Kornovski Y, Ismail E, Ivanov S
Akush Ginekol (Sofiia). 2015;54 Suppl 2:10-4.
Cervical cancer is the most common gynecologic malignancy during pregnancy. Laparoscopic pelvic lymphadenectomy and the nodal status are the main factors to tailor therapeutic approaches and to terminate or preserve the pregnancy. In node-negative pregnants neoadjuvant chemotherapy can be administered safely after 13 week of gestation in order to achive fetal maturity. In these cases, mostly in early stages, fertility- preserving techniques, such as vaginal simple or radical trachelectomy can be performed.
宫颈癌是孕期最常见的妇科恶性肿瘤。腹腔镜盆腔淋巴结清扫术和淋巴结状态是制定治疗方案以及决定终止或保留妊娠的主要因素。对于淋巴结阴性的孕妇,可在妊娠13周后安全地给予新辅助化疗,以实现胎儿成熟。在这些病例中,大多处于早期阶段,可采用保留生育功能的技术,如阴道单纯或根治性宫颈切除术。