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Published on: February 12, 2017
[Concurrent chemoradiation therapy for advanced cervical cancer]
Shigeki Takeshita1, Hiroshi Ichida, Akinori Kayama
1Department of Obstetrics and Gynecology, Teikyo University School of Medicine.
Concurrent chemoradiation therapy (CCR) showed a 75% response rate in advanced cervical cancer patients. However, long-term survival benefits require further investigation.
Area of Science:
- Oncology
- Gynecologic Oncology
- Radiation Oncology
Background:
- Cervical cancer remains a significant global health concern.
- Concurrent chemoradiation therapy (CCR) is a standard treatment approach.
- Evaluating CCR's efficacy and safety in advanced stages is crucial.
Purpose of the Study:
- To assess the clinical application and outcomes of CCR in patients with advanced cervical cancer (FIGO stages IIa-IIIb).
Main Methods:
- Analysis of 14 advanced cervical cancer patients treated with CCR.
- Radiation therapy included external beam radiotherapy (50 Gy) and brachytherapy (20 Gy).
- Cisplatin chemotherapy (70 mg/m(2) IV every 3 weeks) was administered concurrently.
Main Results:
- Overall response rate was 75% (58.3% complete response, 16.7% partial response).
- 83.3% of patients achieved viable cell negativity post-CCR.
- Grade 3 adverse effects included leukopenia, diarrhea, and anemia. Two patients discontinued CCR due to side effects.
Conclusions:
- CCR demonstrates significant antitumor effects in advanced cervical cancer.
- While effective in the short term, CCR did not show a statistical survival difference compared to radiation alone.
- Patients with suspected paraaortic lymph node metastasis had a poor prognosis, necessitating further research into long-term survival benefits.
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