早期低危子宫颈癌诊疗进展.

Due to the application of cervical cytology and HPV combined screening technology, the detection rate of early cervical cancer has been increased, and the surgical effect of early low-risk cervical cancer is satisfactory. The criteria of low-risk cervical cancer included: the maximum diameter of cervical tumor was not more than 2 cm; the depth of infiltrating interstitial was not more than 10 mm; no lymph vascular space invasion. Low-risk cervical cancer with parametrial involvement, lymph node metastasis and margin-positive probability is low, the overall prognosis is better. Therefore, it is suggested that conservative surgery can be used for low-risk cervical cancer patients. The nerve-sparing radical resection of cervical cancer does not affect the defecation and urination function of the patients and improves the quality of life of the patients after operation. The sensitivity of preoperative magnetic resonance imaging in predicting postoperative parametrial involvement is high. Patients with early low-risk cervical cancer found after hysterectomy can avoid radical hysterectomy, and the incidence of residual diseases and the probability of adjuvant treatment are very low. The fertility -sparing procedures include simple trachelectomy, cervical conization, and radical trachelectomy, with a same recurrence rate comparable to radical hysterectomy and favorable pregnancy outcomes. For minimally invasive cervical adenocarcinoma, the surgical treatment procedure should be the same as for squamous cell carcinoma. [ABSTRACT FROM AUTHOR]