Obstetrics & Gynaecology · Cervical Carcinoma (Risk Factors, Staging, Treatment)

In the KEYS trial, addition of which chemotherapy agent to adjuvant chemoradiation after radical hysterectomy for high-risk cervical cancer improved disease-free survival?

  • A Pembrolizumab
  • B Nivolumab
  • C Paclitaxel
  • D Bevacizumab
Correct answer: D. Bevacizumab

Explanation

The KEYS trial evaluated addition of bevacizumab (anti-VEGF monoclonal antibody) to adjuvant chemoradiation in high-risk cervical cancer after radical surgery. Bevacizumab improved disease-free survival. In the GOG 240 trial, bevacizumab also improved overall survival in recurrent/metastatic cervical cancer when added to chemotherapy. Pembrolizumab is approved for recurrent PD-L1 positive cervical cancer.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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