关键词: 宫颈肿瘤, 局部晚期, 盆腔脏器廓清术, 子宫颈癌, 复发, 预后

Abstract:

Pelvic exenteration offers another chance of cure for cervical cancer patients with recurrent diseases in central pelvis.For those with recurrence of lateral pelvic wall，palliative pelvic exenteration can also play a role in relieving symptoms and improving the quality of life.Surgical margin is the most important factor for prognosis after this surgery. Therefore，it is critical to have evaluation before surgery，considering the possibility of clear margin according to clinical manifestation，pelvic examination and imaging characteristics，combined with the history of treatment，general physical and psychological status，as well as surgical exploration.Based on the careful selection of cases and operative approaches，the patients could benefit from the exenteration surgery.

Key words: cervical neoplasm；locally advanced；pelvic exenteration；cervical cancer, recurrent；prognosis