Long-term results of early adjuvant concurrent chemoradiotherapy for high-risk, early stage uterine cervical cancer patients after radical hysterectomy
Identifieur interne : 000437 ( Main/Exploration ); précédent : 000436; suivant : 000438Long-term results of early adjuvant concurrent chemoradiotherapy for high-risk, early stage uterine cervical cancer patients after radical hysterectomy
Auteurs : Sang-Won Kim [Corée du Sud] ; Mison Chun ; Hee-Sug Ryu ; Suk-Joon Chang ; Tae Wook Kong ; Young-Taek Oh ; Seung Hee KangSource :
- BMC Cancer [ 1471-2407 ] ; 2017.
Abstract
The aim of the present study was to investigate the long-term survival outcomes and toxicities associated with our experienced early administration of adjuvant concurrent chemoradiotherapy (CCRT).
Ninety-eight patients with pelvic lymph node metastasis, positive resection margin, and/or parametrial invasion who received adjuvant CCRT between 1995 and 2011 were analyzed retrospectively. The first cycle of platinum-based adjuvant chemotherapy was initiated within 2–3 weeks after surgery (median, 12 days) and continued every 4 weeks for a total of 4 cycles. Adjuvant radiotherapy was performed during the second and third cycles of chemotherapy.
After a median follow-up period of 119 months for survivors, 13 patients (13.3%) experienced recurrence and 11 patients died of cancer during the follow-up period. The 5-year recurrence-free survival and cancer specific survival rates were 87.6% and 90.6%, respectively. Ninety-four patients (95.9%) received ≥3 cycles of chemotherapy. Total radiation dose of ≥45 Gy was delivered in 91 patients (92.9%). Grade 3–4 hematologic and gastrointestinal toxicities developed in 37 (37.8%) and 14 (14.3%) patients during CCRT, respectively.
The present study confirmed the long-term safety and encouraging survival outcomes of early administration of adjuvant CCRT, suggesting the benefits of early time to initiation of adjuvant treatments.
Url:
DOI: 10.1186/s12885-017-3299-0
PubMed: 28454573
PubMed Central: 5410059
Affiliations:
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Kim</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0532 3933</institution-id><institution-id institution-id-type="GRID">grid.251916.8</institution-id><institution>Department of Radiation Oncology,</institution><institution>Ajou University School of Medicine,</institution></institution-wrap>164 Worldcup-ro, Yeongtong-gu, Suwon, Gyeonggi-do 16499 Republic of Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 16499 Republic of Korea</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8674 9741</institution-id><institution-id institution-id-type="GRID">grid.411143.2</institution-id><institution>Department of Radiation Oncology,</institution><institution>Konyang University College of Medicine,</institution></institution-wrap>158 Gwanjeodong-ro, Seo-gu, Daejeon, 35365 Republic of Korea</nlm:aff><country xml:lang="fr">Corée du 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Gyeonggi-do 16499 Republic of Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 16499 Republic of Korea</wicri:noCountry></affiliation></author><author><name sortKey="Kong, Tae Wook" sort="Kong, Tae Wook" uniqKey="Kong T" first="Tae Wook" last="Kong">Tae Wook Kong</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0532 3933</institution-id><institution-id institution-id-type="GRID">grid.251916.8</institution-id><institution>Department of Obstetrics and Gynecology,</institution><institution>Ajou University School of Medicine,</institution></institution-wrap>164 Worldcup-ro, Yeongtong-gu, Suwon, Gyeonggi-do 16499 Republic of Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 16499 Republic of Korea</wicri:noCountry></affiliation></author><author><name sortKey="Oh, Young Taek" sort="Oh, Young Taek" uniqKey="Oh Y" first="Young-Taek" last="Oh">Young-Taek Oh</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0532 3933</institution-id><institution-id institution-id-type="GRID">grid.251916.8</institution-id><institution>Department of Radiation Oncology,</institution><institution>Ajou University School of Medicine,</institution></institution-wrap>164 Worldcup-ro, Yeongtong-gu, Suwon, Gyeonggi-do 16499 Republic of Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 16499 Republic of Korea</wicri:noCountry></affiliation></author><author><name sortKey="Kang, Seung Hee" sort="Kang, Seung Hee" uniqKey="Kang S" first="Seung Hee" last="Kang">Seung Hee Kang</name><affiliation><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0470 5112</institution-id><institution-id institution-id-type="GRID">grid.411612.1</institution-id><institution>Department of Radiation Oncology, Ilsan Paik Hospital,</institution><institution>Inje University School of Medicine,</institution></institution-wrap>170 Juhwa-ro, Ilsanseo-gu, Goyang, Gyeonggi-do 10380 Republic of Korea</nlm:aff><wicri:noCountry code="subfield">Gyeonggi-do 10380 Republic of Korea</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The aim of the present study was to investigate the long-term survival outcomes and toxicities associated with our experienced early administration of adjuvant concurrent chemoradiotherapy (CCRT).