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Cervical Cancer

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Chemotherapy in advanced &<br />

recurrent cervical cancer<br />

5 randomized trials in 1980 and 1990s<br />

Platinum-based therapies most effective<br />

Cisplatin more active than carboplatin<br />

3 ways to increase response without prolonging survival<br />

– Increase platinum dose<br />

– Add ifosfamide to cisplatin<br />

– Add paclitaxel to cisplatin<br />

Single agent cisplatin 50 mg/m 2 became the best choice<br />

Bonomi F et al, JCO 1985<br />

Thigpen JT et al, Gynecol Oncol 1989<br />

McGure III WP et al, JCO 1989

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