出版日期:
2015-06-02
发布日期:
2015-07-05
通讯作者:
吴小华
Online:
2015-06-02
Published:
2015-07-05
摘要:
尽管宫颈癌复发的治疗策略有诸多争议,但手术依然是延长晚期患者生命、甚至有机会根治肿瘤的重要手段之一。文章将依据既往放疗与否和病灶位置对宫颈癌复发分类,并阐述不同类型宫颈癌复发后的手术适应证,同时将重点介绍盆腔器官清除术对于放疗后盆腔局部复发的治疗作用。
中图分类号:
韩啸天,吴小华. 宫颈癌复发后的手术治疗[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2015050109.
HAN Xiao-tian,WU Xiao-hua.. Surgical treatment for the recurrent cervical cancer.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2015050109.
[1] International Agency for Research on Cancer.Cervical Cancer Estimated Incidence,Mortality and Prevalence Worldwide in 2012.World Health Organization,2012.Available at: http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx?cancer=cervix.[2] Perez CA,Grigsby PW,Nene SM,et al.Effect of tumor size on the prognosis of carcinoma of the uterine cervix treated with irradiation alone[J].Cancer,1992,69:2796-2806.[3] Marchiolé P,Buénerd A,Benchaib M,et al.Clinical significance of lympho vascular space involvement and lymph node micrometastases in early-stage cervical cancer: a retrospective case-control surgico-pathological study[J].Gynecol Oncol,2005,97(3):727-732.[4] Mangler M,Lanowska M,Kohler C,et al.Pattern of cancer recurrence in 320 patients after radical vaginal trachelectomy[J].Int J Gynecol Cancer,2014,24:130-134.[5] Smaniotto D,D'Agostino G,Luzi S,et al.Concurrent 5-fluorouracil,mitomycin C and radiation with or without brachytherapy in recurrent cervical cancer: a scoring system to predict clinical response and outcome[J].Tumori,2005,91(4):295-301.[6] Coleman RL,Keeney ED,Freedman RS,et al.Radical hysterectomy for recurrent carcinoma of the uterine cervix after radiotherapy[J].Gynecol Oncol,1994,55(1):29-35.[7] Peiretti M,Zapardiel I,Zanagnolo V,et al.Management of recurrent cervical cancer: a review of the literature[J].Surg Oncol,2012,21:59-66.[8] Berek JS,Howe C,Lagasse LD,et al.Pelvic exenteration for recurrent gynecologic malignancy: survival and morbidity analysis of the 45-year experience at UCLA[J].Gynecol Oncol,2005,99:153-159.[9] Chiva LM,Lapuente F,Gonzalez-Cortijo L,et al.Surgical treatment of recurrent cervical cancer: state of the art and new achievements[J].Gynecol Oncol,2008,110:S60-66.[10] Soper JT,Havrilesky LJ,Secord AA,et al.Rectus abdominis myocutaneous flaps for neovaginal reconstruction after radical pelvic surgery[J].Int J Gynecol Cancer,2005,15:542-548.[11] Salom EM,Mendez LE,Schey D,et al.Continent ileocolonic urinary reservoir(Miami pouch): the University of Miami experience over 15 years[J].Am J Obstet Gynecol,2004,190(4):994-1003.[12] Karen KL,Chan RN.Advances in surgical treatment of cervical cancer[J].Women Health,2008,4:245-256.[13] Köhler C,Tozzi R,Possover M,et al.Explorative laparoscopy prior to exenterative surgery[J].Gynecol Oncol,2002,86(3):311-315.[14] Mourton SM,Sonoda Y,Abu-Rustum NR,et al.Resection of recurrent cervical cancer after total pelvic exenteration[J].Int J Gynecol Cancer,2007,17(1):137-140.[15] Ang C,Bryant A,Barton DP,et al.Exenterative surgery for recurrent gynaecological malignancies[J].Cochrane Database Syst Rev,2014,2:CD010449.[16] 张志毅,臧荣徐,龚沂.盆腔脏器清除术相关的解剖要点和手术技巧[J].中国实用妇科与产科杂志,2009,3: 187-190.