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子宫肉瘤诊断与治疗指南(第四版)

2018-10-25 中国抗癌协会妇科肿瘤专业委员会 中国实用妇科与产科杂志.2018,34(10):1106-1110.

子宫肉瘤约占所有女性生殖道恶性肿瘤的1%,占子宫体恶性肿瘤的3%~7%。其病因尚不明确,有研究表明长期使用他莫昔芬可使子宫肉瘤的发病风险增加3倍,盆腔接受放射治疗者远期可能继发子宫肉瘤。由于影像学检查难以在术前辨别子宫体部肿瘤的良恶性,许多患者就诊时常诊断为子宫良性疾病,手术后病理检查才得以确诊为子宫肉瘤。肿瘤分期是子宫肉瘤最重要的预后因素。基于该病少见且临床缺乏高级别证据支持,尚未有最佳治疗方案

中文标题:

子宫肉瘤诊断与治疗指南(第四版)

发布日期:

2018-10-25

简要介绍:

子宫肉瘤约占所有女性生殖道恶性肿瘤的1%,占子宫体恶性肿瘤的3%~7%。其病因尚不明确,有研究表明长期使用他莫昔芬可使子宫肉瘤的发病风险增加3倍,盆腔接受放射治疗者远期可能继发子宫肉瘤。由于影像学检查难以在术前辨别子宫体部肿瘤的良恶性,许多患者就诊时常诊断为子宫良性疾病,手术后病理检查才得以确诊为子宫肉瘤。肿瘤分期是子宫肉瘤最重要的预后因素。基于该病少见且临床缺乏高级别证据支持,尚未有最佳治疗方案共识。 

拓展指南:子宫肿瘤相关指南:

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子宫肉瘤诊断与治疗指南(第四版)
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  1. [GetPortalCommentsPageByObjectIdResponse(id=971640, encodeId=70a19e1640ba, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48d23251424, createdName=12cf2936m95暂无昵称, createdTime=Mon Jun 07 22:06:52 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954795, encodeId=6864954e9558, content=已看,还可以。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1bc65476534, createdName=ms6000001015893838, createdTime=Wed Apr 07 15:14:10 CST 2021, time=2021-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888777, encodeId=0386888e7775, content=棒棒的, beContent=null, objectType=guider, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=97205422237, createdName=小姐鱼, createdTime=Sun Sep 27 20:53:41 CST 2020, time=2020-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371348, encodeId=1cb73e134805, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:08:13 CST 2019, time=2019-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371347, encodeId=a5273e1347c6, content=有研究表明长期使用他莫昔芬可使子宫肉瘤的发病风险增加3倍,盆腔接受放射治疗者远期可能继发子宫肉瘤, beContent=null, objectType=guider, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:07:56 CST 2019, time=2019-08-16, status=1, ipAttribution=)]
    2021-06-07 12cf2936m95暂无昵称

    肿瘤分期是子宫肉瘤最重要的预后因素

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=971640, encodeId=70a19e1640ba, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48d23251424, createdName=12cf2936m95暂无昵称, createdTime=Mon Jun 07 22:06:52 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954795, encodeId=6864954e9558, content=已看,还可以。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1bc65476534, createdName=ms6000001015893838, createdTime=Wed Apr 07 15:14:10 CST 2021, time=2021-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888777, encodeId=0386888e7775, content=棒棒的, beContent=null, objectType=guider, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=97205422237, createdName=小姐鱼, createdTime=Sun Sep 27 20:53:41 CST 2020, time=2020-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371348, encodeId=1cb73e134805, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:08:13 CST 2019, time=2019-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371347, encodeId=a5273e1347c6, content=有研究表明长期使用他莫昔芬可使子宫肉瘤的发病风险增加3倍,盆腔接受放射治疗者远期可能继发子宫肉瘤, beContent=null, objectType=guider, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:07:56 CST 2019, time=2019-08-16, status=1, ipAttribution=)]
    2021-04-07 ms6000001015893838

    已看,还可以。

    0

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    2020-09-27 小姐鱼

    棒棒的

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=971640, encodeId=70a19e1640ba, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48d23251424, createdName=12cf2936m95暂无昵称, createdTime=Mon Jun 07 22:06:52 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954795, encodeId=6864954e9558, content=已看,还可以。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1bc65476534, createdName=ms6000001015893838, createdTime=Wed Apr 07 15:14:10 CST 2021, time=2021-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888777, encodeId=0386888e7775, content=棒棒的, beContent=null, objectType=guider, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=97205422237, createdName=小姐鱼, createdTime=Sun Sep 27 20:53:41 CST 2020, time=2020-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371348, encodeId=1cb73e134805, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:08:13 CST 2019, time=2019-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371347, encodeId=a5273e1347c6, content=有研究表明长期使用他莫昔芬可使子宫肉瘤的发病风险增加3倍,盆腔接受放射治疗者远期可能继发子宫肉瘤, beContent=null, objectType=guider, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:07:56 CST 2019, time=2019-08-16, status=1, ipAttribution=)]
    2019-08-16 whgreenfeild_37531903

    肿瘤分期是子宫肉瘤最重要的预后因素

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=971640, encodeId=70a19e1640ba, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48d23251424, createdName=12cf2936m95暂无昵称, createdTime=Mon Jun 07 22:06:52 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954795, encodeId=6864954e9558, content=已看,还可以。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1bc65476534, createdName=ms6000001015893838, createdTime=Wed Apr 07 15:14:10 CST 2021, time=2021-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888777, encodeId=0386888e7775, content=棒棒的, beContent=null, objectType=guider, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=97205422237, createdName=小姐鱼, createdTime=Sun Sep 27 20:53:41 CST 2020, time=2020-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371348, encodeId=1cb73e134805, content=肿瘤分期是子宫肉瘤最重要的预后因素, beContent=null, objectType=guider, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:08:13 CST 2019, time=2019-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=371347, encodeId=a5273e1347c6, content=有研究表明长期使用他莫昔芬可使子宫肉瘤的发病风险增加3倍,盆腔接受放射治疗者远期可能继发子宫肉瘤, beContent=null, objectType=guider, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c8b5159039, createdName=whgreenfeild_37531903, createdTime=Fri Aug 16 10:07:56 CST 2019, time=2019-08-16, status=1, ipAttribution=)]
    2019-08-16 whgreenfeild_37531903

    有研究表明长期使用他莫昔芬可使子宫肉瘤的发病风险增加3倍,盆腔接受放射治疗者远期可能继发子宫肉瘤

    0

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