In 24 patients (mean age 48 years) with locally advanced cervical cancer there were studied the efficacy and toxicity of 3 cycles of neoadjuvant dose-intensive chemotherapy with cisplatin (75 mg/m2) and doxorubicin (35 mg/m2) administered intravenously on the first day of a two- week cycle with the support of colony-stimulating factors. An important criterion for the inclusion in this study of patients with locally advanced cervical cancer (Tlb2-2bN0-lM0) was the absence of infiltration of the anterior parameters according to the gynecological examination and MRI studies. An objective response to treatment was registered in 72.7% of cases. Progression of the disease was not detected in any case. Conducting neoadjuvant drug therapy allowed performing radical surgical intervention in 95.4% of patients. The pathomorphlogical response of tumor of varying severity was 40.9%. In 9.1% complete clinical regression of tumor was confirmed by a complete pathomor-phological response (CR). The dose-intensive regimen of chemotherapy did not lead to a significant increase of complications on the drug and surgical stages. An analysis showed that dose-intensive neoadjuvant chemotherapy is a highly effective method in treatment for locally advanced cervical cancer.
| Translated title of the contribution | Dose-intensive neoadjuvant chemotherapy in combined treatment for locally advanced cervical cancer: The experience and perspectives |
|---|---|
| Original language | Russian |
| Pages (from-to) | 614-621 |
| Number of pages | 8 |
| Journal | Voprosy Onkologii |
| Volume | 63 |
| Issue number | 4 |
| State | Published - 2017 |
ID: 88743365