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[Preoperative concurrent chemotherapy and radiation therapy in cervix cancer: preliminary results].

Identifieur interne : 000884 ( Main/Exploration ); précédent : 000883; suivant : 000885

[Preoperative concurrent chemotherapy and radiation therapy in cervix cancer: preliminary results].

Auteurs : Lotfi Kochbati [Tunisie] ; Chiraz Nasr Ben Ammar ; Farouk Benna ; Monia Hechiche ; Hamouda Boussen ; Mounir Besbes ; Mansour Ben Abdallah ; Khaled Rahal ; Farhat Ben Ayed ; Khaked Ben Romdhane ; Mongi Maalej

Source :

RBID : pubmed:15929442

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English descriptors

Abstract

This is a retrospective study of patients treated for cervix cancer staged IB2, IIA or IIB with bulky tumor (> 4cm). Treatment was concurrent radiotherapy (45Gy with 1,8Gy daily fraction) and chemotherapy (5 cycles of Platinum 40mg/m2/week). All patients underwent Brachytherapy (15Gy on the reference isodose according to Paris system) followed by surgery (radical abdominal hysterectomy and bilateral pelvic lymphadenectomy: Piver 3) Between October 1999 and December 2002, forty five patients were treated in this protocol. Median age was 46 years (21- 68). Histology was squamous cell carcinoma in 93% and glandular carcinoma in 7%. Average external radiation dose was 44Gy (20-50). Ninety three percent of patients had at least 3 cycles of chemotherapy and 46,5% received the planned 5 cycles. On the operative specimens, there was 62,5% complete response and only 7 pelvic node involvement (17,5%). Four postoperative complications were noted (one vascular injury, one urinary fistula, one phlebitis and one lymph collection). Preoperative combined radiotherapy and chemotherapy in the early bulky stages of uterine cervix cancer is well tolerated and "gives" a high rate of sterilisation. There was no increase in surgical morbidity.

