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607 Long-term results of neoadjuvant dose-dense platinum-based chemotherapy in patients with locally advanced cervical cancer
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  1. Olga Smirnova1,
  2. Elena Ulrikh2,
  3. Alina Abramova1,
  4. Maria Yakovleva1,
  5. Anna Petrova1,
  6. Nikolay Mikaya1,
  7. Olga Lavrinovich1,
  8. Nikolay Bondarev1,
  9. Adel Urmancheeva1 and
  10. Igor Berlev1
  1. 1N.N. Petrov National Medical Research Center of Oncology
  2. 2Almazov National Medical Research Centre; North-Western State Medical University, N.N.Petrov National Medical Research Centre of Oncology; Oncology

Abstract

Introduction/Background In our study, we evaluated the long-term results of neoadjuvant dose-dense platinum-based chemotherapy in patients with locally advanced cervical cancer FIGO IB2, IIB stage.

Methodology A cohort of 119 consecutive patients with median age of 43 (range 27–68) years was studied. All patients had verified locally-advanced (cT1B2Nx,0M0; cT2BNx,0M0) cervical cancer and received 3 dose-dense intravenous neoadjuvant AP (cisplatin 75 mg/m2, doxorubicin 35 mg/m2; n=75) or TP (cisplatin 60 mg/m2 and paclitaxel 60 mg/m2; n=30) chemotherapy cycles.

Results The median follow-up was 28 (4 - 48) months for AP and 17 (3 - 30) months for TP group, accordingly. The overall survival rates in FIGO IB2 stage for AP and TP groups were 100%. For FIGO IIB stage the overall survival rate in AP group was 94%, in TP group - 97%.

The disease-free survival rate in FIGO IB2 stage for AP group was 78%, for TP group - 100%. For FIGO IIB stage the disease-free survival rate in the AP group was 87%, in TP group - 100%.

Conclusion The dose-intensive chemotherapy is an effective treatment modality for locally-advanced cervical cancer and may be a feasible alternative for standard treatment approach. It deserves further study in larger patient cohort with evaluation of the long-term results.

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