[Analysis of effects and postoperative clinicopathological prognosis factors of neoadjuvant chemotherapy in patients with stage â
b2 and â
¡a2 squamous cell carcinoma of the cervix].
Zhonghua Fu Chan Ke Za Zhi
; 54(10): 673-679, 2019 Oct 25.
Article
em Zh
| MEDLINE
| ID: mdl-31648443
ABSTRACT
Objective:
To explore the effects and postoperative prognostic factors in cervical cancer patients received neoadjuvant chemotherapy combined with surgery and post-operative adjuvant therapy.Methods:
A total of 177 patients with cervical cancer at International Federation of Gynecology and Obstetrics (FIGO) stage â b2, â ¡ a2 who underwent neoadjuvant chemotherapy (NACT) followed by surgery with and without adjuvant therapy in Cancer Hospital, Chinese Academy of Medical Sciences were included. Univariate and multivariate analyses of 5-year overall survival (OS) rate and 5-year disease-free survival (DFS) rate were performed.Results:
Of 177 patients, 133 (75.1%) had stage â b2 and 44 (24.9%) had â ¡a2 cancers. After NACT, overall response rate was 63.3% (112/177) including 12 cases of complete response (CR), 100 of partial response (PR) and no progressive disease (PD) case. At a median follow-up of 59.2 months, the 5-year DFS rate was 73.6% and the 5-year OS rate was 86.8%. Univariate analysis revealed that lymph node metastasis, deep stromal invasion and tumor size after NACT significantly affected 5-year DFS rate (P<0.05). Lymph node metastasis, deep stromal invasion and tumor size after NACT significantly affected 5-year OS rate (P<0.05). The multivariate analysis showed that, stromal invasion (outer 1/3 or outer 1/2) was independent risk factor of 5-year DFS rate (P<0.05), and 5-year OS rate was significantly affected by tumor size >3 cm after NACT (P<0.05).Conclusions:
The effect of NACT in â b2, â ¡ a2 squamous carcinoma of the uterined cervix is confirmed. The independent risk factor for 5-year DFS rate in patients received NACT and hysterectomy is deep stromal invasion of the cervix. The presence of tumor size >3 cm after NACT adversely affect 5-year OS rate.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Escamosas
/
Neoplasias do Colo do Útero
/
Quimioterapia Adjuvante
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Terapia Neoadjuvante
/
Histerectomia
Idioma:
Zh
Ano de publicação:
2019
Tipo de documento:
Article