N. Umesaki et al., Effect of adjuvant chemotherapy using pirarubicin, cisplatin, and etoposide (PEP) for stage IVB endometrial carcinoma: A case report, EUR J GYN O, 21(3), 2000, pp. 303-304
Prognosis of patients with stage IVB endometrial adenocarcinoma is quite po
or. Combination therapy of radiation with surgery or chemotherapy is a comm
on therapy for advanced endometrial cancers. However, radiation therapy is
effective only for localized cancel, and the chemotherapeutic effect on sta
ge IVB endometrial cancers is very low. Wt: present a patient with stage IV
B endometrial adenocarcinoma, whose tumor was not resected completely at th
e first surgery. She showed a remarkable response to a PEP (pirarubicin, et
oposide, cisplatin) regimen and has survived without disease over 8 years.
This case suggests that reduction surgery following FEP therapy is a new th
erapeutic modality for stage IVB endometrial carcinoma.