medical guideline

首页 肿瘤学指南 子宫肿瘤 详情

Chinese Guidelines for Diagnosis and Treatment of Cervical Cancer 2018

原文:2019年 发布于 中国癌症研究(英文版) 31卷 第2期 295-305 浏览量:333 原文链接

作者: 国家卫生健康委

归属分类: 所属人体系统: 生殖 | 分类: 子宫肿瘤

关键词: Diagnosis Treatment Cervical Cancer

指南简介

Cervical cancer is one of the most common gynecological malignancies worldwide. The incidence of cervical cancer ranks second for female malignancies in China. There are about 500,000 new cases of cervical cancer worldwide every year, and more than 80% of them occur in developing countries. About 130,000 new cases occur annually in China, accounting for 28% of the total number of new cases for cervical cancer worldwide. The peak age for diagnosis is 40-60 years old; however, the age of onset is becoming younger in recent years. The incidence of cervical cancer has regional differences, with the incidence in developing countries being higher compared to developed countries. The occurrence of cervical cancer could be effectively controlled by early examination, diagnosis and treatment of precancerous lesions. This guideline applies to cervical squamous cell carcinoma, adenocarcinoma and adenosquamous carcinoma, which account for more than 90% of cervical cancer. Several unique pathological types have low incidences, and no consensus has been reached regarding its diagnosis and treatment in China and abroad. Hence, this guideline is not appropriate for cervical cancer with rare pathological types. This guideline references internationally recognized guidelines for the diagnosis and treatment of cervical cancer and is amended according to our past guidelines. In current clinical practice, more attention is paid for comprehensive and individualized treatment. Current treatment strategies are influenced by a combination of hospital equipment, technigue and patient's condition. With regards to patients with complex cervical cancer, clinicians should follow these guidelines in a rational manner. For patients that fall out of these guidelines, clinical trials should be recommended.