Table 1.
Variable | N total (%) | CHT (N = 25) N (%) |
CHT+BEV (N = 10) N (%) |
---|---|---|---|
Initial stage | |||
IB | 4 (11) | 3 (12) | 1 (10) |
IIB | 18 (52) | 15 (60) | 3 (30) |
IIIA–IIIB | 8 (22) | 4 (16) | 4 (40) |
IVA | 3 (9) | 3 (12) | 0 |
IVB | 2 (6) | 0 | 2 (20) |
Histology | |||
Squamous cell carcinoma | 27 (77) | 20 (80) | 7 (70) |
Adenocarcinoma or adeno-squamous | 8 (23) | 5 (20) | 3 (30) |
Grade | |||
G1 | 3 (9) | 2 (8) | 1 (10) |
G2 | 14 (40) | 9 (36) | 5 (50) |
G3 | 13 (37) | 10 (40) | 3 (30) |
Not evaluated | 5 (14) | 4 (16) | 1 (10) |
Median age (years) | 51 (32–78) | 53 (32–78) | 49 (32–64) |
ECOG | |||
0 | 21 (60) | 14 (56) | 7 (70) |
1 | 12 (34) | 10 (40) | 2 (20) |
2 | 2 (6) | 2 (4) | 1 (10) |
Comorbidities | |||
Diabetes | |||
Yes | 2 (6) | 1 (4) | 1 (10) |
No | 33 (94) | 24 (96) | 9 (90) |
Hypertension | |||
Yes | 12 (34) | 7 (28) | 5 (50) |
No | 23 (66) | 18 (72) | 5 (50) |
GI surgery | |||
Yes | 2 appendectomy, 3 bowel resection (14) | 4 (16) | 1 bowel resection (10) |
No | 30 (86) | 21 (84) | 9 (90) |
Thromboembolic event | |||
Yes | 6 (17) | 2 (8) | 4 (40) |
No | 29 (83) | 23 (92) | 6 (60) |
Primary treatment | – | CHT | CHT+BEV |
EBRT dose (Gy) | 45 | 45 | 45 |
EBRT pelvis (n) | 20 | 15 | 5 |
EBRT extended-field (n) | 15 | 10 | 5 |
EBRT IMRT/VMAT (n) | 6 (17) | 0 | 6 (17) |
EBRT 3D conformal (n) | 29 (83) | 29 (83) | 6 (17) |
BT IC only (n) | 4 (14) | 4 (16) | 0 |
BT IC/interstitial | 31 (86) | 21 (84) | 10 (100) |
Surgical LN staging | |||
Yes | 26 (74) | 20 (80) | 6 (60) |
Response rate at initial treatment | |||
Complete | 25 (71) | 18 (72) | 7 (70) |
Partial | 10 (29) | 7 (28) | 3 (30) |
Type of recurrence | |||
Local/pelvic | 7 (20) | 5 (20) | 2 (20) |
Distal | 20 (57) | 13 (52) | 7 (70) |
Combination | 8 (23) | 7 (28) | 1 (10) |
Pelvic minor intervention/surgery/biopsy after RecCC | |||
Yes | 17 (49) | 12 (48) | 5 (50) |
No | 18 (51) | 13 (52) | 5 (50) |
Response rate (to treatment for recurrence) | |||
Complete | 7 (20) | 5 (20) | 2 (20) |
Partial | 5 (14.3) | 2 (8) | 3 (30) |
Stable disease | 4 (11.4) | 3 (12) | 1 (10) |
Progressive disease | 15 (42.9) | 11 (44) | 4 (40) |
Unknown | 4 (11.4) | 4 (16) | 0 |
Median follow-up from recurrence (months) | 11 (0–50) | 11 (0–50) | 11 (5–28) |
Median follow-up from recurrence to event (months) | 8 (2–27) | 11 (2–20) | 8 (5–27) |
Median follow-up from diagnosis (months) | 26 (5–87) | 22 (5–87) | 38 (15–48) |
Alive with no evidence of disease | 5 (14.3) | 4 (16) | 1 (10) |
Alive with stable disease | 7 (20.0) | 4 (16) | 3 (30) |
Alive with progressive disease | 6 (17.1) | 4 (16) | 2 (20) |
Died intercurrently | 1 (2.9) | 0 | 1 (10) |
Died of cancer | 16 (45.7) | 13 (52) | 3 (30) |
CHT chemotherapy, BEV bevacizumab, ECOG Eastern Cooperative Oncology Group, GI gastrointestinal, EBRT external beam radiotherapy, IMRT intensity-modulated radiotherapy, VMAT volumetric-modulated arc therapy, LN lymph node, RecCC recurrent cervical cancer, BT IC intracavitary only brachytherapy