Nonmetastatic thoracic neuroblastomas: A review of 40 cases

From 1982 to 1987, 40 children with nonmetastatic thoracic neuroblastoma were treated with the same therapeutic regimen. According to TNM staging, there were 11 CS I,19 CS II, and 10 CS III. All patients underwent surgery; 30 had primary surgical excision; in 10 whose tumors were deemed unresectable...

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Veröffentlicht in:Medical and pediatric oncology 1991, Vol.19 (4), p.253-257
Hauptverfasser: Rubie, Hervé, Hartmann, Olivier, Giron, Alain, Lemoine, Georges, Gruner, Max, Brugieres, Laurence, Valteau-Couanet, Dominique, Robert, Alain, Lemerle, Jean
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container_end_page 257
container_issue 4
container_start_page 253
container_title Medical and pediatric oncology
container_volume 19
creator Rubie, Hervé
Hartmann, Olivier
Giron, Alain
Lemoine, Georges
Gruner, Max
Brugieres, Laurence
Valteau-Couanet, Dominique
Robert, Alain
Lemerle, Jean
description From 1982 to 1987, 40 children with nonmetastatic thoracic neuroblastoma were treated with the same therapeutic regimen. According to TNM staging, there were 11 CS I,19 CS II, and 10 CS III. All patients underwent surgery; 30 had primary surgical excision; in 10 whose tumors were deemed unresectable, surgery was delayed until after a trial of chemotherapy. Operation was completed by several courses of chemotherapy in case of microscopic residual disease or regional lymph node involvement; radiotherapy was delivered in case of gross residual disease. Using this therapeutic approach, EFS is 92% with a median follow‐up of 40 months. Severe complications were rare and sequellae appear to be related to the disease, i.e., neurologic consequences of cord compression.
doi_str_mv 10.1002/mpo.2950190408
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Pediatr. Oncol</addtitle><description>From 1982 to 1987, 40 children with nonmetastatic thoracic neuroblastoma were treated with the same therapeutic regimen. According to TNM staging, there were 11 CS I,19 CS II, and 10 CS III. All patients underwent surgery; 30 had primary surgical excision; in 10 whose tumors were deemed unresectable, surgery was delayed until after a trial of chemotherapy. Operation was completed by several courses of chemotherapy in case of microscopic residual disease or regional lymph node involvement; radiotherapy was delivered in case of gross residual disease. Using this therapeutic approach, EFS is 92% with a median follow‐up of 40 months. 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subjects Antineoplastic Combined Chemotherapy Protocols - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
chemotherapy
Child
Child, Preschool
Combined Modality Therapy
Cyclophosphamide - administration & dosage
Doxorubicin - administration & dosage
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Medical sciences
Neoplasm Staging
Neuroblastoma - mortality
Neuroblastoma - pathology
Neuroblastoma - secondary
Neuroblastoma - therapy
Neurology
Radiotherapy Dosage
surgery
Survival Rate
Thoracic Neoplasms - mortality
Thoracic Neoplasms - pathology
Thoracic Neoplasms - therapy
thoracic neuroblastoma
Vincristine - administration & dosage
title Nonmetastatic thoracic neuroblastomas: A review of 40 cases
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