Radiotherapy alone and chemoirradiation in recurrent squamous cell carcinoma of the vulva.

Abstract:

AIM:To evaluate the role of radiotherapy alone or combined with chemotherapy in the treatment of recurrent vulvar cancer, emphasising the prognostic factors and outcomes. MATERIALS AND METHODS:Twenty women with loco-regional recurrence of vulvar carcinoma were retrospectively reviewed. Eleven patients were managed with a combination of chemotherapy and radiotherapy, seven out of these with concomitant radio-chemotherapy and four with neo-adjuvant chemotherapy. Nine patients were submitted to radiotherapy alone. The total dose of radiation therapy ranged from 30 Gy to 70 Gy. RESULTS:The median follow-up was 6 months (range 2-70 months). The 5-year overall and disease-free survival for the entire cohort was 20%. The outcomes included 6 complete response (CR), 10 partial response (PR) and 4 no change (NC). Patients with one site of recurrence and size of lesion < or = 3 cm were long survivors and disease-free at 5 years; all these women received a total dose of radiation therapy > or = 6480 cGy. CONCLUSION:We emphasize the importance of the number, site and diameter of recurrences as prognostic indicators; the outcomes of these patients were also affected by the total dose of radiation therapy.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Raffetto N,Tombolini V,Santarelli M,Valeriani M,Galla DA,Enrici RM

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

3105-8

issue

3C

eissn

0250-7005

issn

1791-7530

journal_volume

23

pub_type

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