Neoadjuvant chemotherapy and laparoscopic radical hysterectomy for locally advanced cervical cancer

Ovodenko D.L., Khabas G.N., Aleshikova O.I., Vashakmadze S.L., Pirogova M.S., Sannikova M.V., Makarova A.S., Sheshko P.L., Korshunov A.A., Ashrafyan L.A.

1Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia 2Russian Research Center of Roentgenology and Radiology, Ministry of Health of Russia, Moscow 117997, Profsoyuznaya str. 86, Russia
Objective. To investigate the efficiency of neoadjuvant chemotherapy in combination with laparoscopic radical hysterectomy in the combination treatment of patients with locally advanced cervical cancer.
Subjects and methods. The results of examining 81 patients with locally advanced cervical cancer who had received combination treatment involving neoadjuvant chemotherapy and surgical treatment are given.
Results. Following neoadjuvant chemotherapy, radical hysterectomy was performed in 75 (92.6%) patients. The surgical interventions via laparoscopic and laparotomic accesses were comparatively analyzed and yielded the similar results.

Keywords

cervical cancer
laparoscopy
neoadjuvant chemotherapy

References

1. Armstrong E.P. Prophylaxis of сervical сancer and related cervical disease: a review of the cost-effectiveness of vaccination against oncogenic HPV types. J. Manag. Care Pharm. 2010; 16(3): 217-30. [

2. Ferlay J., Bray F., Pisani P., Parkin.D.M. GLOBOCAN 2002 Cancer incidence, mortality and prevalence worldwide. Lyon: IARC CancerBase; 2004.

3. Kaprin A.D., Starinskiy V.V., Petrova G.V., ed. Malignant neoplasms in Russia in 2012 (morbidity and mortality). Moscow: MNIOI im. P.A. Herzen - a branch of the FGBU „FMIc. P.A. Herzen „of the Russian Ministry of Health; 2014. (in Russian)

4. Denny L. Cervical cancer: the South African perspective. FIGO 6th Annual Report on the Results of Treatment in Gynecological Cancer. Int. J. Gynaecol. Obstet. 2006; 95(Suppl. 1): S211-4.

5. Bohman Ya.V. Guide to oncogynecology. St. Petersburg: Foliant; 2002. (in Russian)

6. Kveladze V.V. Multicomponent treatment of patients with locally advanced cervical cancer under induction polychemotherapy. Diss. Chelyabinsk; 2005. (in Russian)

7. Kolomiets L.A., Churuksaeva O.N. Role of chemotherapy in the treatment of locally advanced forms of cervical cancer. Sibirskiy onkologicheskiy zhurnal. 2006; 1: 61-3. (in Russian)

8. Kuznetsov V.V., Lebedev A.I., Morhov A.A., Gritsay A.N. Surgery of invasive cervical cancer. Prakticheskaya onkologiya. 2002; 3(3): 178-82. (in Russian)

9. Vishnevskaya E.E. Cervical cancer. Minsk: Belarus; 1987. (in Russian)

10. Kozachenko V.P., ed. Clinical oncogynecology. Guidelines for doctors. Moscow: Meditsina; 2005. 376p. (in Russian)

11. Vinokurov V.L. Cancer of the cervix, the body of the uterus and ovaries: the results and prospects for research in the Central Research Institute of the Ministry of Health of the Russian Federation. Voprosyi onkologii. 2003; 49(5): 656-62. (in Russian)

12. Kostromina K.N. Modern strategy of radiation treatment of patients with cervical cancer. In: Materials of the scientific-practical conference „The role of radiotherapy in gynecological oncology”. Obninsk; 2002: 107-9. (in Russian)

13. Kravets O.A., Marina L.A., Chehonadskiy V.N., Rusanov A.O. Radiation therapy of locally advanced cervical cancer. In: Materials of the scientific-practical conference „The role of radiotherapy in gynecological oncology”. Obninsk; 2002: 112-4. (in Russian)

14. Krikunova L.I. Radiation therapy of cervical cancer. Prakticheskaya onkologiya. 2002; 3(3): 194-9. (in Russian)

15. van Limbergen E. Evidence-based recommendations for radiotherapy for cervical cancer. In: Materials of the European School of Oncology. Seminar on the Red Square „Modern aspects of oncogynecology”. Moscow; 2009: 11-27. (in Russian)

16. Gorbunova V.V. Optimization of combined radiotherapy for locally advanced cervical cancer and recurrence of ovarian cancer with chemotherapy in the therapeutic regimen. Diss. Moscow; 2002. (in Russian)

17. Kandakova E.Yu. Combined radiation therapy of locally advanced cervical cancer in patients of reproductive age under induction polychemotherapy. Diss. Moscow; 2001. (in Russian)

18. Benedetti Panici P., Bellati F., Manci N., Pernice M., Plotti F., Di Donato V. et al. Neoadjuvant chemotherapy followed by radical surgery in patients affected by FIGO stage IVA cervical cancer. Ann. Surg. Oncol. 2007; 14(9): 2643-8.

