Neoadjuvant therapy for cervical cancer

Semin Oncol. 1992 Feb;19(1 Suppl 2):94-8.

Abstract

The stage-by-stage prognosis for cervical cancer patients has not improved in the past decades. Our research work concerning adjuvant chemotherapy for the early stages induced a pilot study with untreated patients in advanced stages. Patients were treated with carboplatin 300 mg/m2 plus ifosfamide 5 g/m2 on day 1. In cases of remission or no change, the therapy was repeated after 4 weeks. A third course was given only after further remission. After chemotherapy, patients were treated with surgery or radiotherapy according to feasibility. A total of 34 patients were admitted to this study. Thirty-two patients with 88 chemotherapy courses were evaluable for response and toxicity. Nineteen patients achieved remission; three achieved complete remission. The most common toxic effects were myelosuppression with grade four leukopenia (28%) and thrombocytopenia (13%). Alopecia (60%) was the main nonhematologic toxicity. In conclusion, we suggest that this regimen is as effective as other platin-containing regimens for squamous cell carcinoma of the cervix uteri, but its hematologic toxicity precludes its recommendation in an adjuvant setting.

Publication types

  • Clinical Trial
  • Review

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Carboplatin / administration & dosage*
  • Carboplatin / adverse effects
  • Carcinoma, Squamous Cell / drug therapy*
  • Chemotherapy, Adjuvant
  • Clinical Trials, Phase II as Topic
  • Female
  • Humans
  • Ifosfamide / administration & dosage*
  • Ifosfamide / adverse effects
  • Leukopenia / chemically induced
  • Mesna / administration & dosage
  • Mesna / adverse effects
  • Middle Aged
  • Remission Induction
  • Thrombocytopenia / chemically induced
  • Uterine Cervical Neoplasms / drug therapy*

Substances

  • Carboplatin
  • Mesna
  • Ifosfamide