Regalado Porras Gabriela Olivia, Chávez Nogueda Jessica, Poitevin Chacón Adela
Department of Medical Oncology, Centro de Cáncer del Centro Médico ABC, Mexico.
Department of Radiation Oncology, Médica SUR, DF, Mexico.
Rep Pract Oncol Radiother. 2018 Nov-Dec;23(6):533-539. doi: 10.1016/j.rpor.2018.09.002. Epub 2018 Sep 27.
In recent years, the treatment of locally-advanced and metastatic cervical cancer has improved greatly due to the introduction of targeted therapies, new chemotherapy combinations, and emerging treatments. Candidates for potentially curative treatment are those patients with good functional status without associated comorbidities. Numerous trials have demonstrated that chemotherapy prolongs survival versus supportive care alone. In addition, polychemotherapy schemes are superior to single agent regimens. Targeted molecular agents have proven beneficial in the treatment of cervical cancer. Second-line treatment should be considered standard practice in patients with good functional status. Finally, given the poor survival outcomes in patients with metastatic disease, participation in clinical studies should always be considered the best option.
近年来,由于靶向治疗、新的化疗联合方案以及新兴治疗方法的引入,局部晚期和转移性宫颈癌的治疗有了很大改善。有可能治愈性治疗的候选者是那些功能状态良好且无相关合并症的患者。大量试验表明,与单纯支持治疗相比,化疗可延长生存期。此外,联合化疗方案优于单药治疗方案。靶向分子药物已被证明对宫颈癌治疗有益。对于功能状态良好的患者,二线治疗应被视为标准做法。最后,鉴于转移性疾病患者的生存结果较差,参与临床研究应始终被视为最佳选择。