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Prospective cohort study to evaluate the efficacy of taxane plus platinum and CPT-11plus platinum regimes and to identify prognostic risk factors in cervical cancer patients

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单位: [1]Huazhong Univ Sci & Technol,Dept Gynecol & Obstet,Tongji Hosp,Tongji Med Coll,Wuhan 430030,Peoples R China [2]Henan Canc Hosp, Zhenjiang, Peoples R China [3]Wuhan Cent Hosp, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China [4]Wuhan Gen Hosp Guangzhou Mil Command, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China [5]Huazhong Univ Sci & Technol, Dept Obstet & Gynecol, Xiangfan Cent Hosp, Tongji Med Coll, Xiangfan, Hubei, Peoples R China [6]Nanjing Univ, Sch Med, Dept Obstet & Gynecol, Nanjing Drum Tower Hosp,Affiliated Hosp, Nanjing 210008, Jiangsu, Peoples R China [7]Huazhong Univ Sci & Technol,Ctr Biomed Res,Tongji Hosp,Tongji Med Coll,Wuhan 430074,Hubei,Peoples R China
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关键词: Cervical cancer neoadjuvant chemotherapy platinum taxane irinotecan

摘要:
Objective: This study was designed to evaluate the response, toxicity and survival of taxanes plus platinum (TP) and CPT-11plus platinum (CP) as neoadjuvant chemotherapies with previously untreated cervical cancer, and to identify prognostic risk factors in these patients. Methods: A cohort study was performed to evaluate the result of TP and CP regimes in the treatment of cervical cancer patients. Results: The study included 567 patients with locally advanced cervical cancer (LACC) staged as FIGO IB-IIB in our clinical departments. Clinical response was found in 76.1% and 78% of patients in the TP and CP arms, respectively, and no treatment-related deaths were reported. During the follow-up period, disease-free survival (DFS) and overall survival (OS) for the TP and CP arms were not different (P = 0.384 for DFS, P = 0.800 for OS). The CP regime showed higher survival rate for endophytic growth style (P = 0.013 for DFS, P = 0.027 for OS). The CP regime also showed higher DFS and OS for G2 tumor (P = 0.027 for DFS, P = 0.032 for OS). In multivariate cox's proportional hazards regression model, the average death rates were much greater in the non-responder group (HR, 2.68), in the older (> 44 years) group (HR, 2.51), and in the FIGO stage II b patients (HR, 2.84). Conclusions: The CP regime showed higher survival rate for endophytic growth style or G2 tumor. Clinical response, age and FIGO stage were independent prognostic risk factors in this study for both DFS and OS.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
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出版当年[2013]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者单位: [1]Huazhong Univ Sci & Technol,Dept Gynecol & Obstet,Tongji Hosp,Tongji Med Coll,Wuhan 430030,Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol,Dept Gynecol & Obstet,Tongji Hosp,Tongji Med Coll,Wuhan 430030,Peoples R China [*1]Huazhong Univ Sci & Technol,Dept Gynecol & Obstet,Tongji Hosp,Tongji Med Coll,1095 Jiefang Anv,Wuhan 430030,Peoples R China
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