PubMed: 15929442


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Le document en format XML

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<term>Adenocarcinoma (drug therapy)</term>
<term>Adenocarcinoma (pathology)</term>
<term>Adenocarcinoma (radiotherapy)</term>
<term>Adenocarcinoma (surgery)</term>
<term>Adenocarcinoma (therapy)</term>
<term>Adult</term>
<term>Aged</term>
<term>Antineoplastic Agents (therapeutic use)</term>
<term>Brachytherapy</term>
<term>Carcinoma, Squamous Cell (drug therapy)</term>
<term>Carcinoma, Squamous Cell (pathology)</term>
<term>Carcinoma, Squamous Cell (radiotherapy)</term>
<term>Carcinoma, Squamous Cell (surgery)</term>
<term>Carcinoma, Squamous Cell (therapy)</term>
<term>Cervix Uteri (pathology)</term>
<term>Cisplatin (therapeutic use)</term>
<term>Cobalt Radioisotopes (therapeutic use)</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Hysterectomy</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Preoperative Care</term>
<term>Radiotherapy Dosage</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
<term>Uterine Cervical Neoplasms (drug therapy)</term>
<term>Uterine Cervical Neoplasms (pathology)</term>
<term>Uterine Cervical Neoplasms (radiotherapy)</term>
<term>Uterine Cervical Neoplasms (surgery)</term>
<term>Uterine Cervical Neoplasms (therapy)</term>
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<term>Adulte d'âge moyen</term>
<term>Adénocarcinome ()</term>
<term>Adénocarcinome (anatomopathologie)</term>
<term>Adénocarcinome (radiothérapie)</term>
<term>Adénocarcinome (traitement médicamenteux)</term>
<term>Antinéoplasiques (usage thérapeutique)</term>
<term>Association thérapeutique</term>
<term>Carcinome épidermoïde ()</term>
<term>Carcinome épidermoïde (anatomopathologie)</term>
<term>Carcinome épidermoïde (radiothérapie)</term>
<term>Carcinome épidermoïde (traitement médicamenteux)</term>
<term>Cisplatine (usage thérapeutique)</term>
<term>Col de l'utérus (anatomopathologie)</term>
<term>Curiethérapie</term>
<term>Dosimétrie en radiothérapie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hystérectomie</term>
<term>Lymphadénectomie</term>
<term>Radio-isotopes du cobalt (usage thérapeutique)</term>
<term>Résultat thérapeutique</term>
<term>Soins préopératoires</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Tumeurs du col de l'utérus ()</term>
<term>Tumeurs du col de l'utérus (anatomopathologie)</term>
<term>Tumeurs du col de l'utérus (radiothérapie)</term>
<term>Tumeurs du col de l'utérus (traitement médicamenteux)</term>
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<term>Cisplatin</term>
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<term>Carcinome épidermoïde</term>
<term>Col de l'utérus</term>
<term>Tumeurs du col de l'utérus</term>
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<term>Adenocarcinoma</term>
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<term>Uterine Cervical Neoplasms</term>
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<term>Adenocarcinoma</term>
<term>Carcinoma, Squamous Cell</term>
<term>Cervix Uteri</term>
<term>Uterine Cervical Neoplasms</term>
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<term>Adenocarcinoma</term>
<term>Carcinoma, Squamous Cell</term>
<term>Uterine Cervical Neoplasms</term>
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<term>Adénocarcinome</term>
<term>Carcinome épidermoïde</term>
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<term>Adenocarcinoma</term>
<term>Carcinoma, Squamous Cell</term>
<term>Uterine Cervical Neoplasms</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Adenocarcinoma</term>
<term>Carcinoma, Squamous Cell</term>
<term>Uterine Cervical Neoplasms</term>
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<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Adénocarcinome</term>
<term>Carcinome épidermoïde</term>
<term>Tumeurs du col de l'utérus</term>
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<term>Antinéoplasiques</term>
<term>Cisplatine</term>
<term>Radio-isotopes du cobalt</term>
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<term>Adult</term>
<term>Aged</term>
<term>Brachytherapy</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Hysterectomy</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Preoperative Care</term>
<term>Radiotherapy Dosage</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Adénocarcinome</term>
<term>Association thérapeutique</term>
<term>Carcinome épidermoïde</term>
<term>Curiethérapie</term>
<term>Dosimétrie en radiothérapie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hystérectomie</term>
<term>Lymphadénectomie</term>
<term>Résultat thérapeutique</term>
<term>Soins préopératoires</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Tumeurs du col de l'utérus</term>
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<front>
<div type="abstract" xml:lang="en">This is a retrospective study of patients treated for cervix cancer staged IB2, IIA or IIB with bulky tumor (> 4cm). Treatment was concurrent radiotherapy (45Gy with 1,8Gy daily fraction) and chemotherapy (5 cycles of Platinum 40mg/m2/week). All patients underwent Brachytherapy (15Gy on the reference isodose according to Paris system) followed by surgery (radical abdominal hysterectomy and bilateral pelvic lymphadenectomy: Piver 3) Between October 1999 and December 2002, forty five patients were treated in this protocol. Median age was 46 years (21- 68). Histology was squamous cell carcinoma in 93% and glandular carcinoma in 7%. Average external radiation dose was 44Gy (20-50). Ninety three percent of patients had at least 3 cycles of chemotherapy and 46,5% received the planned 5 cycles. On the operative specimens, there was 62,5% complete response and only 7 pelvic node involvement (17,5%). Four postoperative complications were noted (one vascular injury, one urinary fistula, one phlebitis and one lymph collection). Preoperative combined radiotherapy and chemotherapy in the early bulky stages of uterine cervix cancer is well tolerated and "gives" a high rate of sterilisation. There was no increase in surgical morbidity.</div>
</front>
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<affiliations>
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<li>Tunisie</li>
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<name sortKey="Ben Ayed, Farhat" sort="Ben Ayed, Farhat" uniqKey="Ben Ayed F" first="Farhat" last="Ben Ayed">Farhat Ben Ayed</name>
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<name sortKey="Besbes, Mounir" sort="Besbes, Mounir" uniqKey="Besbes M" first="Mounir" last="Besbes">Mounir Besbes</name>
<name sortKey="Boussen, Hamouda" sort="Boussen, Hamouda" uniqKey="Boussen H" first="Hamouda" last="Boussen">Hamouda Boussen</name>
<name sortKey="Hechiche, Monia" sort="Hechiche, Monia" uniqKey="Hechiche M" first="Monia" last="Hechiche">Monia Hechiche</name>
<name sortKey="Maalej, Mongi" sort="Maalej, Mongi" uniqKey="Maalej M" first="Mongi" last="Maalej">Mongi Maalej</name>
<name sortKey="Rahal, Khaled" sort="Rahal, Khaled" uniqKey="Rahal K" first="Khaled" last="Rahal">Khaled Rahal</name>
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<name sortKey="Kochbati, Lotfi" sort="Kochbati, Lotfi" uniqKey="Kochbati L" first="Lotfi" last="Kochbati">Lotfi Kochbati</name>
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