Critètes d'éligibilité |
DISEASE CHARACTERISTICS:
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Histologically confirmed squamous, adenosquamous, or adenocarcinoma of the cervix with any/all of the following high-risk features after surgery:
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Positive pelvic nodes
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Positive parametrium
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Positive para-aortic nodes that have been completely resected and are PET/CT scan-negative
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Clinical stage IA2, IB, or IIA disease (this corresponds to surgical TNM staging of T1-T2, N1, M0)
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Must have undergone radical hysterectomy (open, laparoscopically, or robotic) and staging within the past 70 days
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Para-aortic and pelvic node sampling required
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No gross residual disease
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No neuroendocrine histology
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No distant metastases
PATIENT CHARACTERISTICS:
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Zubrod performance status 0-1
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ANC ≥ 1,800/mm³
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Platelets ≥ 100,000/mm³
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WBC ≥ 4,000/mm³
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Hemoglobin ≥ 10.0 g/dL (transfusion or other intervention allowed)
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Serum creatinine ≤ 1.5 mg/dL
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Bilirubin ≤ 1.5 times upper limit of normal
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ALT and/or AST normal
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Alkaline phosphatase normal
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Known HIV positivity allowed provided CD4 count is ≥ 350/mm³ within the past 14 days
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No other invasive malignancy within the past 3 years, except nonmelanomatous skin cancer or carcinoma in situ of the breast, oral cavity, or cervix
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No severe, active co-morbidity, including any of the following:
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Unstable angina and/or congestive heart failure requiring hospitalization within the past 6 months
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Transmural myocardial infarction within the past 6 months
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Acute bacterial or fungal infection requiring IV antibiotics at the time of study entry
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Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy at the time of study entry
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Coagulation defects
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No prior allergic reaction to carboplatin, paclitaxel, and/or cisplatin
PRIOR CONCURRENT THERAPY:
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See Disease Characteristics
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No prior systemic chemotherapy for the current cervical cancer
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Prior chemotherapy for a different cancer is allowed
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No prior radiotherapy to the pelvis that would result in overlap of radiotherapy fields
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