1. Prognostic value of tumor volume reduction during radiotherapy in patients with locally advanced cervical cancer in different risk groups
- Author
-
Xiaolei Ni, Canyang lin, Nan Xiao, Dongxia Liao, Fengling Yang, Baoling Guo, Qin Chen, Zirong Li, Pingtai Tang, Yuanhe Tong, and Jiancheng Li
- Abstract
Objective: To evaluate the risk factors of patients with locally advanced cervical cancer (LACC) undergoing radical radiotherapy (with or without concurrent chemotherapy) and to assess the prognostic value of tumor volume regression (TVR) based on magnetic resonance imaging (MRI) in different risk groups. Methods: A retrospective analysis was performed on 176 individuals diagnosed with stage IIA-IVA cervical cancer (CC) who underwent radical intensity-modulated radiotherapy in our center between January 2012 and December 2020. The tumor volume before radiotherapy (TVp) and before brachytherapy (TVmid) were evaluated based on three-dimensional MRI images, TVR = (TVp -TVmid)/TVp×100%. Kaplan-Meier curves were used to assess patient’s overall survival (OS) and progression-free survival (PFS). Prognostic factors were identified using Cox proportional hazards models. Results: For the entire cohort, patients with TVR ≥ 94% had better 5-year OS (82.7% vs 49.8%, pConclusion: In LACC patients with CRYFA21-1 < 7.7 ng/ml who received CCRT, TVR was an important prognostic factor. However, in patients with CRYFA21-1 ≥7.7 ng/ml who received RT alone, the prognostic value of TVR needs to be further explored.
- Published
- 2023
- Full Text
- View/download PDF