19. Moore D.H. Neoadjuvant chemotherapy for cervical cancer. Expert Opin. Pharmacother. 2003; 4(6): 859-67.

20. Ashrafyan L.A., Antonova I.B., Aleshikova O.I., Dobrovolskaya N.Yu. Surgical stage as one of the main components in the treatment of cervical cancer IIb-IIIb stages. Rossiyskiy onkologicheskiy zhurnal. 2007; 3: 21-5. (in Russian)

21. Ashrafyan L.A., Antonova I.B., Aleshikova O.I., Dobrovolskaya N.Yu., Chazova N.L. Diagnostic criteria and factors predicting the effectiveness of neoadjuvant chemotherapy for locally advanced cervical cancer (IIb - IIIb stage). Opuholi zhenskoy reproduktivnoy sistemyi. 2007; 4: 63-71. (in Russian)

22. Hatkov I.E., Barsukov Yu.A., Atroschenko A.O., Aliev V.A., Kuzmichev D.V., Tamrazov R.I., Gordeev S.S. History of the development of laparoscopic surgery. Onkologicheskaya koloproktologiya. 2012; 2: 35-40. (in Russian)

23. Salicru S., Gil-Moreno A., Montero A., Roure M., Perez-Benavente A., Xercavins J. Laparoscopic radical hysterectomy with pelvic lymphadenectomy in early invasive cervical cancer. J. Minim. Invasive Gynecol. 2011; 18(5): 555-68.

24. Terai Y., Tanaka T., Sasaki H., Kawaguchi H., Fujiwara S., Yoo S. et al. Total laparoscopic modified radical hysterectomy with lymphadenectomy for endometrial cancer compared with laparotomy. J. Obstet. Gynaecol. Res. 2014; 40(2): 570-5.

25. Jennings T.S., Dottino P., Rahaman J., Cohen C.J. Results of selective use of operative laparoscopy in gynecologic oncology. Gynecol. Oncol. 1998; 70(3): 323-8.

26. Querleu D., Leblanc E., Martel P., Ferron G., Narducci F. Lymph node dissection in the surgical management of stage I endometrial carcinomas. Gynecol. Obstet. Fertil. 2003; 31(12): 1004-12.

27. Eisenhauer E.A., Therasse P., Bogaerts J., Schwartz L.H., Sargent D., Ford R. et al. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur. J. Cancer. 2009; 45(2): 228-47.

28. Piver M.S., Rutledge F., Smith J.P. Five classes of extended hysterectomy for women with cervical cancer. Obstet. Gynecol. 1974; 44(2): 265-72.

29. Querleu D., Morrow C.P. Classification of radical hysterectomy. Gynecol. Oncol. 2009; 115(2): 314-5; author reply 315-6.

30. Kravets A., Kuznetsov V.V., Morhov K.Yu., Nechushkina V.M., Hohlova S.V. Clinical recommendations for the diagnosis and treatment of cervical cancer. Moscow: Association of Russian Oncologists; 2014. (in Russian)

31. Landoni F., Sartori E., Maggino T., Zola P., Zanagnolo V., Cosio S. et al. Is there a role for postoperative treatment in patients with stage Ib2-IIb cervical cancer treated with neo-adjuvant chemotherapy and radical surgery? An Italian multicenter retrospective study. Gynecol. Oncol. 2014; 132(3): 611-7.

Received 03.11.2016

Accepted 11.11.2016

About the Authors

Ovodenko Dmitry L., PhD, oncogynecologist, Department of combined and integrated methods of treatment of gynecological diseases, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117485, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954380988. E-mail: d_ovodenko@oparina4.ru
Khabas Gregory N., MD, Ph.D., head of the Department of combined and integrated methods of treatment of gynecological diseases, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117485, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954380988. E-mail: g_khabas@oparina4.ru
Aleshikova Olga I., PhD, Senior Scientist Laboratory early carcinogenesis, prevention, diagnosis and combined treatment of cancer of the female reproductive organs,
Russian Scientific Center of Radiology and the Ministry of Health of Russia.
117997, Russia, Moscow, Profsoyuznaya str. 86. Tel.: +74991206077. E-mail: olga.aleshikova@gmail.com
Vashakmadze Sophiko L., graduate student of the department of early carcinogenesis, prevention, diagnosis and combined treatment
of cancer of the female reproductive organs, Russian Scientific Center of Radiology and the Ministry of Health of Russia.
117997, Russia, Moscow, Profsoyuznaya str. 86. Tel.: +74991206077. E-mail: v.sofia.l@gmail.com
Pirogova Maria S., oncologist of the Department of Breast Pathology, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
117485, Russia, Moscow, Ac. Oparina str. 4. E-mail: m_pirogova@oparina4.ru
Sannikova Maya V., PhD, researcher at the Department of combined and integrated methods of treatment of gynecological diseases, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117485, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954380988. E-mail: m_sannikova@oparina4.ru
Makarova Anna S., doctor obstetrician-gynecologist, department of innovative oncology and gynecology, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117485, Russia, Moscow, Ac. Oparina str. 4
Sheshko Polina L., obstetrician-gynecologist, oncologist of the Department of Innovative Oncology and Gynecology, Research Center of Obstetrics,
Gynecology, and Perinatology, Ministry of Health of Russia. 117485, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954388540. E-mail: p_sheshko@oparina4.ru
Korshunov Alexey A., obstetrician-gynecologist, Department of combined and integrated methods of treatment of gynecological diseases, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117485, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954380988. E-mail: a_korshunov@oparina4.ru
Ashrafyan Lev A., Corresponding Member of the Russian Academy of Sciences, Professor, MD, director of early carcinogenesis, prevention,
diagnosis and combined treatment of cancer of the female reproductive organs, Russian Scientific Center of Radiology and the Ministry of Health of Russia.
117997, Russia, Moscow, Profsoyuznaya str. 86. Tel.: +74991206077. E-mail: levaa2004@yahoo.com

For citations: Agarkov N.M., Gontarev S.N., Yakovlev A.P., Shulga L.V., Ivanov V.A. To rationalize the diagnosis of acute salpingoophoritis by the informative indicators of oxidative and antioxidative systems. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (4): 101-7. (in Russian)
http://dx.doi.org/10.18565/aig.2017.4.101-7

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