Current opinions: updates on the changing landscape in the management of cervical cancer

医学 宫颈癌 疾病 重症监护医学 放射治疗 临床试验 模式 癌症 肿瘤科 外科 内科学 社会科学 社会学
作者
Puja Venkat,Alexandra H. Smick,Ritu Salani
出处
期刊:Current Opinion in Obstetrics & Gynecology [Ovid Technologies (Wolters Kluwer)]
标识
DOI:10.1097/gco.0000000000000999
摘要

Purpose of review To review the recent updates in the management of cervical cancer across all stages of the disease. Recent findings After decades of minor advances, the landscape in cervical cancer is now rapidly changing. Recent studies have reported across the cervical cancer spectrum and on different therapeutic modalities. First, less radical surgery in the assessment and management of patients with early-stage, low-risk disease has been shown to be a safe option with reduced morbidity. The role of checkpoint inhibitor therapy in combination with chemotherapy and radiation has demonstrated improved survival outcomes, moving immunotherapy to earlier lines of therapy. The options for systemic therapy continue to include checkpoint inhibitors as well as treatment with antibody drug conjugates (ADCs) in the recurrent setting. Additional research continues to focus on targeting biomarkers in this disease. Summary In this paper, we will review the practice-changing trials impacting early stage, locally advanced, and recurrent cervical cancer patients. Despite advances, the limited survival for these patients continues to highlight the need for access to preventive healthcare (vaccine/cytology) and clinical trials to continue to make advances.

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