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宫颈癌

2025-01-19 22:09:15   1  举报

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宫颈癌

宫颈癌宫颈癌宫颈癌宫颈癌宫颈癌宫颈癌宫颈癌宫颈癌宫颈癌

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大纲/内容

No distant metastasis

Pelvic node positive; Para-aortic lymph node negative

Pelvic EBRT + concurrent platinum-containing chemotherapy + brachytherapy ± para-aortic lymph node EBRT

Surgical staging of para-aortic lymph nodes

Para-aortic lymph nodes negative

Pelvic EBRT + concurrent platinum-containing chemotherapy + brachytherapy

Para-aortic lymph nodes positive

Extended-field EBRT + concurrent platinum-containing chemotherapy + brachytherapy

Pelvic node negative; Para-aortic lymph node positive

Para-aortic lymph node biopsy（Preferred）          Surgical staging of para-aortic lymph nodes  (Alternative)

Para-aortic lymph nodes negative

Pelvic EBRT + concurrent platinum-containing chemotherapy + brachytherapy

Para-aortic lymph nodes positive

Extended-field EBRT + concurrent platinum-containing chemotherapy + brachytherapy

Pelvic node positive; Para-aortic lymph node positive

Extended-field EBRT + concurrent platinum-containing chemotherapy + brachytherapy

Distant metastasis

IVA

Negative adenopathy

Pelvic EBRT + concurrent platinum-containing chemotherapy + brachytherapy

Positive adenopathy

Pelvic EBRT + concurrent platinum-containing chemotherapy + brachytherapy ± para-aortic lymph node EBRT

IVB

Amenable to local treatment

Local treatment: Resection ± individualized EBRT or Local ablative therapies ± individualized EBRT or Individualized EBRT ± concurrent platinum-containing chemotherapy • Consider adjuvant systemic therapy

Not amenable to local treatment

Systemic therapy and/or Best supportive care

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宫颈癌三维适形近距离放疗的实施流程图

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癌路帮

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CHB首要治疗目标和最终治疗目标

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HPV（疫苗+宫颈疾病）

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