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雌激素依赖型Ⅰ期子宫内膜癌的治疗进展

Advances in the management of estrogen dependent stageⅠendometrial carcinoma

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【作者】 杨露刘海元史宏晖樊庆泊

【Author】 YANG Lu;LIU Hai-yuan;SHI Hong-hui;FAN Qing-bo;Department of Obstetrics & Gynecology,Langfang People’s Hospital;Department of Obstetrics & Gynecology,Peking Union Medical College Hospital,Peking Union Medical College &Chinese Academy of Medical Sciences;

【机构】 河北廊坊市人民医院妇产科中国医学科学院,北京协和医学院,北京协和医院妇产科

【摘要】 子宫内膜癌是妇科常见的恶性肿瘤之一,约占女性生殖道恶性肿瘤的20%~30%,确诊时多数为雌激素依赖型Ⅰ期子宫内膜癌,经规范化手术及术后辅助治疗,预后较好。近年来年轻患者发病率有逐渐增高趋势,随着对疾病生物学行为认识的不断深化,对年轻患者保留生理及生育功能的治疗越来越备受妇科医生的关注。本文就雌激素依赖型Ⅰ期子宫内膜癌的个体化手术、腹腔冲洗液阳性处理及年轻患者保留生育功能的治疗进展进行综述。

【Abstract】 Endometrial carcinoma is one of the most common gynecological malignant tumor accounting for 20%-30% malignant tumors of the female genital tract.Most endometrial carcinoma is estrogen dependent stage I cancer.After treatment with surgery and postoperative adjuvant therapy,the prognosis is good.In recent years,the incidence of endometrial cancer in young patients is increasing gradually.With the understanding of its biology behavior,gynecologists pay more attention on treatment of patients for preserving physiological function and fertility.This paper reviews individual operation strategy,postoperative adjuvant therapy,management of positive peritoneal washing fluid and fertilitysparing treatment of the estrogen dependent stage I endometrial carcinoma in young patients.

  • 【文献出处】 生殖医学杂志 ,Journal of Reproductive Medicine , 编辑部邮箱 ,2014年05期
  • 【分类号】R737.33
  • 【被引频次】2
  • 【下载频次】170
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