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Tumor Biology

, Volume 36, Issue 6, pp 4349–4356 | Cite as

Neoadjuvant chemotherapy followed by radical surgery as an alternative treatment to concurrent chemoradiotherapy for young premenopausal patients with FIGO stage IIB squamous cervical carcinoma

  • ShanShan Yang
  • Ying Gao
  • Jing Sun
  • Bairong Xia
  • TianBo Liu
  • HongXia Zhang
  • Qi Li
  • Min Xiao
  • YunYan ZhangEmail author
Research Article

Abstract

Concurrent chemoradiotherapy (cCRT) is the standard of care for International Federation of Gynecology and Obstetrics (FIGO) stage IIB squamous cervical carcinoma (SCC). However, an increasing number of young patients with stage IIB SCC are concerned with preserving their ovarian and vaginal functions during treatment. This retrospective study aimed to compare clinical prognosis between young patients with stage IIB SCC treated with neoadjuvant chemotherapy (NACT) followed by radical surgery (RS) and those treated with cCRT. Medical records of 244 premenopausal patients aged <45 years with FIGO stage IIB SCC treated with NACT+RS and cCRT between February 2007 and June 2009 were reviewed. All these patients completed the treatment plan. NACT+RS resulted in recurrence (35.9 versus 41.8 %, P = 0.350), progression-free survival (PFS) rate (log-rank, P = 0.456), and overall survival (OS) rate (log-rank, P = 0.637) comparable to cCRT. Compared with cCRT, NACT+RS did not show a significant statistical difference in clinical prognosis of premenopausal patients with stage IIB SCC. Therefore, NACT+RS may be considered as an alternative treatment for the young patients who are concerned with preserving endocrine function, and this alternative treatment may also be administered when radiotherapy is unavailable.

Keywords

Cervical cancer Squamous cell carcinoma Neoadjuvant chemotherapy Radical hysterectomy Concurrent chemoradiotherapy Prognosis 

Notes

Acknowledgments

The authors thank all the people and patients who had participated in this study. This work is supported by Health and Family Planning Commission of Heilongjiang Provincial (No. 2014-363) and the National Natural Science Foundation of China (No. 81372786).

Conflicts of interest

None

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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2015

Authors and Affiliations

  • ShanShan Yang
    • 1
  • Ying Gao
    • 2
  • Jing Sun
    • 1
  • Bairong Xia
    • 2
  • TianBo Liu
    • 2
  • HongXia Zhang
    • 3
  • Qi Li
    • 1
  • Min Xiao
    • 4
  • YunYan Zhang
    • 1
    Email author
  1. 1.Department of Gynecological RadiotherapyThe Affiliated Tumor Hospital of Harbin Medical UniversityHarbinChina
  2. 2.Department of GynecologyThe Affiliated Tumor Hospital of Harbin Medical UniversityHarbinChina
  3. 3.Department of Medical ImageologyThe Affiliated Tumor Hospital of Harbin Medical UniversityHarbinChina
  4. 4.Department of Breast SurgeryThe Affiliated Tumor Hospital of Harbin Medical UniversityHarbinChina

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