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Published on: February 12, 2017
Concurrent cisplatin-based chemoradiation for cervical carcinoma: tumor response, toxicity, and serum cytokine
Yuh-Cheng Yang1, Kung-Liahng Wang, Tsung-Hsien Su
1Department of Gynecology and Obstetrics, Mackay Memorial Hospital, Taipei, Taiwan.
Purpose:
To evaluate the relation between tumor response, treatment toxicity, and serum cytokine profiles in patients with cervical cancer receiving cisplatin-based chemoradiation.
Patients And Methods:
Forty-two patients with cervical carcinoma receiving chemoradiation were recruited. Hemogram, biochemistry profile, cytokine levels, tumor size, and toxicity were assessed weekly.
Results:
The absolute neutrophil count decreased accompanied by an increase in serum levels of G-CSF during chemoradiation. The sudden elevation of serum TGF-beta 1 and VEGF levels after the first fraction of brachytherapy accompanied with the development of greater radiation therapy (RT) morbidity. Lower pretreatment TGF-beta 1 and VEGF levels are associated with tumor response to chemoradiation.
Conclusion:
The serial changes in serum cytokines during chemoradiation may correlate with tumor regression and treatment morbidity.
