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Early response to neoadjuvant chemotherapy can help predict long-term survival in patients with cervical cancer

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China [2]Wuhan Cent Hosp, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China [3]Nanjing Univ, Affiliated Hosp, Nanjing Drum Tower Hosp, Dept Obstet & Gynecol, Nanjing, Jiangsu, Peoples R China [4]Hubei Tumor Hosp, Wuhan, Hubei, Peoples R China [5]Shanghai Jiao Tong Univ, Sch Med, Shanghai, Peoples R China [6]Shanghai Jiao Tong Univ, Xinhua Hosp, Sch Med, Shanghai, Peoples R China [7]Luohe Renmin Hosp, Affiliated Hosp 1, Luohe Med Coll, Dept Internal Med, Luohe, Henan, Peoples R China [8]Hubei Univ Nationalities, Univ Hosp, Dept Obstet & Gynecol, Enshi, Hubei, Peoples R China
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关键词: cervical cancer clinical response neoadjuvant chemotherapy (NACT) predictor disease-free survival (DFS)

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It is still controversial whether cervical cancer patients with clinical responses after neoadjuvant chemotherapy (NACT) have a better long-term survival or not. This study was designed to investigate the effect of the clinical response on the disease-free survival (DFS) of cervical cancer patients undergoing NACT. A total of 853 patients from a retrospective study were used to evaluate whether the clinical response was an indicator for the long-term response, and 493 patients from a prospective cohort study were used for further evaluation. The survival difference was detected by log-rank test, univariate and multivariate Cox regression and a pooled analysis. The log-rank test revealed that compared with non-responders, the DFS of responders was significantly higher in the retrospective data (P = 0.007). Univariate Cox regression showed that the clinical response was an indicator of long-term survival in the retrospective study (HR 1.83, 95% CI 1.18-2.85, P = 0.007). In a multivariate Cox model, the clinical response was still retained as an independent significant prognostic factor in the retrospective study (HR 1.59, 95% CI 1.01-2.50, P = 0.046). The result was also validated in the prospective data with similar results. These findings implied that the clinical response can be regarded as an independent predictor of DFS.

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出版当年[2015]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学 3 区 细胞生物学
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出版当年[2014]版:
Q1 ONCOLOGY Q1 CELL BIOLOGY
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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China [2]Wuhan Cent Hosp, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China
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