Adjuvant Chemotherapy, a Valuable Alternative Option in Selected Patients with Cervical Cancer
Identifieur interne : 003906 ( Main/Exploration ); précédent : 003905; suivant : 003907Adjuvant Chemotherapy, a Valuable Alternative Option in Selected Patients with Cervical Cancer
Auteurs : Shuang Li [République populaire de Chine] ; Ting Hu [République populaire de Chine] ; Yile Chen [République populaire de Chine] ; Hang Zhou [République populaire de Chine] ; Xiong Li [République populaire de Chine] ; Xiaodong Cheng [République populaire de Chine] ; Ru Yang [République populaire de Chine] ; Shixuan Wang [République populaire de Chine] ; Xing Xie [République populaire de Chine] ; Ding Ma [République populaire de Chine]Source :
- PLoS ONE [ 1932-6203 ] ; 2013.
Abstract
Radiotherapy is the standard treatment for cervical cancer, but causes radiotherapy-induced complications. Recently, chemotherapy has been more extensively utilized. Here, we perform a large-scale comparison of chemotherapy and radiotherapy. From 2002 to 2008, 2,268 patients were grouped according to adjuvant radiotherapy or chemotherapy before and/or after surgery, and we compared the 5-year overall survival (OS) and disease-free survival (DFS) rates, recurrence rates, side effects, quality of life (QoL), and sexual activity. There were no significant differences between the treatment groups for the 5-year OS and DFS rates (OS:
Url:
DOI: 10.1371/journal.pone.0073837
PubMed: 24058496
PubMed Central: 3772826
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Radiotherapy is the standard treatment for cervical cancer, but causes radiotherapy-induced complications. Recently, chemotherapy has been more extensively utilized. Here, we perform a large-scale comparison of chemotherapy and radiotherapy. From 2002 to 2008, 2,268 patients were grouped according to adjuvant radiotherapy or chemotherapy before and/or after surgery, and we compared the 5-year overall survival (OS) and disease-free survival (DFS) rates, recurrence rates, side effects, quality of life (QoL), and sexual activity. There were no significant differences between the treatment groups for the 5-year OS and DFS rates (OS: <italic>p = </italic>
0.053, DFS: <italic>p</italic>
= 0.095), although marginally improved outcomes were observed in the chemotherapy group (OS: 86.5% vs. 82.8%; DFS: 84.5% vs. 81.4%). However, patients with early-stage disease, clinical response, and younger age had increased 5-year OS and DFS rates following chemotherapy compared to radiotherapy (<italic>p</italic>
<0.05). The chemotherapy group exhibited significantly lower 5-year recurrence and distant failure rates compared to the radiotherapy group (<italic>p</italic>
<0.001 and <italic>p</italic>
= 0.007, respectively). Nausea and vomiting were the most frequent short-term complications of chemotherapy, whereas bowel and urinary complications were more frequent in the radiotherapy group. Compared to the chemotherapy group, patients who received radiotherapy reported a lower QoL, less frequent sexual activity, and more severe menopausal symptoms (<italic>p</italic>
<0.05). Cervical cancer patients treated with chemotherapy, especially those with early-stage disease, clinical responses, and younger ages, have more positive outcomes, fewer complications, better QoL and sexual activity, suggesting that chemotherapy may be a valuable alternative option for selected patients.</p>
</div>
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<affiliations><list><country><li>République populaire de Chine</li>
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