Volume 20 Issue 7
Jul.  2022
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XIAO Xin, SHENG Xiao-an, SHI Xian-feng, DONG Juan-juan, XU Juan, WANG Chao. Clinical efficacy of hyperthermia combined with concurrent chemoradiotherapy on advanced cervical cancer and influence of serum heat-shock protein 90α expression[J]. Chinese Journal of General Practice, 2022, 20(7): 1109-1112. doi: 10.16766/j.cnki.issn.1674-4152.002535
Citation: XIAO Xin, SHENG Xiao-an, SHI Xian-feng, DONG Juan-juan, XU Juan, WANG Chao. Clinical efficacy of hyperthermia combined with concurrent chemoradiotherapy on advanced cervical cancer and influence of serum heat-shock protein 90α expression[J]. Chinese Journal of General Practice, 2022, 20(7): 1109-1112. doi: 10.16766/j.cnki.issn.1674-4152.002535

Clinical efficacy of hyperthermia combined with concurrent chemoradiotherapy on advanced cervical cancer and influence of serum heat-shock protein 90α expression

doi: 10.16766/j.cnki.issn.1674-4152.002535
Funds:

 AHWJ2021b018

  • Received Date: 2021-11-12
    Available Online: 2022-09-23
  •   Objective  To investigate the clinical efficacy of hyperthermia combined with concurrent chemoradiotherapy in patients with advanced cervical and endocervical cancer (CESC), the changes in serum heat-shock protein 90α (HSP90α) expression before and after treatment and the value of predicting the therapeutic effect.  Methods  A total of 80 patients with advanced CESC who were admitted to Chaohu Hospital Affiliated to Anhui Medical University from January 2017 to June 2019 were selected as the research subjects. Amongst then, 40 patients who were treated with simple concurrent chemoradiotherapy were included in the control group. On the basis of the control group, 40 patients with combined hyperthermia were included in the study group. The short-term efficacy and toxicity between the two groups were compared and the changes in serum HSP90α indices in patients before and after treatment were detected.  Results  The total effective rate of the study group was 87.5%, which was significantly better than that of the control group (65.0%), and the difference was statistically significant (P < 0.05). The 2-year survival rate of the study group was significantly higher than that of the control group (P < 0.05). By contrast, no significant difference was found in the incidence of adverse reactions between the two groups (all P>0.05). In patients, the difference in the comparison of HSP90α changes before and after treatment was statistically significant (P < 0.05).  Conclusion  Hyperthermia combined with concurrent chemoradiotherapy could significantly improve the short-term curative effect in patients without significantly increasing the side effects of treatment and improve their 2-year overall survival rate. The expression of serum HSP90α decreased significantly in patients with middle-advanced CESC who have been effectively treated and the curative effect is good, hence worthy of promotion.

     

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