Details

Autor(en) / Beteiligte

• PANEK, G.
• GAWRYCHOWSKI, K.
• SOBICZEWSKI, P.
• DERLATKA, P.
• DANSKA‐BIDZINSKA, A.
• GMYREK, L.
• BIDZINSKI, M.

Titel

Results of chemotherapy for pulmonary metastases of carcinoma of the cervix in patients after primary surgical and radiotherapeutic management

Ist Teil von

• International journal of gynecological cancer, 2007-09, Vol.17 (5), p.1056-1061

Ort / Verlag

Malden, USA: Blackwell Publishing Inc

Erscheinungsjahr

2007

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• The purpose of this study was to evaluate the results of chemotherapy of pulmonary metastases from invasive carcinoma of the cervix, which were detected after a disease‐free period after initial treatment with surgery or radiotherapy. Fifty patients with radiologically proven pulmonary metastases were treated with chemotherapy. All patients received a platinum‐5‐fluorouracil (PF) program: cisplatin 75 mg/m2 and 5‐fluorouracil 800 mg/m2 every 4 weeks. The overall 1‐ and 3‐year survival after PF chemotherapy was 62% and 17.6%, respectively. The progression‐free survival at 1 and 3 years was 36.7% and 14.3%, respectively. There were 6 (12%) complete responses and 17 (34%) partial responses. Hematologic tolerance was acceptable. Third degree and fourth degree leukopenia was diagnosed in four (8%) and six (12%) patients, respectively. Three individuals had third degree thrombocytopenia. In the multivariate analysis, the following prognostic factors were associated with poor survival: time to recurrence after primary treatment (P= 0.002), number of lung metastases (P= 0.016), and progression during chemotherapy (P= 0.001). We conclude that PF regimen is a safe and reasonably effective chemotherapy in the management of patients with pulmonary metastases after primary treatment for invasive carcinoma of the cervix who do not qualify for surgical metastasectomy.