</p></sec><sec><title>Methods</title><p>Ninety-eight patients with pelvic lymph node metastasis, positive resection margin, and/or parametrial invasion who received adjuvant CCRT between 1995 and 2011 were analyzed retrospectively. The first cycle of platinum-based adjuvant chemotherapy was initiated within 2–3 weeks after surgery (median, 12 days) and continued every 4 weeks for a total of 4 cycles. Adjuvant radiotherapy was performed during the second and third cycles of chemotherapy.</p></sec><sec><title>Results</title><p>After a median follow-up period of 119 months for survivors, 13 patients (13.3%) experienced recurrence and 11 patients died of cancer during the follow-up period. The 5-year recurrence-free survival and cancer specific survival rates were 87.6% and 90.6%, respectively. Ninety-four patients (95.9%) received ≥3 cycles of chemotherapy. Total radiation dose of ≥45 Gy was delivered in 91 patients (92.9%). Grade 3–4 hematologic and gastrointestinal toxicities developed in 37 (37.8%) and 14 (14.3%) patients during CCRT, respectively.</p></sec><sec><title>Conclusion</title><p>The present study confirmed the long-term safety and encouraging survival outcomes of early administration of adjuvant CCRT, suggesting the benefits of early time to initiation of adjuvant treatments.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Landoni, F" uniqKey="Landoni F">F Landoni</name></author><author><name sortKey="Maneo, A" uniqKey="Maneo A">A Maneo</name></author><author><name sortKey="Colombo, A" uniqKey="Colombo A">A Colombo</name></author><author><name sortKey="Placa, F" uniqKey="Placa F">F Placa</name></author><author><name sortKey="Milani, R" uniqKey="Milani R">R Milani</name></author><author><name sortKey="Perego, P" uniqKey="Perego P">P Perego</name></author><author><name sortKey="Favini, G" uniqKey="Favini G">G 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Cadron</name></author><author><name sortKey="Van Gorp, T" uniqKey="Van Gorp T">T Van Gorp</name></author><author><name sortKey="Trillsch, F" uniqKey="Trillsch F">F Trillsch</name></author><author><name sortKey="Mahner, S" uniqKey="Mahner S">S Mahner</name></author><author><name sortKey="Ulmer, H" uniqKey="Ulmer H">H Ulmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ryu, Hs" uniqKey="Ryu H">HS Ryu</name></author><author><name sortKey="Chun, M" uniqKey="Chun M">M Chun</name></author><author><name sortKey="Chang, Kh" uniqKey="Chang K">KH Chang</name></author><author><name sortKey="Chang, Hj" uniqKey="Chang H">HJ Chang</name></author><author><name sortKey="Lee, Jp" uniqKey="Lee J">JP Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kolb, Ba" uniqKey="Kolb B">BA Kolb</name></author><author><name sortKey="Buller, Re" uniqKey="Buller R">RE Buller</name></author><author><name sortKey="Connor, Jp" uniqKey="Connor J">JP Connor</name></author><author><name sortKey="Disaia, Pj" uniqKey="Disaia P">PJ DiSaia</name></author><author><name sortKey="Berman, Ml" uniqKey="Berman M">ML Berman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gunduz, N" uniqKey="Gunduz N">N Gunduz</name></author><author><name sortKey="Fisher, B" uniqKey="Fisher B">B Fisher</name></author><author><name sortKey="Saffer, Ea" uniqKey="Saffer E">EA Saffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fisher, B" uniqKey="Fisher B">B Fisher</name></author><author><name sortKey="Gunduz, N" uniqKey="Gunduz N">N Gunduz</name></author><author><name sortKey="Saffer, Ea" uniqKey="Saffer E">EA Saffer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><noCountry><name sortKey="Chang, Suk Joon" sort="Chang, Suk Joon" uniqKey="Chang S" first="Suk-Joon" last="Chang">Suk-Joon Chang</name><name sortKey="Chun, Mison" sort="Chun, Mison" uniqKey="Chun M" first="Mison" last="Chun">Mison Chun</name><name sortKey="Kang, Seung Hee" sort="Kang, Seung Hee" uniqKey="Kang S" first="Seung Hee" last="Kang">Seung Hee Kang</name><name sortKey="Kong, Tae Wook" sort="Kong, Tae Wook" uniqKey="Kong T" first="Tae Wook" last="Kong">Tae Wook Kong</name><name sortKey="Oh, Young Taek" sort="Oh, Young Taek" uniqKey="Oh Y" first="Young-Taek" last="Oh">Young-Taek Oh</name><name sortKey="Ryu, Hee Sug" sort="Ryu, Hee Sug" uniqKey="Ryu H" first="Hee-Sug" last="Ryu">Hee-Sug Ryu</name></noCountry><country name="Corée du Sud"><noRegion><name sortKey="Kim, Sang Won" sort="Kim, Sang Won" uniqKey="Kim S" first="Sang-Won" last="Kim">Sang-Won Kim</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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