Abstract:
OBJECTIVE To observe the efficacy and toxicity of three concurrent chemotherapy regimens in the radiotherapy of local advanced cervical cancer.
METHODS The 105 patients with FIGO stage IIB-IIIB cervical cancer were treated with concurrent chemoradiotherapy, and all cases were randomly divided into three groups, DDP group(35 cases) received cisplatin weekly for 4-5 cycles, FP group(35 cases) received fluorouracil and cisplatin combined chemotherapy every 3 weeks for 2 cycles, TP group(35 cases) received paclitaxel and cisplatin combined chemotherapy every 3 weeks for 2 cycles. Then compared acute adverse reaction and the efficacy of all patients.
RESULTS The complete remission rates of the three groups were 88.6%, 82.9%, 82.9%, the partial remission rates were 11.4%, 17.1%, 11.4% at one month after radiotherapy, the complete remission rates were 97.1%, 97.1%, 94.3% at three months after radiotherapy, there was no significant difference(
P>0.05). The 2-year overall survival rates were 97.1%, 85.7%, 91.4%, the 2-year disease-free survival rates was 82.9%, 85.7%, 88.6%, there was no significant difference. The main acute adverse reactions were bone marrow suppression and gastrointestinal reactions. Grade 3-4 leucopenia and neutropenia incidence was more common in paclitaxel and cisplatin group, Grade 3-4 nausea, vomiting, diarrhea and intestinal obstruction were more common in fluorouracil and cisplatin group (
P<0.05). The main long-term adverse reactions were radiation enteritis and radiation cystitis, and the incidence of the three groups had no significant difference.
CONCLUSION The short-term efficacy of the three concurrent chemotherapy for the treatment of advanced cervical cancer are similar. The 2-year overall survival rate and disease-free survival rate between three groups is similar. The paclitaxel and cisplatin group arise more severe bone marrow suppression. The fluorouracil and cisplatin group arise more severe gastrointestinal reactions.