Patients with locally advanced cervical cancer comprise a significant propo
rtion of the total population with cervical cancer, particularly in develop
ing countries. The inability to control pelvic tumors is still a significan
t concern. Although neoadjuvant chemotherapy is associated with a high resp
onse rate, data from randomized trials clearly do not support the use of ne
oadjuvant chemotherapy prior to definitive irradiation. However, the result
s of concurrent cisplatin (Platinol)-based chemotherapy and radiotherapy ar
e highly promising for locally advanced cancer of the cervix and should be
considered as a treatment option. To decrease the risk of distant metastasi
s and improve survival, more effective drugs or drug combinations seed to b
e developed.