Evidence map›Paper›PMID 42023238›Full record

ArticleFrontiers in immunology2026

Favorable short-term survival in locally advanced cervical cancer with optimal pathological response after neoadjuvant chemoimmunotherapy: a real-world analysis.

Luyang Zhao, Qingzhi Zhai, Wenbo Zhang, Liang Wen, Xiaoyu Fu, Xiufeng Xie, Xiangshu Jin, Nina Zhang, Yuanguang Meng, Li'an Li and 1 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Luyang Zhao *Senior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Qingzhi Zhai *Senior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Wenbo Zhang *Senior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Liang WenSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Xiaoyu FuSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Xiufeng XieSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Xiangshu JinSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Nina ZhangSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Yuanguang MengSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Li'an LiSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.
Chenglei GuSenior Department of Obstetrics and Gynaecology, The Chinese PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This real-world study evaluated short-term survival outcomes and potential risk factors in patients with locally advanced cervical cancer (LACC) who achieved optimal pathological response (OPR) following neoadjuvant chemoimmunotherapy and radical surgery. Methods: A retrospective analysis was conducted on LACC patients treated at a high-volume tertiary medical system between 2022 and 2025. All eligible patients received neoadjuvant chemoimmunotherapy followed by radical hysterectomy. Pathological response was categorized as pathological complete response (pCR; no residual tumor) or major pathological response (MPR; ≤10% residual tumor). Clinical data, treatment details, and follow-up information were systematically collected. Additionally, transcriptomic profiling and multi-algorithm immune infiltration consensus analyses were performed on matched pre- and post-treatment tumor specimens to uncover treatment-induced microenvironmental remodeling. Results: Among 89 eligible patients who underwent surgery, 32 (35.9%) achieved an OPR, comprising 18 (20.2%) with pCR and 14 (15.7%) with MPR. Over a median follow-up of 13 months, the estimated 2-year disease-free survival was 90.7% with an estimated overall survival of 100%. No specific baseline clinicopathological factor emerged as a significant predictor of recurrence in univariable analysis. The regimen was well-tolerated, with grade 3 treatment-related adverse events occurring in 21.9% and no grade 4-5 events reported. Transcriptomic profiling of 10 paired pCR specimens revealed preliminary microenvironmental remodeling post-treatment, characterized by the activation of the NFAT signaling pathway and extracellular matrix reorganization. Conclusion: LACC patients attaining pCR or MPR after neoadjuvant chemoimmunotherapy and surgery demonstrated excellent short-term survival outcomes. These findings provide a rationale for considering de-escalated adjuvant therapy in this highly responsive subgroup. Validation through larger prospective cohorts with extended follow-up is warranted.

Indexed as

ImmunotherapyNeoadjuvant TherapyUterine Cervical NeoplasmsAdultFemaleHumansHysterectomyMiddle AgedNeoplasm StagingPathologic Complete ResponseRetrospective StudiesTreatment OutcomeTumor Microenvironmentlocally advanced cervical cancermajor pathological responseneoadjuvant chemoimmunotherapypathological complete responsesurvival outcome

Identifiers

PMID42023238
PMCPMC13096097

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.