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High-dose chemotherapy and autologous stem cell rescue in patients with high-risk stage 3 neuroblastoma : 10-year experience at a single center / Jung Min Suh ; Keon Hee Yoo ; Ki Woong Sung ; