- 期刊
滋養細胞腫瘤之子宮切除
The Role of Hysterectomy for Gestational Trophoblastic Disease
並列摘要
The combination chemotherapy is recommended as the cornerstone for treatment of the women with high-risk gestational trophoblastic disease. The excellent results of chemotherapy have diminished the role of operative interventions. However, elective hysterectomy aiming at curing the patients plays a minor but definitive role in elected patients, with massive vaginal hemorrhage intrauterine bleeding, placental site trophoblastic tumor and epitheloid trophoblastic tumor as and indication surgery. If the lesions of gestational trophoblastic disease are confined to the uterus and the woman has no desire to preserve infertility, she should be informed of adjuvant hysterectomy as a treatment option. With the increasing use of early surgical intervention with chemotherapy, some authors thought that it might decrease the number of chemotherapeutic cycles necessary to achieve remission and in effect decreasing the exposure of the patients to toxicity from the chemotherapy.
延伸閱讀
- Lee, C. K., Shih, M. T., Huang, C. C., & Yan, J. S. (1979). 子宮頸原位癌錐狀切除術後殘留病灶之研究. Journal of Medical Sciences, 3(2), 837-842. https://www.airitilibrary.com/Article/Detail?DocID=10114564-197907-201404240007-201404240007-837-842
- 賴佳言、張美靜（2009）。一位子宮內膜癌行子宮根除術病患之護理經驗。馬偕護理雜誌，3(2)，58-67。https://doi.org/10.29415/JMKN.200907_3(2).0006
- 劉志鴻、謝長堯（1984）。子宮頸原位癌之錐狀切片于術。當代醫學，(128)，453-455。https://doi.org/10.29941/MT.198406.0012
- May, T., Goldstein, D. P., & Berkowitz, R. S. (2011). Current Chemotherapeutic Management of Patients with Gestational Trophoblastic Neoplasia. Chemotherapy Research and Practice, 2011(), 140-151. https://doi.org/10.1155/2011/806256
- 李耀泰、陳福民、郭宗正（2013）。What is the Best Regimen of Methotrexate for Low-Risk Gestational Trophoblastic Disease?。中華民國婦癌醫學雜誌，(2013年1)，92-99。https://www.airitilibrary.com/Article/Detail?DocID=10195998-201304-201305160004-201305160004-92-99