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低资源环境下妊娠合并宫颈癌的管理：罕见病例报告。

Management of cervical cancer in pregnancy in a low resource setting: a rare case report.

机构信息

Department of Obstetrics and Gynecology, Jigme Dorji Wangchuck National Referral Hospital National Referral Hospital, Thimphu, Bhutan.

Faculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan.

出版信息

BMC Pregnancy Childbirth. 2024 Sep 12;24(1):597. doi: 10.1186/s12884-024-06716-4.

DOI:10.1186/s12884-024-06716-4
PMID:39266963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11391834/
Abstract

BACKGROUND

Cervical cancer in pregnancy is a rare event. Diagnosis and management of cervical cancer in pregnancy is complicated and challenging in a low resource setting.

CASE PRESENTATION

Herein, we present a case of cervical cancer (FIGO stage IB3) diagnosed at 28 weeks and successfully managed at 37 weeks of gestation in a 27-year-old woman.

CONCLUSION

This is the first case report on cervical cancer in pregnancy from Bhutan. It highlights the diagnostic and management challenges in a low resource country.

摘要

背景

妊娠合并宫颈癌较为罕见。在资源匮乏的环境下，妊娠合并宫颈癌的诊断和处理较为复杂且具有挑战性。

病例介绍

本案例报告了一例 27 岁女性于妊娠 28 周时诊断为宫颈癌（FIGO 分期 IB3），并于妊娠 37 周时成功分娩。

结论

这是来自不丹的首例妊娠合并宫颈癌病例报告，突显了在资源匮乏国家进行诊断和管理所面临的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/4b8aa758812f/12884_2024_6716_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/e8da7dcd33d2/12884_2024_6716_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/e2c946959d76/12884_2024_6716_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/06697510ff62/12884_2024_6716_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/4b8aa758812f/12884_2024_6716_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/e8da7dcd33d2/12884_2024_6716_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/e2c946959d76/12884_2024_6716_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/06697510ff62/12884_2024_6716_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc55/11391834/4b8aa758812f/12884_2024_6716_Fig4_HTML.jpg

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1
Management of cervical cancer in pregnancy in a low resource setting: a rare case report.低资源环境下妊娠合并宫颈癌的管理：罕见病例报告。
BMC Pregnancy Childbirth. 2024 Sep 12;24(1):597. doi: 10.1186/s12884-024-06716-4.
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ESGO/ESTRO/ESP Guidelines for the management of patients with cervical cancer - Update 2023.ESGO/ESTRO/ESP 宫颈癌管理指南-2023 年更新版。
Int J Gynecol Cancer. 2023 May 1;33(5):649-666. doi: 10.1136/ijgc-2023-004429.
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The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2023 指南：更新共识外科病例报告（SCARE）指南。
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The effect of preserving pregnancy in cervical cancer diagnosed during pregnancy: a retrospective study.
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Cervical cancer in pregnancy at various gestational ages.不同孕周妊娠合并宫颈癌
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Current status of cervical cytology during pregnancy in Japan.日本孕期宫颈细胞学检查的现状。
PLoS One. 2021 Jan 7;16(1):e0245282. doi: 10.1371/journal.pone.0245282. eCollection 2021.
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A case of successful maintained pregnancy after neoadjuvant chemotherapy plus radical surgery for stage IB3 cervical cancer diagnosed at 13 weeks.13 周时诊断为 IB3 期宫颈癌，经新辅助化疗加根治性手术后成功维持妊娠 1 例。
BMC Pregnancy Childbirth. 2020 Apr 7;20(1):202. doi: 10.1186/s12884-020-02895-y.
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