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Table 1 Baseline characteristics of patients treated with systemic chemotherapy versus salvage hysterectomy for persistent cervical cancer after definitive radiotherapy/concurrent chemoradiotherapy

From: Propensity score-matched analysis of systemic chemotherapy versus salvage hysterectomy for persistent cervical cancer after definitive radiotherapy/concurrent chemoradiotherapy

 

Original Data Set

Matched Data Set

Variables

salvage HT

systemic CT

P

salvage HT

systemic CT

P

Sample size, No.

99

199

 

71

71

 

Variables at initial treatment

 Histology

  SCC

70 (70.3)

142 (71.4)

0.766

52 (73.2)

52 (73.2)

1

  ADC / ADSC

29 (29.3)

57 (28.1)

 

19 (26.8)

19 (26.8)

 

 Stage

  I

26 (26.3)

8 (4.0)

< 0.001

15 (21.1)

11 (15.5)

0.608

  II

43 (43.4)

57 (28.6)

 

33 (46.5)

37 (52.1)

 

  III

29 (29.3)

107 (53.8)

 

22 (31.0)

23 (32.4)

 

  IV

1 (1.0)

27 (13.6)

 

1 (1.4)

0 (0)

 

 Tumor size, mm

54 (20–110)

57 (10–100)

0.085

55 (27–110)

50 (25–96)

0.238

 Parametrial invasion

  yes

66 (67.3)

178 (90.4)

< 0.001

51 (71.8)

55 (77.5)

0.44

  no

32 (32.7)

19 (9.6)

 

20 (28.2)

16 (22.5)

 

 Pelvic lymph node metastasis

  yes

43 (44.8)

119 (60.4)

0.015

32 (45.1)

40 (56.3)

0.735

  no

53 (55.2)

78 (39.6)

 

39 (54.9)

31 (43.7)

 

 Para-aortic lymph node metastasis

  yes

8 (8.2)

21 (10.7)

0.506

7 (9.9)

13 (18.3)

0.148

  no

89 (91.8)

175 (89.3)

 

64 (90.1)

58 (81.7)

 

Variables regarding definitive RT

 IBCT

  yes

88 (88.9)

161 (80.9)

0.08

61 (85.9)

66 (93.0)

0.172

  no

11 (11.1)

38 (19.1)

 

10 (14.1)

5 (7.0)

 

 Concurrent chemotherapy

  yes

89 (89.9)

166 (83.4)

0.134

66 (93.0)

65 (91.5)

0.754

  no

10 (10.1)

33 (16.6)

 

5 (7.0)

6 (8.5)

 

 Boost irradiation

  yes

20 (20.2)

54 (27.3)

0.184

19 (26.8)

22 (31.0)

0.579

  no

79 (79.8)

144 (72.7)

 

52 (73.2)

49 (69.0)

 

a Variables at the diagnosis of persistent cervical cancer

 Age, year

52 (26–82)

52 (26–81)

0.589

52 (26–82)

53 (26–78)

0.662

 Performance status

  0

79 (83.2)

115 (62.8)

0.002

64 (90.1)

66 (93.0)

0.311

  1

16 (16.8)

53 (29.0)

 

7 (7.0)

5 (7.0)

 

  2

0

10 (5.5)

 

0

0

 

  3

0

5 (2.7)

 

0

0

 

 Sites of persistent tumor

  cervix alone

72 (72.7)

97 (49.2)

< 0.001

20 (28.2)

23 (32.4)

0.468

  b cervix and the others

c 27 (27.3)

100 (50.8)

 

c 51 (71.8)

48 (67.6)

 

 Tumor size of persistent cervical disease, mm

21 (0–8)

30 (0–70)

0.011

22 (0–80)

30 (0–68)

0.156

  0- ≤ 40 mm

70 (82.4)

106 (70.2)

0.055

58 (81.7)

57 (80.3)

1

   > 40 mm

15 (17.6)

45 (29.8)

 

13 (18.3)

14 (19.7)

 

 Parametrial invasion of persistent tumor

  yes, and no extension to the pelvic wall

24 (25.8)

68 (42.0)

< 0.001

17 (23.9)

0 (0)

0.749

  yes, and extension to the pelvic wall

1 (1.1)

33 (20.4)

 

1 (1.4)

22 (31.0)

 

  no parametrial invasion

68 (73.1)

61 (37.7)

 

53 (74.6)

49 (69.0)

 

 Vaginal invasion of persistent tumor

  yes

19 (20.0)

44 (26.7)

0.227

14 (19.7)

24 (33.8)

0.058

  no

76 (80.0)

121 (73.3)

 

57 (80.3)

47 (66.2)

 

 Residual pelvic lymph node metastasis

  0

82 (82.8)

141 (72.3)

0.027

58 (81.7)

58 (81.7)

0.29

  1

11 (11.1)

20 (10.3)

 

8 (11.3)

4 (5.6)

 

  2 or more

6 (6.1)

34 (17.4)

 

5 (7.0)

9 (12.7)

 
  1. Number (%), or median (range) is shown. The original data sets were not available for pelvic and para-aortic lymph node metastasis (n = 5) and parametrial invasion (n = 3) at initial treatment, boost irradiation (n = 1) for definitive RT, and performance status at the diagnosis of persistent cervical cancer (n = 20), sites of persistent tumor (n = 2), tumor size of persistent cervical disease (n = 62), parametrial invasion (n = 44) and vaginal invasion of persistent tumor (n = 38), and residual lymph node metastasis (n = 4)
  2. Abbreviations: HT hysterectomy; CT chemotherapy; SCC squamous cell carcinoma; ADC/ADSC adenocarcinoma/adenosquamous cell carcinoma; RT radiotherapy; and IBCT intracavitary brachytherapy
  3. aDiagnosis method of persistent tumor were imaging tests (MRI, CT or PET) and histopathological examination of cervix
  4. bPatients with parametrial invasion, vaginal invasion, corpus invasion and persistent lymph node tumor were included in ‘cervix and the others’
  5. cThe number in the original data set is less than in the matched data set because subjects could be restored and extracted in the propensity score-matching system