1. Neoadjuvant Chemotherapy Followed by Radical Surgery versus Concurrent Chemo-Radiotherapy in the Treatment of Locally Advanced Cervical Cancer: A Multicenter Retrospective Analysis
- Author
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Paolo Sala, Stefano Bogliolo, Fabio Barra, Alessandra Fazio, Mattia Maramai, Chiara Cassani, Barbara Gardella, Luciana Babilonti, Flavio Giannelli, Serafina Mammoliti, Arsenio Spinillo, Simone Ferrero, Mario Valenzano Menada, Sergio Costantini, Paolo Bruzzi, and Pierangelo Marchiolè
- Subjects
cancer ,cervical cancer ,disease-free survival ,overall survival ,locally advanced cervical cancer ,radical surgery ,chemo-radiotherapy ,treatment choice ,Surgery ,RD1-811 - Abstract
Objectives This study aims to evaluate oncological outcomes in women affected by locally advanced cervical cancer (LACC) treated by neoadjuvant chemotherapy before radical surgery (NACT + RS) or concurrent chemo-radiotherapy (CCRT). Methods This was a multicenter retrospective analysis of data related to women with LACC (FIGO stage IB2-IVA), who were treated by NACT + RS or CCRT between November 2006 and January 2018. The first endpoints were the evaluation of disease-free survival (DFS) and overall survival (OS); univariate and multivariate analyses were performed for identifying the prognostic factors independently associated with these oncological outcomes. Results Overall, 106 women were included in the analysis; 55 of them (51.9%) underwent NACT + RS and 51 (48.1%) CCRT, respectively. Patients in the NACT + RS group had a significant better five-year DFS and five-year OS than those in the CCRT group (77.4% vs. 33.4%, p
- Published
- 2022
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