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SEOM 宫颈癌临床实践指南。

SEOM guidelines for cervical cancer.

机构信息

Medical Oncology Department, Vall d'Hebron University Hospital, Barcelona, Spain.

出版信息

Clin Transl Oncol. 2012 Jul;14(7):516-9. doi: 10.1007/s12094-012-0834-y.

DOI:10.1007/s12094-012-0834-y
PMID:22721796
Abstract

Cervical cancer (CC) is the second most common cancer worldwide, with a well known origin, infection by high-risk human papilloma virus. Although screening programmes have led to a relevant reduction in the incidence and mortality due to CC in developed countries, it is still an important cause of mortality in young women in undeveloped countries. Clinical stage is the most relevant prognostic factor in CC and the standard of care is still based on it. In early stages, the primary treatment is surgery or radiotherapy, whereas concomitant chemo-radiotherapy is the conventional approach in locally advanced stage. In the setting of recurrent or metastatic CC the treatment is largely palliative, so it is important to develop new therapeutic strategies.

摘要

宫颈癌(CC)是全球第二大常见癌症,其明确病因是高危型人乳头瘤病毒(HPV)感染。尽管筛查项目已使发达国家因 CC 导致的发病率和死亡率显著降低,但在发展中国家,CC 仍然是年轻女性死亡的重要原因。临床分期是 CC 最重要的预后因素,目前的治疗标准仍然基于此。在早期阶段,主要治疗方法是手术或放疗,而局部晚期则采用同期放化疗。对于复发性或转移性 CC,治疗主要是姑息性的,因此开发新的治疗策略非常重要。

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Phase III, open-label, randomized study comparing concurrent gemcitabine plus cisplatin and radiation followed by adjuvant gemcitabine and cisplatin versus concurrent cisplatin and radiation in patients with stage IIB to IVA carcinoma of the cervix.III 期、开放性、随机研究比较了同期吉西他滨联合顺铂和放疗后辅助吉西他滨和顺铂与同期顺铂和放疗在 IIB 期至 IVA 期宫颈癌患者中的疗效。
J Clin Oncol. 2011 May 1;29(13):1678-85. doi: 10.1200/JCO.2009.25.9663. Epub 2011 Mar 28.
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Phase III trial of four cisplatin-containing doublet combinations in stage IVB, recurrent, or persistent cervical carcinoma: a Gynecologic Oncology Group study.含顺铂的四种双联方案用于IVB期、复发性或持续性宫颈癌的III期试验:一项妇科肿瘤学组研究
J Clin Oncol. 2009 Oct 1;27(28):4649-55. doi: 10.1200/JCO.2009.21.8909. Epub 2009 Aug 31.
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浸润性宫颈癌女性的管理与护理:美国临床肿瘤学会资源分层临床实践指南
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A comparison of liquid-based cytology with conventional Papanicolaou smears in cervical dysplasia diagnosis.液基细胞学与传统巴氏涂片在宫颈发育异常诊断中的比较。
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