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頁籤選單縮合
題名 | 早期子宮內膜癌的治療探索=Early Endometrial Cancer: An Proposal of Hysteroscopic Surgery Algorithm |
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作者 | 宋永魁; | 書刊名 | 婦癌醫學期刊 |
卷期 | 42 2015.10[民104.10] |
頁次 | 頁1-6 |
分類號 | 417.281 |
關鍵詞 | 早期子宮內膜癌; 子宮鏡; Early endometrial cancer; Hysteroscopic surgery; |
語文 | 中文(Chinese) |
中文摘要 | 近年來微創手術技術日益成熟,儀器設備日新月異,引起傳統開腹手術轉向微創手術,尤其是早期子宮內膜手術,以內視鏡手術治療為主,合併症少,醫生、病人、健康保險都受益。台灣子宮內膜癌40歲以前佔5-8%,逐年增加,而且年輕人希望保留子宮,生育保存的需求也愈來愈受注意,國際治療指引也鼓勵生育力保存,對於低風險的早期子宮內膜癌,不必要淋巴腺切除的觀點也被證實,因此,術前評估愈顯重要。本文探索子宮鏡的術前切片檢查,影像學評估,接著以子宮鏡手術切除病灶及其鄰近正常組織,術後高劑量黃體酮的治療3-12個月,緊接著以人工協助生殖達成生育目的,提出個人經驗及文獻探索。 |
英文摘要 | In conservative management in early endometrial cancer, it is mandatory to consider fertility sparing. Fertility specialist involvement is recommended due to the low live birth rate without IVF-ET intervention. The hysteroscopic surgery for early endometrial cancer uses a three-step technique in which each step is characterized by a pathologic analysis. The diagnostic hysteroscopies with target biopsies at 3. 6. 9. and 12 months after surgery were negative for malignancy and then IVF-ET for childbearing. These proposals need to be confirmed in a prospective study. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。