The increment of micronucleus frequency in cervical carcinoma during irradiation in vivo and its prognostic value for tumour radiocurability
1999

Micronucleus Frequency and Cervical Cancer Treatment

Sample size: 64 publication Evidence: moderate

Author Information

Author(s): Widel M, Jędruś S, Owczarek S, Konopacka M, Lubecka B, Kołosza Z

Primary Institution: Maria Skłodowska-Curie Institute

Hypothesis

The study tests the usefulness of micronucleus assay for predicting tumor radiosensitivity in cervical carcinoma patients.

Conclusion

The increment of micronucleus frequency during radiotherapy may help predict individual responses to treatment in advanced cervical cancer.

Supporting Evidence

  • The average increment of micronucleus frequency after 20 Gy was 193% of the spontaneous level.
  • A significant correlation was found between micronucleus increment and better tumor local control.
  • No significant correlation was observed between in vitro micronucleus frequency and clinical outcomes.

Takeaway

Doctors can use a special test to see how well cervical cancer patients might respond to radiation treatment.

Methodology

The study involved evaluating radiosensitivity using a micronucleus assay on cells from tumor biopsies before and after radiotherapy.

Limitations

The correlation between in vitro and in vivo results was low, and the study focused only on advanced stage cervical carcinoma.

Participant Demographics

Patients with advanced stage (II B–IV B) cervical carcinoma.

Statistical Information

P-Value

P < 0.008 for local control; P < 0.045 for overall survival

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690569

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