Pediatric-protocol of multimodal therapy is associated with improved survival in AYAs and adults with rhabdomyosarcoma

Multimodal therapy is the standard treatment for pediatric rhabdomyosarcoma, but for adolescents and young adults (AYAs: ages 15–39) and older adults with rhabdomyosarcoma, the use of adjuvant therapy is variable, and survival is greatly decreased compared with younger patients. All patients with rh...

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Veröffentlicht in:Surgery 2018-02, Vol.163 (2), p.324-329
Hauptverfasser: Fischer, Trevan D., Gaitonde, Shrawan G., Bandera, Bradley C., Raval, Mehul V., Vasudevan, Sanjeev A., Gow, Kenneth W., Beierle, Elizabeth A., Doski, John J., Goldin, Adam B., Langer, Monica, Nuchtern, Jed G., Stern, Stacey, Foshag, Leland J., Goldfarb, Melanie
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Sprache:eng
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Zusammenfassung:Multimodal therapy is the standard treatment for pediatric rhabdomyosarcoma, but for adolescents and young adults (AYAs: ages 15–39) and older adults with rhabdomyosarcoma, the use of adjuvant therapy is variable, and survival is greatly decreased compared with younger patients. All patients with rhabdomyosarcoma who had a curative operative were identified from the 1998–2012 National Cancer Database. Regression analyses identified independent factors relating to receipt of multimodal therapy (resection + chemotherapy + radiation) and the influence of multimodal therapy on 5-year overall survival. Of 2,312 patients, 44% were pediatric (age 
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2017.10.027