Review

Nature Clinical Practice Oncology (2006) 3, 248-255
doi:10.1038/ncponc0486  
Received 14 October 2005 | Accepted 21 February 2006

Concurrent chemotherapy and radiation therapy as the standard of care for cervical cancer

Patricia J Eifel

Correspondence The University of Texas MD Anderson Cancer Center, Department of Radiation Oncology, 1515 Holcombe Boulevard, Unit 1202, Houston, TX 77030, USA

Email
 peifel@mdanderson.org

Several randomized trials have demonstrated improved survival rates and local control when concurrent cisplatin-based chemotherapy was added to radiation therapy in patients with locoregionally advanced cervical cancer. Randomized trials that investigated the administration of neoadjuvant chemotherapy before radiation therapy, however, have failed to demonstrate a benefit of this approach. Based on clinical trial evidence cisplatin-based chemoradiation should be considered a standard treatment for most patients with locoregionally advanced carcinoma of the cervix who do not have medical contraindications to this aggressive treatment.

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