Zhao FJ, Su Q, Zhang W, Yang WC, Zhao L, Gao LY. Endu combined with concurrent chemotherapy and radiotherapy for stage IIB-IVA cervical squamous cell carcinoma patients. World J Clin Cases 2021; 9(27): 8061-8070 [PMID: 34621863 DOI: 10.12998/wjcc.v9.i27.8061]
Corresponding Author of This Article
Li-Ying Gao, MD, Chief Doctor, Department of Radiotherapy, Gansu Cancer Hospital, No. 2 Xiaoxihu East Street, Qilihe District, Lanzhou 730050, Gansu Province, China. lyg123456g@163.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2021; 9(27): 8061-8070 Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8061
Table 1 Comparison of the baseline data between the two groups
Group
n
Age (yr)
BMI (kg/m2)
KPS score (scores)
FIGO stage (%)
Differentiation (%)
Stage IIB
Stage III
Stage IVA
Well differentiated
Moderately differentiated
Poorly differentiated
Test group
60
57.6 ± 6.0
23.2 ± 2.4
78.4 ± 3.0
13 (21.67)
26 (43.33)
21 (35.00)
18 (30.00)
27 (45.00)
15 (25.00)
Control group
60
55.9 ± 6.8
22.8 ± 2.7
77.8 ± 2.8
17 (28.33)
21 (35.00)
22(36.67)
23 (38.33)
20 (33.33)
17 (28.33)
t/χ2
1.452
0.858
1.133
1.825
1.565
P value
0.149
0.393
0.260
0.401
0.457
Table 2 Comparison of chemotherapy effects between the two groups
Group
n
CR
PR
SD
PD
CR + PR
Test group
60
27
24
9
0
51 (85.00)
Control group
60
21
20
17
2
41 (68.33)
χ2
4.658
P value
0.031
Table 3 Comparison of serum marker levels between the two groups before and after chemotherapy (mean ± SD)
Group
n
TK1 (pmol/L)
HE4 (pmol/L)
VEGF (pg/mL)
SCC-Ag (ng/mL)
Before chemotherapy
After chemotherapy
Before chemotherapy
After chemotherapy
Before chemotherapy
After chemotherapy
Before chemotherapy
After chemotherapy
Test group
60
3.64 ± 0.95
1.27 ± 0.40
138.5 ± 29.5
81.4 ± 24.0
549.6 ± 98.3
235.1 ± 38.0
6.19 ± 2.04
1.76 ± 0.55
Control group
60
3.40 ± 1.03
1.58 ± 0.51
132.0 ± 32.7
98.0 ± 28.6
541.0 ± 88.6
284.2 ± 54.1
5.95 ± 2.23
2.34 ± 0.78
t
1.327
-3.705
1.143
-3.444
0.503
-5.753
0.615
-4.707
P value
0.187
0.000
0.255
0.001
0.616
0.000
0.540
0.000
Table 4 Comparison of the incidence of side effects between the two groups, n (%)
Toxic side effects
Test group (n = 60)
Control group (n = 60)
χ2
P value
Grade 1
Grade ≥ 2
Grade 1
Grade ≥ 2
Nausea
13 (21.67)
47 (78.33)
18 (30.00)
42 (70.00)
1.087
0.297
Vomiting
19 (31.67)
41 (68.33)
24 (40.00)
36 (60.00)
0.906
0.341
Loss of appetite
24 (40.00)
36 (60.00)
20 (33.33)
40 (66.67)
0.574
0.449
Diarrhea
34 (56.67)
26 (43.33)
39 (65.00)
21 (35.00)
0.874
0.35
Neutropenia
16 (26.67)
44 (73.33)
22 (36.67)
38 (63.33)
1.386
0.239
Leukopenia
11 (18.33)
49 (81.67)
17 (28.33)
43 (71.67)
1.677
0.195
Thrombocytopenia
14 (23.33)
46 (76.67)
23 (38.33)
37 (61.67)
3.165
0.075
Table 5 Comparison of quality of life scores between the two groups before and after chemotherapy (mean ± SD, scores)
Project
Before chemotherapy
t
P value
After chemotherapy
t
P value
Test group (n = 60)
Control group (n = 60)
Test group (n = 60)
Control group (n = 60)
Physical function
55.3 ± 6.2
53.8 ± 5.8
1.369
0.174
72.0 ± 7.4
68.8 ± 8.3
2.229
0.028
Role function
51.7 ± 5.5
53.5 ± 6.0
-1.713
0.089
70.5 ± 5.5
66.7 ± 6.5
3.457
0.001
Emotional function
48.8 ± 6.6
50.2 ± 6.2
-1.198
0.233
68.8 ± 6.6
66.5 ± 6.3
1.953
0.053
Cognitive function
58.2 ± 7.1
56.4 ± 6.6
1.438
0.153
65.0 ± 7.1
63.0 ± 7.6
1.490
0.139
Social function
65.8 ± 7.5
64.3 ± 7.2
1.118
0.266
72.1 ± 7.5
69.8 ± 7.1
1.725
0.087
Symptom scale score
229.1 ± 24.0
225.9 ± 21.4
0.771
0.442
158.4 ± 15.5
173.0 ± 18.3
-4.716
0.000
Table 6 Comparison of the 3-year progression-free survival rate and overall survival rate between the two groups, n (%)
Group
n
Progression-free survival
Overall survival
Test group
60
26 (43.33)
29 (48.33)
Control group
60
16 (26.67)
20 (33.33)
χ2
3.663
2.794
P value
0.056
0.095
Citation: Zhao FJ, Su Q, Zhang W, Yang WC, Zhao L, Gao LY. Endu combined with concurrent chemotherapy and radiotherapy for stage IIB-IVA cervical squamous cell carcinoma patients. World J Clin Cases 2021; 9(27): 8061-8070