Prognostic Factors and Treatment Outcome for Patients with Stage IVB Cervical Cancer.

Abstract:

AIM:We report a retrospective evaluation for patients with stage IVB cervical cancer in order to identify survival rates and to improve our current practice. PATIENTS AND METHODS:We analyzed 85 patients with stage IVB cervical cancer. For patients appropriate for radical treatment, a combination of external-beam radiotherapy and intracavitary brachytherapy was delivered with/without chemotherapy. Patients with distant metastasis were treated using systemic chemotherapy or palliative radiotherapy. RESULTS:Forty-two patients were treated using radiotherapy alone, 31 using chemotherapy followed by radiotherapy, eight using chemotherapy alone, and four using best supportive care. The 5-year overall survival rate was 9.9%. Multivariate analysis revealed leukocytosis and a poor performance status were independent prognostic factors. Of the 43 patients without these prognostic factors, patients with only lymph node metastasis had a 5-year overall survival rate of 40.5%. CONCLUSION:Radical treatment should be considered in patients who have only lymph rode metastasis and are without leukocytosis and a poor performance status.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Oishi S,Kudaka W,Toita T,Ariga T,Nakamoto T,Wakayama A,Nagai Y,Kaneshima I,Nishihira K,Aoki Y

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

3471-5

issue

7

eissn

0250-7005

issn

1791-7530

pii

36/7/3471

journal_volume

36

pub_type

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