[17] H?ckel M,Sclenger K,Hamm H,et al.Five-year experience with combined operative and radiot herapeutic treatment of recurrent gynecologic tumors in filtrating the pelvic wall[J].Cancer,1996,77:1918-1933.[18] Gemignani ML,Alektiar KM,Leitao M,et al.Radical surgical resection and high-dose intraoperative radiation therapy (HDR-IORT) in patients with recurrent gynecologic cancers[J].Int J Radiat Oncol Biol Phys,2001,50(3):687-694.[19] Hockel M,Horn LC,Einenkel J.(Laterally) extended endopelvic resection: surgical treatment of locally advanced and recurrent cancer of the uterine cervix and vagina based on ontogenetic anatomy[J].Gynecol Oncol,2012,127:297-302.[20] Perez CA,Grigsby PW,Camel HM,et al.Irradiation alone or combined with surgery in stage IB,IIA,and IIB carcinoma of the uterine cervix: update of a nonrandomized comparison[J].Int J Radiat Oncol Biol Phys,1995,31:703-716 .[21] Meads C,Davenport C,Malysiak S,et al.Evaluating PET-CT in the detection and management of recurrent cervical cancer: systematic reviews of diagnostic accuracy and subjective elicitation[J].BJOG,2014,121:398-407.[22] Gadducci A,Tana R,Cosio S,et al.Treatment options in recurrent cervical cancer (Review)[J].Oncol Lett,2010,1:3-11.[23] Schmidt AM,Imesch P,Fink D,et al.Indications and long-term clinical outcomes in 282 patients with pelvic exenteration for advanced or recurrent cervical cancer[J].Gynecol Oncol,2012,125:604-609.[24] Yamamoto K,Yoshikawa H,Shiromizu K,et al.Pulmonary metastasectomy for uterine cervical cancer: a multivariate analysis[J].Ann Thorac Surg,2004,77(4):1179-1182.[25] Lapitan MC,Buckley BS.Impact of palliative urinary diversion by percutaneous nephrostomy drainage and ureteral stenting among patients with advanced cervical cancer and obstructive uropathy: a prospective cohort[J].J Obstet Gynaecol Res,2011,37:1061-1070.[26] Perri T,Korach J,Ben-Baruch G,et al.Bowel obstruction in recurrent gynecologic malignancies: Defining who will benefit from surgical intervention[J].Eur J Surg Oncol,2014,40:899-904.
(2015-02-20收稿) |
[1] | 刘兴会, 马宏伟, 张 彦. 控制剖宫产率从减少阴道分娩并发症做起[J]. 中国实用妇科与产科杂志, 2022, 38(8): 769-772. |
[2] | 吕卫国, 陈丽莉. 重视妊娠滋养细胞肿瘤的规范化治疗[J]. 中国实用妇科与产科杂志, 2022, 38(7): 673-675. |
[3] | 陶 祥, 陈婷婷, 周先荣. 妊娠滋养细胞疾病的组织病理学和分子病理学研究现状[J]. 中国实用妇科与产科杂志, 2022, 38(7): 676-680. |
[4] | 彭美莲, 林开武, 翁宗杰, 吴齐斌, 孙蓬明. 妊娠滋养细胞疾病的影像学特征及意义[J]. 中国实用妇科与产科杂志, 2022, 38(7): 680-684. |
[5] | 程广艳, 曲芃芃. 葡萄胎的规范化处理[J]. 中国实用妇科与产科杂志, 2022, 38(7): 684-687. |
[6] | 刘晓梅, 李秀琴. 低危妊娠滋养细胞肿瘤的治疗[J]. 中国实用妇科与产科杂志, 2022, 38(7): 687-691. |
[7] | 李克敏, 尹如铁. 高危妊娠滋养细胞肿瘤的治疗[J]. 中国实用妇科与产科杂志, 2022, 38(7): 691-693. |
[8] | 程红燕, 向 阳. 妊娠滋养细胞肿瘤的免疫治疗[J]. 中国实用妇科与产科杂志, 2022, 38(7): 693-696. |
[9] | 王芬芬, 鲍可纯, 程晓东. 特殊病理类型妊娠滋养细胞肿瘤的治疗[J]. 中国实用妇科与产科杂志, 2022, 38(7): 696-701. |
[10] | 奚 玲, 孙 玥. 妊娠滋养细胞肿瘤生育力保留策略[J]. 中国实用妇科与产科杂志, 2022, 38(7): 701-704. |
[11] | 中国优生科学协会肿瘤生殖学分会 中国医师协会微无创医学专业委员会妇科肿瘤学组 中国医院协会妇产医院分会妇科肿瘤专业学组. 卵巢恶性肿瘤保留生育功能的中国专家共识(2022年版)[J]. 中国实用妇科与产科杂志, 2022, 38(7): 705-713. |
[12] | 程傲霜, 林仲秋. 女性恶性肿瘤患者生育力的保护与保存[J]. 中国实用妇科与产科杂志, 2022, 38(6): 604-609. |
[13] | 黄晨阳, 孙海翔. 妇科恶性肿瘤患者促排卵及胚胎移植方案的选择[J]. 中国实用妇科与产科杂志, 2022, 38(6): 614-618. |
[14] | 中国医师协会妇产科医师分会人工智能专业组. 子宫颈癌手术治疗质量控制标准中国专家共识之QM-A型/QM-B1型广泛性子宫切除篇[J]. 中国实用妇科与产科杂志, 2022, 38(6): 628-633. |
[15] | 中国抗癌协会妇科肿瘤专业委员会. 早期子宫颈癌保留生育功能中国专家共识[J]. 中国实用妇科与产科杂志, 2022, 38(6): 634-641. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||