title: [Concurrent chemoradiation therapy for advanced cervical cancer].
abstract: In 2003, we began a clinical application of concurrent chemoradiation therapy (CCR) in patients with cervical cancer in our hospital. We analyzed 14 cases of advanced cervical cancer in stages IIa through IIIb by FIGO classification. Tumor size of the uterine cervix ranged from 1.5 cm to 8.0 cm in diameter. Patients received radiation therapy (50 Gy of external beam radiotherapy for pelvis and 20 Gy of high-dose rate intracavitary brachytherapy) combined with chemotherapy. Cisplatin was administered intravenously every 3 weeks at a dose of 70 mg/m(2) during the radiation therapy. In two cases, CCR was stopped because of the side effects. One case developed acute renal failure and another suffered intolerable exhaustion. As for the antitumor effects of CCR, the response rate was 75% (CR 58.3%,PR 16.7%). At the end of the CCR, 10 of 12 patients (83.3%) were negative for viable cells by cytology or biopsy of the uterine cervix. The grade 3 adverse effects were leukopenia, diarrhea and anemia. There was no statistical difference in the overall survival between CCR and radiation therapy alone. The CCR response rate in patients with paraaortic lymph node swelling (suspected metastasis) was low, and they had a poor prognosis. Further examinations for the long-term survival benefit of CCR are necessary.
authors: Department of Obstetrics and Gynecology, Teikyo University School of Medicine.
authors: Shigeki
authors: S
authors: Takeshita
authors: Hiroshi
authors: H
authors: Ichida
authors: Akinori
authors: A
authors: Kayama
authors: Atsushi
authors: A
authors: Sugiura
authors: Kohichi
authors: K
authors: Umezawa
authors: Sachiyo
authors: S
authors: Yokoyama
authors: Satoshi
authors: S
authors: Sugiura
authors: Yasuki
authors: Y
authors: Shimizu
authors: Ryota
authors: R
authors: Machida
authors: Yasundo
authors: Y
authors: Miyazaki
authors: Kenichiro
authors: K
authors: Arimura
authors: Tomoyuki
authors: T
authors: Satoh
authors: Eiji
authors: E
authors: Ryo
authors: Takuya
authors: T
authors: Ayabe
mesh_terms: D000328:Adult; D000368:Aged; D001918:Brachytherapy; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy / Q000009:adverse effects; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008875:Middle Aged; D011379:Prognosis; D002583:Uterine Cervical Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000628:therapy*
chemical_list: D002945:Cisplatin