Zhang He, Kong Weimin, Chen Shuning, Zhao Xiaoling, Luo Dan, Xie Yunkai
Department of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, China.
Front Oncol. 2022 Jul 6;12:940807. doi: 10.3389/fonc.2022.940807. eCollection 2022.
Locally advanced cervical cancer (LACC) has large localized lesions, high recurrence and metastasis rate under standard treatment, and low survival rate. The current guidelines still use concurrent radiotherapy as the gold standard of treatment for locally advanced cervical cancer. Several recent studies have shown that surgical staging has higher accuracy in determining metastasis in the para-aortic lymph nodes, bringing survival benefits to some patients. However, the indications for surgical staging and whether surgical staging can improve prognosis are still controversial. We will review the current status and research progress of surgical staging for locally advanced cervical cancer.
局部晚期宫颈癌（LACC）具有较大的局部病灶，在标准治疗下复发和转移率高，生存率低。目前的指南仍将同步放疗作为局部晚期宫颈癌的治疗金标准。最近的几项研究表明，手术分期在确定腹主动脉旁淋巴结转移方面具有更高的准确性，给一些患者带来了生存益处。然而，手术分期的适应证以及手术分期是否能改善预后仍存在争议。我们将综述局部晚期宫颈癌手术分期的现状和研究进展。
