前言子宫内膜癌为女性生殖道常见三大恶性肿瘤之一,近年以来在世界范围内其发病率均有上升趋势。虽然子宫内膜癌大多发生在绝经后妇女,但25%左右患者为绝经前女性,且3%~5%发生在40岁以下妇女。由于年轻子宫内膜癌患者常常因有不孕史而未育,因此,强烈要求保留生育功能。所幸的是这些年轻患者的子宫内膜癌多为高分化,进展缓慢,无肌层浸润或肌层浸润浅,预后较好,这使保留生育功能的治疗成为可能。该文就子宫内膜癌保留生育功能治疗的现状进行综述。
Endometrialcarcinomaisoneofthemostcommonthreemalignanciesoffemalesreproductivesystem.Inrecentyears,initsincidenceratetherehasbeenanincreasingtendencyworldwide.Althoughitoccursmainlyinthepostmenopausalwomen,25%ofpatientsarepre-menopausalwomenand3%~5%ofpatientsarebelow40yearsold.Becausetheyoungwomenwithendometrialcarcinomaaregenerallynulliparaeduetohistoryofinfertility,andtheyhaveastrongdesiretopreservetheirfertility.Fortunately,thetumors...