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Advanced small cell carcinoma of the uterine cervix treated by neoadjuvant chemotherapy with irinotecan and cisplatin followed by radical surgery

Kaei Nasu, Tomoko Hirakawa, Mamiko Okamoto, Masakazu Nishida, Chihiro Kiyoshima, Harunobu Matsumoto, Noriyuki Takai, Hisashi Narahara

Authors information
  • Tomoko Hirakawa
    Affiliation not present.
  • Mamiko Okamoto
    Affiliation not present.
  • Masakazu Nishida
    Affiliation not present.
  • Chihiro Kiyoshima
    Affiliation not present.
  • Harunobu Matsumoto
    Affiliation not present.
  • Noriyuki Takai
    Affiliation not present.
  • Hisashi Narahara
    Affiliation not present.

Abstract


Small cell carcinoma of the uterine cervix is a rare form of cervical cancer characterized by extreme aggressiveness and poor prognosis because of its rapid growth, frequent distant metastases, and resistance to conventional treatment modalities. We report here a case of advanced-stage small cell carcinoma of the uterine cervix treated by neoadjuvant chemotherapy, followed by radical surgery, resulting in locoregional disease control. A 39-year-old Japanese woman was diagnosed as having stage IIIb small cell carcinoma of the uterine cervix. She was treated by neoadjuvant chemotherapy with irinotecan/cisplatin, followed by extended radical hysterectomy with pelvic and paraaortic lymphadenectomy. The patient was further treated by adjuvant chemotherapy with irinotecan/cisplatin. Intra­pelvic recurrence has not been detected throughout the postoperative course. However, the patient died with distant metastases of the disease, 27 months following the initial treatment. It has been suggested that neoadjuvant chemotherapy therapy followed by radical surgery is a treatment option for advanced-stage small cell carcinoma of the uterine cervix for the locoregional disease control. Further studies are necessary to obtain information regarding multimodal treatment including sequence, duration, frequency, and type of effective chemotherapy agents to be used in the treatment of small cell carcinoma of the uterine cervix.

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Submitted: 2011-01-13 05:31:51
Published: 2011-01-27 12:06:54
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Rare Tumors [ISSN 2036-3605, eISSN 2036-3613] is an Open Access, peer-reviewed journal published by PAGEPress, Pavia, Italy. All credits and honors to PKP for their OJS.

 

 

 

 
 
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