecologic cancer, combining the modalities of surgery, chemotherapy, and radiation. Quality of life has become the cornerstone of care for these patients, in addition to advancing survival through surgical technology, collaborative research trials, and molecular approaches to early diagnosis and management. This article addresses the epidemiology, screening, preventive strategies, diagnosis, staging, surgical care, adjuvant therapy, prognosis, and recurrence management of three common gynecologic malignancies encountered in the operating arena: endometrial, cervical, and vulvar cancer.

摘要

妇科肿瘤学领域的先驱们着手建立一种基于证据的方法来治疗妇科癌症患者，将手术、化疗和放疗等方式结合起来。除了通过手术技术、合作研究试验以及早期诊断和管理的分子方法来提高生存率外，生活质量已成为这些患者护理的基石。本文探讨了在手术领域遇到的三种常见妇科恶性肿瘤——子宫内膜癌、宫颈癌和外阴癌的流行病学、筛查、预防策略、诊断、分期、手术治疗、辅助治疗、预后以及复发管理。