臨床婦人科産科70巻8号

2016年08月発行

今月の臨床 婦人科悪性腫瘍規約改訂のポイントと対応─「何が」「なぜ」「どのように」変わったのか

子宮体部病変

間葉系腫瘍・癌肉腫の治療と管理

著者： 笠松由佳¹ 安部正和¹ 平嶋泰之¹

所属機関： ¹静岡県立静岡がんセンター婦人科

ページ範囲：P.719 - P.724

文献概要

●根治治療可能な子宮癌肉腫の初回治療は手術であり，腹式子宮全摘術＋両側付属器摘出術に加え，骨盤・傍大動脈リンパ節郭清，大網切除を行うことが推奨される．

●完全切除例に対しても術後補助療法が推奨されるが，エビデンスの高い標準治療は確立していない．

●進行再発例には，治療効果，安全性の点からPTX＋CBDCA療法の有効性が示唆されている．

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