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Case Reports

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Concurrent chemoradiotherapy and salvage chemotherapy for advanced cervical cancer with a pedunculated cervical leiomyoma: a case report

  • Fumitaka Ito1,*,
  • Hiroyuki Nomura2
  • Masayuki Ito1
  • Kazuya Takahashi1
  • Takuma Fujii2
  • Shinya Hayashi1

1Departments of Radiation Oncology, Fujita Health University School of Medicine, 470-1192 Toyoake, Japan

2Departments of Obstetrics and Gynecology, Fujita Health University School of Medicine, 470-1192 Toyoake, Japan

DOI: 10.22514/ejgo.2022.047 Vol.43,Issue 5,October 2022 pp.100-103

Submitted: 25 June 2022 Accepted: 29 August 2022

Published: 15 October 2022

*Corresponding Author(s): Fumitaka Ito E-mail: fito@fujita-hu.ac.jp

Abstract

Although concurrent chemoradiotherapy (CCRT) is an effective treatment for advanced cervical cancer, its use in advanced cervical cancer with a pedunculated cervical leiomyoma remains challenging. The prognosis of recurrent cervical cancer is poor, with a low possibility of complete response (CR). In this present study, after completion of external beam radiotherapy (EBRT) and chemotherapy (weekly cisplatin), we performed the resection of a pedunculated cervical leiomyoma. No malignant cells were identified in the pathological specimen. After the myoma resection, no cervical tumor was observed on follow-up magnetic resonance imaging (MRI). High-dose-rate intracavitary brachytherapy (HDR-ICBT) was also performed. Local control of the cervical tumor was achieved after 30 months of treatment. After CCRT, rectal hemorrhage was observed but was effectively controlled via local intervention. Twenty-four months after CCRT, the patient was given salvage chemotherapy (paclitaxel plus carboplatin) due to lymph node metastasis observed at the outside range of EBRT. Thirty months after CCRT, computed tomography showed that the metastatic lymph nodes had disappeared, and the patient achieved CR. Thus, for advanced cervical cancer with a pedunculated cervical leiomyoma, CCRT could be completed following myoma resection. In addition, salvage chemotherapy for lymph node metastasis might result in CR. In this present case, a gastrointestinal adverse event was observed after radiotherapy and salvage chemotherapy with paclitaxel plus carboplatin achieved CR.


Keywords

Brachytherapy; Chemoradiotherapy; Combined modality therapy; Myoma; Uterine cervical neoplasm


Cite and Share

Fumitaka Ito,Hiroyuki Nomura,Masayuki Ito,Kazuya Takahashi,Takuma Fujii,Shinya Hayashi. Concurrent chemoradiotherapy and salvage chemotherapy for advanced cervical cancer with a pedunculated cervical leiomyoma: a case report. European Journal of Gynaecological Oncology. 2022. 43(5);100-103.

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