宫颈病变合并妊娠的诊断及治疗进展

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1定义宫颈癌合并妊娠(cervical cancer in pregnancy)是常见的妊娠合并恶性肿瘤之一,目前比较统一的观点为Sood等[1]提出的孕期、产时和产后6个月内发现的宫颈癌,并建议将其定义为妊娠相关性宫颈癌(cervical cancer associated with pregnancy)。据国内报道宫颈癌合并妊娠占宫颈癌的0.92%~7.05%。宫颈癌合并妊娠中,国际妇产科协会(federation international of gynecology and obsterics,FIGO)提到:Ⅰ期占69%~83%,Ⅱ期占11%~23%,Ⅲ期占3%~8%,Ⅳ期占0%~3%,由此可见宫颈癌合并妊娠患者以Ⅰ~Ⅱ期为主,并以鳞癌为主(>80%)。 1 Definition Cervical cancer in pregnancy (cervical cancer in pregnancy) is one of the common malignant tumors of pregnancy, the current more unified view of Sood et al [1] proposed during pregnancy, during and after 6 months of postpartum cervical cancer found, It is recommended to define it as cervical cancer associated with pregnancy. According to the domestic report of cervical cancer combined with pregnancy accounted for 0.92% ~ 7.05% of cervical cancer. Cervical cancer combined pregnancy, the International Association of Obstetrics and Gynecology (FIGO) mentioned: Ⅰ period accounted for 69% to 83%, Ⅱ period accounted for 11% to 23%, Ⅲ period accounted for 3% to 8% , Ⅳ accounted for 0% to 3%, we can see cervical cancer combined with pregnancy in patients with stage Ⅰ ~ Ⅱ, and mainly squamous cell carcinoma (> 80%).
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