Neoadjuvant chemotherapy in gynaecological cancers – implications for staging

Kumar, Lalit ; Pramanik, Raja ; Kumar, Sunesh ; Bhatla, Neerja ; Malik, Shilpa (2015) Neoadjuvant chemotherapy in gynaecological cancers – implications for staging Best Practice & Research Clinical Obstetrics & Gynaecology, 29 (6). pp. 790-801. ISSN 1521-6934

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The management of advanced gynaecological cancers remains a therapeutic challenge. Neoadjuvant chemotherapy has been used to reduce tumour size, thus facilitating subsequent local treatment in the form of surgery or radiation. For advanced epithelial ovarian cancer, data from several non-randomized and one randomized studies indicate that neoadjuvant chemotherapy followed by interval debulking surgery is a reasonable approach in patients deemed inoperable. Such an approach results in optimum debulking (no visible tumour) in approximately 40% of the patients with reduced operative morbidity. Overall and progression free-survival is comparable to the group treated with primary debulking surgery followed by chemotherapy. Neoadjuvant chemotherapy followed by surgery is associated with improved survival for women with stage IB2–IIA cervix cancer. There is a resurgence of interest for using short-course neoadjuvant chemotherapy prior to concurrent chemo-radiation. Currently, this is being tested in randomized trials.

Item Type:Article
Source:Copyright of this article belongs to Elsevier Science.
Keywords:Neoadjuvant Chemotherapy; Primary Debulking Surgery; Interval Debulking Surgery; Imaging; Epithelial Ovarian Cancer; Carcinoma Cervix
ID Code:111289
Deposited On:25 Sep 2017 12:40
Last Modified:25 Sep 2017 12:40

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