Author:
Domina E.A., ,Dumanskyi Yu.V.,Mаkovetska L.I.,Glavin O.A.,Mikhailenko V.M.,Prokopenko І.V., , , , ,
Abstract
Summary. Despite the positive results achieved in recent years in the treatment of cervical cancer (CC), the overall and recurrence-free survival of patients with this pathology leaves much to be desired. This is connected with a number of problems. The main ones are late diagnosis, which leads to the neglect of the tumor process, insufficient effectiveness of conservative treatment methods, which depends on relatively low sensitivity to the drugs used, and low specificity of the radiation therapy (RT) used. Based on the analysis of data from the literature and our own research, the way to determine among the main radiobiological indicators, which take into account the mechanisms and stages of the formation of radiation lesions, predictors of complications due to RT in CC patients. This will make it possible to single out a group at increased risk of developing negative effects of RT, to develop effective means of pathogenetic therapy for tissue damage from around the tumor, and thus to reduce the frequency, nature and degree of severity of remote side complications of RT in this category of patients, which will contribute to improving the quality of life of patients.
Publisher
National Academy of Sciences of Ukraine (Co. LTD Ukrinformnauka) (Publications)
Reference100 articles.
1. Cancer in Ukraine, 2022-2023. Incidence, mortality, preva- lence and other relevant statistic Bulletin of the national cancer registry of Ukraine. Kyiv, 2024. 25. http://www.ncru. inf.ua/publications/BULL_25/index.htm#hcr. Accessed June 07, 2024.
2. Dumanskyi Yu.V., Domina E.A., Makovetska I. Radiation therapy in the treatment of cervical cancer in Ukraine. Current Issues of Radiobiology - 2023 (By the matheri- als of 8th Congress of Ukrainian Radiobiological Society, Zhytomyr, August 21-25, 2023). Ukrainian Radiobiologi- cal Society, Zhytomyr, 2023: 21. https://icbge.org.ua/re/ images/c/c1/Book_URS_2023.pdf. (in Ukrainian).
3. Cruz-Gregorio A, Manzo-Merino J, Lizano Cellular redox, cancer and human papillomavirus. Virus Res 2018; 246: 35-45. doi: 10.1016/j.virusres.2018.01.003.
4. Georgescu SR, Mitran CI, Mitran MI, et al. New Insights in the Pathogenesis of HPV Infection and the Associated Carcinogenic Processes: The Role of Chronic Inflammation and Oxidative J Immunol Res. 2018; 2018: 5315816. doi: 10.1155/2018/5315816.
5. Reuter S, Gupta SC, Chaturvedi MM, Aggarwal Oxida- tive stress, inflammation, and cancer: how are they linked? Free Radic Biol Med 2010; 49 (11): 1603-16. doi: 10.1016/j. freeradbiomed.2010.09.006.