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宫颈癌的存活率已经显著地超过了前半个世纪,死亡率已是三十年前的1/3。由于宫颈癌可以早期发现,多数患者在Ⅰ、Ⅱ期即被发现,然而,尽管治疗形式已趋完美,当Ⅰ_B期宫颈癌转移到淋巴结时,五年存活率低于50%。在某些病人术后放疗可以提高存活率,这组病人包括:单纯子宫切除术后接受预防性放疗;广泛性子宫切除术后边缘阳性者接受预防性放疗;广泛性子宫切除术盆腔淋巴结阳性者接受放疗,这些病人临床未见到残余肿瘤,但很可能镜下有癌,用预防性放疗者比未用者存活率高。最近的报告证明,广泛性子宫切除术和盆腔淋巴结切除术加放疗的并发症也低。仔细分析失败的原因是改进治疗及提高存活率
The survival rate of cervical cancer has significantly exceeded the first half of the century, the mortality rate is 30% of the previous one-third. Since cervical cancer can be detected early, most patients are found in stages I and II. However, the five-year survival rate is less than 50% when cervical cancer of stage I-B metastases to the lymph nodes, despite the trend toward treatment. Postoperative radiotherapy may improve survival in some patients including prophylactic radiotherapy following simple hysterectomy, prophylactic radiotherapy with marginal positive after extensive hysterectomy, pelvic lymph node-positive patients undergoing extensive hysterectomy Radiation therapy, these patients did not see the clinical residual tumor, but it is likely to have microscopic cancer, with preventive radiotherapy than non-survivor rate higher. Recent reports demonstrate that complications of extensive hysterectomy and pelvic lymphadenectomy plus radiotherapy are also low. Carefully analyze the reasons for failure is to improve treatment and improve survival