Treatment results and prognostic analysis of radical radiotherapy for locally advanced cancer of the uterine cervix

Authors: Yamashita, H; Nakagawa, K; Tago, M; Shiraishi, K; Nakamura, N; Ohtomo, K

Source: British Journal of Radiology, Volume 78, Number 933, September 2005 , pp. 821-826(6)

Publisher: British Institute of Radiology

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Abstract:

This study investigated treatment results and prognostic factors in radical radiotherapy for stage IIB-IVA cervical cancer. This is a retrospective analysis of 71 patients with cancer of the uterine cervix treated radically with external beam radiotherapy and high-dose-rate intracavitary brachytherapy between June 1991 and May 2004. In 47/71 (66%) of patients' chemotherapy was combined with radiotherapy. All 71 patients were retrospectively analysed. The median follow-up time was 34.8 months. The median age was 57 years (range 26–78 years) There were 21 patients (30%) in stage IIB, 3 (4%) stage IIIA, 40 (56%) stage IIIB, and 7 (10%) stage IVA. The 5-year overall survival rate was 83.5%, 77.0%, and 42.9% for stage IIB, III, and IVA, respectively. Federation Internationale de Gynocologie et d'Obstetrique (FIGO) classification stage and pelvic and para-aortic nodal status significantly affected survival in univariate analysis, but no treatment-related factor was found to be significant in multivariate analysis. In this study para-aortic nodal status was the most important prognostic factor in the radical radiotherapy of cervical cancer.

Document Type: Research article

DOI: http://dx.doi.org/10.1259/bjr/13147816

Publication date: 2005-09-01