Effects of chemotherapy on patients with recurrent cervical cancer previously treated with concurrent chemoradiotherapy: a retrospective multicenter survey in Japan

Verfasser / Beitragende:
[Hideki Tokunaga, Toru Nakanishi, Takashi Iwata, Daisuke Aoki, Toshiaki Saito, Satoru Nagase, Fumiaki Takahashi, Nobuo Yaegashi, Yoh Watanabe]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/3(2015-06-01), 561-565
Format:
Artikel (online)
ID: 605490856
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024 7 0 |a 10.1007/s10147-014-0728-9  |2 doi 
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245 0 0 |a Effects of chemotherapy on patients with recurrent cervical cancer previously treated with concurrent chemoradiotherapy: a retrospective multicenter survey in Japan  |h [Elektronische Daten]  |c [Hideki Tokunaga, Toru Nakanishi, Takashi Iwata, Daisuke Aoki, Toshiaki Saito, Satoru Nagase, Fumiaki Takahashi, Nobuo Yaegashi, Yoh Watanabe] 
520 3 |a Background: Predictive factors of the efficacy of chemotherapy for Japanese patients with recurrent cervical cancer who have been previously treated with concurrent chemoradiotherapy (CCRT) are currently unknown, and hence we aimed to investigate this. Methods: We retrospectively studied the prognostic outcomes of patients with recurrent cervical cancer treated with CCRT between 2002 and 2010 at four medical facilities. Results: A total of 64 patients were included in this study. Forty-two patients received definitive CCRT and 22 patients received postoperative adjuvant CCRT, with 55 receiving platinum-based combination chemotherapy and nine receiving single-agent chemotherapy. The overall response rate (ORR) was 12.5%, with one complete response. The median survival period was 12months. The ORR and overall survival rate did not differ significantly according to recurrence site, post-CCRT interval, or chemotherapy regimen. Conclusion: None of the factors analyzed in this study were identified as positive predictive factors for the efficacy of chemotherapy in patients with recurrent cervical cancer after CCRT. Based on the results of previous studies, in order to improve long-term prognosis in recurrent cases, adjuvant chemotherapy should be considered as a potential treatment option for selected patients, especially as postoperative adjuvant therapy. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Cervical cancer  |2 nationallicence 
690 7 |a Concurrent chemoradiotherapy  |2 nationallicence 
690 7 |a Multicenter survey  |2 nationallicence 
690 7 |a Chemotherapy  |2 nationallicence 
690 7 |a Recurrent cervical cancer  |2 nationallicence 
700 1 |a Tokunaga  |D Hideki  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Nakanishi  |D Toru  |u Department of Gynecology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, 464-8681, Nagoya, Japan  |4 aut 
700 1 |a Iwata  |D Takashi  |u Department of Obstetrics and Gynecology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Aoki  |D Daisuke  |u Department of Obstetrics and Gynecology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Saito  |D Toshiaki  |u Department of Gynecology, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan  |4 aut 
700 1 |a Nagase  |D Satoru  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Takahashi  |D Fumiaki  |u Department of Clinical Research Network, Clinical Research Innovation and Education Center, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Yaegashi  |D Nobuo  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
700 1 |a Watanabe  |D Yoh  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/3(2015-06-01), 561-565  |x 1341-9625  |q 20:3<561  |1 2015  |2 20  |o 10147 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tokunaga  |D Hideki  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakanishi  |D Toru  |u Department of Gynecology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, 464-8681, Nagoya, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Iwata  |D Takashi  |u Department of Obstetrics and Gynecology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aoki  |D Daisuke  |u Department of Obstetrics and Gynecology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Saito  |D Toshiaki  |u Department of Gynecology, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, 811-1395, Fukuoka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nagase  |D Satoru  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takahashi  |D Fumiaki  |u Department of Clinical Research Network, Clinical Research Innovation and Education Center, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yaegashi  |D Nobuo  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Watanabe  |D Yoh  |u Department of Obstetrics and Gynecology, Tohoku Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/3(2015-06-01), 561-565  |x 1341-9625  |q 20:3<561  |1 2015  |2 20  |o 10147