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中华妇幼临床医学杂志(电子版) ›› 2025, Vol. 21 ›› Issue (04) : 395 -402. doi: 10.3877/cma.j.issn.1673-5250.2025.04.004

标准·方案·指南

《老年宫颈癌规范化诊疗中国专家共识(2024年版)》解读
何玥, 吴玉梅()   
  1. 首都医科大学附属北京妇产医院/北京妇幼保健院妇科肿瘤科/女性生殖系统肿瘤前沿技术研发和转化联合实验室,北京 100006
  • 收稿日期:2025-02-22 修回日期:2025-05-22 出版日期:2025-08-01
  • 通信作者: 吴玉梅

Interpretation of Chinese Expert Consensus on Standardized Diagnosis and Treatment of Cervical Cancer in the Elderly (2024 Edition)

Yue He, Yumei Wu()   

  1. Department of Gynecological Oncology, Joint Laboratory for Frontier Technology Research and Translation of Female Reproductive System Tumors, Beijing Obstetrics and Gynecology Hospital, Capital Medical University/Beijing Maternal and Child Health Care Hospital, Beijing 100006, China
  • Received:2025-02-22 Revised:2025-05-22 Published:2025-08-01
  • Corresponding author: Yumei Wu
  • Supported by:
    National Natural Science Foundation of China(82102711); Special Funding Project of Clinical Medicine Development of Beijing Hospitals Authority(ZLRK202529); Project of Science and Technology Plan in Beijing Municipal Science & Technology Commission(Z221100007422087); Beijing Physician-Scientist Training Program
引用本文:

何玥, 吴玉梅. 《老年宫颈癌规范化诊疗中国专家共识(2024年版)》解读[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(04): 395-402.

Yue He, Yumei Wu. Interpretation of Chinese Expert Consensus on Standardized Diagnosis and Treatment of Cervical Cancer in the Elderly (2024 Edition)[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2025, 21(04): 395-402.

中国老年患者被确诊为宫颈癌时通常已为晚期,由于自身体质较差,心理上接受根治性治疗意愿不强,而常导致其预后不良。中国老年医学学会妇科分会制定了《老年宫颈癌规范化诊疗中国专家共识(2024年版)》(以下简称为《本共识》),涉及宫颈癌老年患者的诊断和评估难点、宫颈癌老年患者整体功能评估重点、宫颈癌老年患者综合治疗热点问题。《本共识》对宫颈癌老年患者的定义是年龄>60岁宫颈癌患者。《本共识》实际落地,仍需多方协作,尤其是应提升老年患者宫颈癌筛查覆盖率、加强患者教育及优化医疗资源配置,从而提升临床对宫颈癌老年患者的规范化诊疗水平。笔者拟就《本共识》关于宫颈癌老年患者的诊断与其整体功能评估推荐意见,以及老年宫颈癌治疗原则推荐意见等重点内容进行解读,旨在为妇科对宫颈癌老年患者的临床管理提供详尽参考意见。

In China, elderly patients are often diagnosed with cervical cancer at an advanced stage. Due to generally poor physical condition and limited willingness to undergo radical treatment, they frequently experience poor prognosis. The Gynecology Branch of Chines Geriatrics Society has developed the Chinese Expert Consensus on Standardized Diagnosis and Treatment of Cervical Cancer in the Elderly (2024 Edition) (hereinafter referred to as " the Consensus" ). The Consensus addresses challenges in diagnosis and assessment, key aspects of comprehensive functional evaluation, and hot topics in the integrated treatment of cervical cancer in elderly patients with cervical cancer. The Consensus defines elderly cervical cancer patients as those aged >60 years. For its effective implementation, multi-party collaboration is essential. These includes improving the coverage of cervical cancer screening for elderly patients, enhancing patient education, and optimizing the allocation of healthcare resources, thereby elevating the standardized diagnosis and treatment level in clinical practice. The author aims to interpret key recommendations from the Consensus, focusing on the diagnosis, comprehensive functional evaluation, and treatment principles for elderly cervical cancer patients. This interpretation seeks to provide detailed reference for the clinical management of elderly cervical cancer patients in gynecological practice.

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