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Research ArticleOriginal Article

Analysis of 30 patients with persistent or recurrent squamous cell carcinoma of the cervix within one year after concurrent chemoradiotherapy

Shi-Ping Liu, Jia-Xin Yang, Dong-Yan Cao and Keng Shen
Cancer Biology & Medicine December 2013, 10 (4) 227-231; DOI: https://doi.org/10.7497/j.issn.2095-3941.2013.04.007
Shi-Ping Liu
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union College, Chinese Academy of Medical Science, Beijing 100730, China
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Jia-Xin Yang
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union College, Chinese Academy of Medical Science, Beijing 100730, China
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  • For correspondence: yangjiaxin007{at}hotmail.com
Dong-Yan Cao
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union College, Chinese Academy of Medical Science, Beijing 100730, China
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Keng Shen
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union College, Chinese Academy of Medical Science, Beijing 100730, China
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    Figure 1

    Overall survival of patients with persistent or recurrent disease.

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    Table 1

    Sites of recurrence, n (%)

    Recurrence patternn (%)
    Local failure or recurrence5 (16.7)
     Limited to cervix2 (6.7)
     Beyond cervix but inside pelvis3 (10.0)
    Distant metastasis21 (70.0)
     Limited to PALN1 (3.3)
     Limited to SCLN (with or without SCLN metastasis)3 (10.0)
     Beyond SCLN and PALN (lung, bone, liver, ect.)17 (56.7)
    Synchronous local and distant relapse4 (13.3)

    PALN, para-aortic lymph node; SCLN, supra-clavicular lymph node.

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      Table 2

      Univariate analysis of potential risk factors for patients with persistent or recurrent disease, n

      Clinical dataRecurrence group (n=30)Control group (n=35)χ2P
      Age (years)0.0320.857
       ≤353 (10.0)2 (5.7)
       >3527 (90.0)33 (94.3)
      Stage2.6810.262
       IB3 (10.0)1 (2.9)
       II18 (60.0)27 (77.1)
       III9 (30.0)7 (20.0)
      Tumor size (cm)0.7070.401
       ≤421 (70.0)21 (60.0)
       >49 (30.0)14 (40.0)
      Lymph node19.726<0.001
       Positive20 (66.7)5 (16.7)
       Negative10 (33.3)30 (83.3)
      SCCAg (ng/mL)7.050.005
       ≤1016 (53.3)7 (20.0)
       >1014 (46.6)28 (80.0)
      Radiation time (d)01
       ≤5626 (86.7)31 (88.6)
       >564 (13.3)4 (11.4)
      Radiation dose (Gy)—0.495
       ≤8630 (100)33 (94.3)
       <860 (0)2 (5.7)
      Cycles of chemotherapy0.3720.542
       ≤424 (80.0)31 (88.6)
       <46 (20.0)4 (11.4)
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    Cancer Biology and Medicine: 10 (4)
    Cancer Biology & Medicine
    Vol. 10, Issue 4
    1 Dec 2013
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    Analysis of 30 patients with persistent or recurrent squamous cell carcinoma of the cervix within one year after concurrent chemoradiotherapy
    Shi-Ping Liu, Jia-Xin Yang, Dong-Yan Cao, Keng Shen
    Cancer Biology & Medicine Dec 2013, 10 (4) 227-231; DOI: 10.7497/j.issn.2095-3941.2013.04.007

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    Analysis of 30 patients with persistent or recurrent squamous cell carcinoma of the cervix within one year after concurrent chemoradiotherapy
    Shi-Ping Liu, Jia-Xin Yang, Dong-Yan Cao, Keng Shen
    Cancer Biology & Medicine Dec 2013, 10 (4) 227-231; DOI: 10.7497/j.issn.2095-3941.2013.04.007
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    Keywords

    • Carcinoma, squamous cell
    • cervix uteri
    • chemoradiotherapy
    • neoplasm recurrence, local
    • risk factors
    • prognosis

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