Radiation therapy for stage IVA cervical cancer.

Abstract:

BACKGROUND:To evaluate the outcome and discover predictive factors for patients with stage IVA cervical cancer treated with definitive radiation therapy. PATIENTS AND METHODS:We retrospectively reviewed 34 patients with stage IVA cervical cancer who received definitive radiation therapy between 1992 and 2009. RESULTS:On univariate analysis, statistically significant prognostic factors for improved local control rate (LCR) were absence of pyometra (p=0.037) and equivalent dose in 2 Gy fractions (EQD2) at point A greater than 60 Gy (p=0.023). Prognostic factors for improved progression-free survival (PFS) were absence of pelvic lymph node metastasis at initial presentation (p=0.014), and EQD2 at point A greater than 60 Gy (p=0.023). CONCLUSION:Patients with stage IVA disease had poor median survival. However adequate radiation dose to point A produced favorable LCR and PFS, therefore efforts should be made to increase the point A dose.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Murakami N,Kasamatsu T,Morota M,Sumi M,Inaba K,Ito Y,Itami J

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

4989-94

issue

11

eissn

0250-7005

issn

1791-7530

pii

33/11/4989

journal_volume

33

pub_type

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