Adenocarcinoma, Adenosquamous Carcinoma, Squamous Cell Carcinoma, Stage IB2 Cervical Cancer, Stage II Cervical Cancer
Conditions
Brief summary
GYNECO 02 hypothesis is that hysterectomy reduces the possibility of local or loco-regional relapse, especially in patient with a reduced metastatic risk and who received a local chemoradiation therapy with an increase of radiotherapy doses (45 grays).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* operable Stage IB2/II Cervical Cancer * adenocarcinoma, squamous cell or adenosquamous carcinoma * Patient between 18 and 70 years old * No lombo-aortic lymph node invasion at baseline * Previous 45 grays external pelvic radiation with concomitant chemotherapy (cisplatin 40 mg/m2/week corresponding to 5 cycles) * Followed by a 15 grays utero-vaginal brachytherapy, eventually combined with a 6th cycle of chemotherapy (cisplatin 40 mg/m2) * with a pelvic boost if lymph node or parametrial invasion * No macroscopic residual tumor after 6 to 8 weeks after brachytherapy.
Exclusion criteria
* Other tumor histology (neuro-endocrine) * Stage \> II (FIGO 1995) at baseline * Patient with remaining cervical cancer (after sub-total hysterectomy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Relapse free survival | from randomization to relapse or last contact (up to 3 years) | There is a follow-up period of 3 years. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival | From randomisation to death or last contact (up to 3 years) | There is a follow-up period of 3 years. |
Countries
France