| Inclusion Criteria: | 1) Patients must have advanced carcinoma of the uterine cervix including FIGO Stage IIB through IVA. Patients with Stage IB or IIA and biopsy proven positive pelvic nodes or tumor size of 5 cm or greater are also eligible.
2) Patients with squamous cell, adenocarcinoma, and adenosquamous carcinoma are eligible.
3) Patients who have been treated with a radical hysterectomy but need post-operative chemoradiation therapy due to high-risk factors.
4) Patients must have no evidence of metastatic disease outside of the pelvis.
5) Patients must have a Karnofsky Performance Status of >60 and no medical contraindications to the administration of chemotherapy.
6) Adequate bone marrow functions as defined as a hemoglobin > 10 mg/ml, WBC > 4000/mm3, platelets > 100,000/mm3. Adequate renal function as defined as BUN < 25 mg/dl, creatinine < 1.5 mg/dl (urinary diversion is permitted to improve renal function). Patients must have bilirubin < 1.5 mg/dl.
7) The patient must be able to understand the protocol and sign a study-specific informed consent. She must be able to have adequate social support to properly care for the infusion pump and indwelling catheter. |