Randomised Clinical Trial of Weekly vs. Triweekly Cisplatin Based Chemotherapy Concurrent with Radiotherapy in the Treatment of Locally Advanced Cervical Cancer
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Cervical cancer is the most common malignancy in women. The standard treatment for locally advanced surgically inoperable case is cisplatin based chemo-radiation as cisplatin is a better radio-sensitizer in comparison to 5FU. Weekly cisplatin 40mg/m2 chemotherapy is currently considered the standard regimen in locally advanced cervical cancer. Two Arms of patients (41 in each) suffering from carcinoma cervix were studied for their compliance & toxicity to the regimens of weekly cisplatin 40mg/m2 with concurrent radiation and tri-weekly cisplatin 75mg/m2 with concurrent radiation. The toxicities like haematological, gastrointestinal and dermatological and the response were compared. It is observed that the three weekly cisplatin 75mg/m2 chemotherapy concurrent with radiotherapy may be more effective and feasible and has comparable outcome with weekly cisplatin 40mg/m2 chemotherapy which is currently considered the standard regimen in locally advanced cervical cancer. The response may be due to higher peak concentration of cisplatin enhancing the synergy of chemo-radiation.
Authors and Affiliations
Dr Umakant Satapathy
Keywords
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