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子宫颈癌中转移灶切除术及化疗的作用

Role of metastasectomy and chemotherapy in carcinoma of uterine cervix.

作者信息

Ali Nasir, Mansha Muhammad Atif, Abbasi Ahmed Nadeem, Qureshi Bilal Mazhar

机构信息

Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan.

出版信息

BMJ Case Rep. 2017 Aug 2;2017:bcr-2017-221153. doi: 10.1136/bcr-2017-221153.

Abstract

Squamous cell carcinoma of uterine cervix is potentially a curable disease; however, many patients treated with definitive chemoradiotherapy develop distant metastases, with few of them having a single metastatic deposit. There are no guidelines for the treatment of patients with oligometastatic cervical cancer.We present a case of a patient with International Federation of Gynecology and Obstetrics (FIGO) Stage IIB squamous cell carcinoma of uterine cervix. She was successfully treated with concurrent chemoradiotherapy with definitive intent. One year later, she developed a solitary pulmonary nodule for which she underwent resection followed by chemotherapy. She is free of any local or distant disease at 5 years of regular follow-up.

摘要

子宫颈鳞状细胞癌有可能是一种可治愈的疾病;然而,许多接受根治性放化疗的患者会发生远处转移,其中很少有人仅有单个转移灶。目前尚无关于寡转移宫颈癌患者治疗的指南。我们报告一例国际妇产科联盟(FIGO)IIB期子宫颈鳞状细胞癌患者。她接受了根治性同步放化疗,治疗成功。一年后,她出现了一个孤立性肺结节,为此她接受了切除手术,随后进行了化疗。在5年的定期随访中,她没有任何局部或远处疾病。

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