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Management of Metastatic Cervical Cancer: Review of the Literature

Harry J. Long, III

From the Department of Oncology, Mayo Clinic College of Medicine, Rochester, MN

Address reprint requests to Harry J. Long, MD, Mayo Clinic College of Medicine, 200 1st St SW, Rochester, MN; e-mail: long.harry{at}mayo.edu

This article reviews the English-language literature concerning chemotherapy for advanced, recurrent, or metastatic cervix carcinoma. Specifically, it reviews the available literature for active single agents, doublets, triplets, and multiple drug combination chemotherapy. Until recently, single-agent cisplatin was the drug of choice in metastatic cervix cancer. Various doublets, triplets, and quartlets have been reported to have higher objective response rates than single-agent cisplatin when compared in phase III clinical trials. Some have demonstrated improvements in progression-free survival, but only topotecan plus cisplatin has demonstrated an improvement in overall survival. This benefit is most apparent in patients who have a long disease-free interval from primary therapy and who have not received prior cisplatin as a radiosensitizer.

Author's disclosures of potential conflicts of interest and author contributions are found at the end of this article.

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