论文部分内容阅读
日本常见的妇科癌瘤大部分为子宫颈癌,但近年来子宫体癌和卵巢癌有增多趋势。本文重点介绍子宫颈癌、子宫体癌和卵巢癌的预后、诊断和治疗方面的进展。一、子宫颈癌早期癌的发现率与20年前相比有所增加,Ⅰ期癌占39.5%,随着早期发现率的提高,治愈率也有所改善,日本千叶大学医学部妇产科的5年存活率Ⅰ期为86.9%,Ⅱ期为70.9%,Ⅲ期26.9%,Ⅳ期为0%,这主要是防癌检查的普及和阴道涂片、阴道扩大镜以及活检等早期诊断技术的进步结果。术前诊断程序是先经阴道涂片筛检,对疑似恶性
Most of the common gynecologic cancers in Japan are cervical cancer, but there is an increasing trend of endometrial and ovarian cancer in recent years. This article highlights the advances in the prognosis, diagnosis, and treatment of cervical cancer, endometrial cancer, and ovarian cancer. First, the detection rate of early cancer of cervical cancer increased compared with 20 years ago, stage Ⅰ cancer accounted for 39.5%, with the early detection rate increased, the cure rate also improved, the Department of Obstetrics and Gynecology, Chiba University School of Medicine The 5-year survival rate was 86.9% in stage I, 70.9% in stage II, 26.9% in stage III, and 0% in stage IV, mainly due to the popularity of anti-cancer tests and vaginal smear, vaginal magnifying glass, and early diagnostic techniques such as biopsy Improve the result. Preoperative diagnosis program is the first vaginal smear screening, the suspected malignancy