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目前很多妇科肿瘤,比如子宫内膜癌、卵巢癌,均采用手术病理分期,然而宫颈癌仍沿用国际妇产科联盟(federation international of gynecology and obstetrics,FIGO)分期,它可直接关系到治疗方案的选择及预后,但不足之处是对宫旁浸润、盆壁侵犯等判断缺乏客观性,且未考虑到淋巴结因素,易导致分期不足或过度分期,从而引起治疗不足或过度治疗,对其预后也有一定的影响。影像学分期可提高宫颈癌FIGO分期的准确率及可信度,而手术病理分期更准确评价淋巴结状态,现就对宫颈癌不同分期方式的优劣势做一综述。
At present, many gynecological tumors, such as endometrial cancer and ovarian cancer, are staged by surgical pathology. However, cervical cancer still follows the stage of the Federation of International Gynecology and Obstetrics (FIGO), which is directly related to the treatment plan Selection and prognosis, but the inadequacies of the palace next to infiltration, invasion of the pelvic wall to determine the lack of objectivity, and did not take into account the lymph nodes, easily lead to staging or over-staging, resulting in inadequate treatment or over-treatment, its prognosis A certain impact. Imaging staging can improve the accuracy and reliability of the FIGO staging of cervical cancer, and more accurate evaluation of the pathological stage of lymph node status, now on the advantages and disadvantages of different stages of cervical cancer are reviewed.