Adjuvant Chemotherapy for Locally Advanced Cervical Cancer

Inclusion Criteria: * Age 18-70 years * Cervical cancer FIGO stage IIB-IVA * Histopathology of squamous cell carcinoma, adenocarcinoma, or adenosquamous cell carcinoma * ECOG performance status 0-2 * No history of other cancer except basal cell carcinoma * Adequate bone marrow function (WBC \> or = 3,000/mm3, granulocytes \> or = 1,500/mm3, platelet count \> or = 100,000/mm3) * Bilirubin \< 1.5 folds, SGOT/ SGPT \< 1.5 folds of normal limit, creatinine clearance \> or = 40 mg/dl * Consent to participate Exclusion Criteria: * Para-aortic lymph node enlargement \> 1 cm or suspicious for cancer metastasis from CT or MRI * Adnexal mass from physical examination or imaging study * Chronic illnesses e.g. renal failure/ impairment, peripheral or central neuropathy, uncontrolled diabetes mellitus, or HIV infection. * Pregnancy or lactation