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孕期诊断为宫颈癌的机器人手术分期：即刻与延迟确定性治疗

Robotic surgical staging for cervical cancer diagnosed during pregnancy: Immediate versus delayed definitive treatment.

作者信息

Rojas Christine, Moroney John W

机构信息

Wright State University, Department of Obstetrics and Gynecology, 128 Apple Street, Suite 3800 Weber CHE, Dayton, OH 45409, USA.

出版信息

Gynecol Oncol Case Rep. 2013 Apr 3;5:40-2. doi: 10.1016/j.gynor.2013.03.005. eCollection 2013.

DOI:10.1016/j.gynor.2013.03.005
PMID:24371693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3862293/
Abstract

•Definitive treatment of cervical cancer in pregnancy poses a dilemma for patients desiring to continue gestation.•Robotic surgical staging of cervical cancer diagnosed during pregnancy is feasible.•Robotic surgical staging improves the prognostic assessment for pregnant patients when making a decision between immediate versus delayed treatment.

摘要

•对于希望继续妊娠的患者来说，妊娠期宫颈癌的确定性治疗是一个两难的问题。

•妊娠期诊断出的宫颈癌进行机器人手术分期是可行的。

•在决定立即治疗还是延迟治疗时，机器人手术分期可改善对妊娠患者的预后评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b048/3862293/dcb7c460145f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b048/3862293/dcb7c460145f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b048/3862293/dcb7c460145f/gr1.jpg

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本文引用的文献

1
Delivery delay with neoadjuvant chemotherapy for cervical cancer patients during pregnancy: a series of nine cases and literature review.宫颈癌合并妊娠患者新辅助化疗后延迟分娩：9 例系列病例及文献复习。
Gynecol Oncol. 2012 Aug;126(2):192-7. doi: 10.1016/j.ygyno.2012.04.027. Epub 2012 Apr 30.
2
Invasive cervical cancer during pregnancy: laparoscopic nodal evaluation before oncologic treatment delay.妊娠期浸润性宫颈癌：肿瘤治疗延迟前的腹腔镜淋巴结评估。
Gynecol Oncol. 2010 Aug 1;118(2):123-7. doi: 10.1016/j.ygyno.2010.04.012. Epub 2010 May 9.
3
Laparoscopic pelvic lymphadenectomy in a patient with cervical cancer stage Ib1 complicated by a twin pregnancy.
宫颈癌 Ib1 期合并双胎妊娠患者的腹腔镜盆腔淋巴结切除术。
J Minim Invasive Gynecol. 2010 Jan-Feb;17(1):118-20. doi: 10.1016/j.jmig.2009.10.005.
4
Cervical cancer complicating pregnancy: implications of laparoscopic lymphadenectomy.妊娠合并宫颈癌：腹腔镜淋巴结清扫术的影响
Gynecol Oncol. 2008 Mar;108(3):472-7. doi: 10.1016/j.ygyno.2007.12.006. Epub 2008 Jan 16.
5
Management of invasive carcinoma of the uterine cervix associated with pregnancy: outcome of intentional delay in treatment.妊娠合并子宫颈浸润癌的管理：治疗延迟的结局
Gynecol Oncol. 2002 Nov;87(2):185-9. doi: 10.1006/gyno.2002.6813.
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Surgical management of cervical cancer complicating pregnancy: a case-control study.
Gynecol Oncol. 1996 Dec;63(3):294-8. doi: 10.1006/gyno.1996.0325.
7
Rationale for using pathologic tumor dimensions and nodal status to subclassify surgically treated stage IB cervical cancer patients.使用病理肿瘤尺寸和淋巴结状态对手术治疗的IB期宫颈癌患者进行亚分类的理论依据。
Gynecol Oncol. 1991 Nov;43(2):108-12. doi: 10.1016/0090-8258(91)90054-9.