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Chemoradiation for Carcinoma of the Cervix: Advances and Opportunities
Abstract
Although it is possible to cure many patients with locally advanced cervical cancer using radiation therapy alone, loco-regional relapse continues to be a component of most recurrences. To improve control rates, clinicians have investigated ways of combining chemotherapy and radiation for more than 30 years. Despite encouraging results from phase II trials of neoadjuvant chemotherapy, randomized trials failed to improve on the results with radiation therapy alone. For a number of reasons, early trials of concurrent chemoradiation were inconclusive. However, recent reports of five large prospective randomized trials demonstrated dramatic improvements in survival and local control rates when cisplatin-containing chemotherapy was given during radiation therapy. These results also suggest a number of avenues for future research.
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DNA damaging therapy utilizing chemotherapeutics such as cisplatin, paclitaxel, gemcitabine, topotecan, 5-fluorouracil, or MMC, combined with radiotherapy, has produced improved survival outcomes for late-stage CC.
“Over recent decades, DNA damaging therapy utilizing chemotherapeutics such as cisplatin, paclitaxel, gemcitabine, topotecan, 5-fluorouracil, or mitomycin C (MMC), combined with radiotherapy, has produced improved survival outcomes for late-stage CC [2].”
From Combining Mitomycin C with inhibition of BAD phosphorylation enhances apoptotic cell death in advanced cervical cancer (2024) · cites this paper as [2]
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Cited by
Sorted by citations
Wang, L., Zhang, X., Chen, S., Ye, Q., Basappa, B., Zhu, T., Lobie, P. E., & Pandey, V. (2024) · Translational Oncology · doi:10.1016/j.tranon.2024.102103 · Cited by 8
“Over recent decades, DNA damaging therapy utilizing chemother-apeutics such as cisplatin, paclitaxel, gemcitabine, topotecan, 5-fluorouracil, or mitomycin C (MMC), combined with radiotherapy, has produced improved survival outcomes for late-stage CC [2].”
Metadata
- Authors
- Eifel, P. J.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Eifel, Patricia J.
- ORCID
- Eifel, Patricia J.
- Venue
- Radiation Research
- Publisher
- Radiation Research Society
- Published
- 2000-09
- Volume
- 154
- Issue
- 3
- Pages
- 229-236
- ISSN
- 0033-7587 (ISSN-L)
- 1938-5404
- OpenAlex
- W2249828420
- Cited by
- 38
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2020: 1 · 2018: 1 · 2015: 1 · 2014: 2 · 2012: 2
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Radiation Research (publishedVersion)
- PubMed (publishedVersion)
- BioOne Complete (BioOne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Keywords
- cervical cancer, chemoradiotherapy, concurrent chemoradiotherapy, neoadjuvant chemotherapy, cisplatin, locally advanced cervical cancer, locoregional recurrence, local control, survival
- MeSH terms
- Antineoplastic Combined Chemotherapy Protocols, Bleomycin, Carcinoma, Squamous Cell, Uterine Cervical Neoplasms, Cisplatin, Combined Modality Therapy, Drug Administration Schedule, Female, Fluorouracil, Head and Neck Neoplasms, Humans, Hydroxyurea, Hysterectomy, Lung Neoplasms, Prospective Studies, Radiation Tolerance, Radiation-Sensitizing Agents, Vincristine, Survival Rate, Randomized Controlled Trials as Topic, Mitomycin, Treatment Outcome, Chemotherapy, Adjuvant
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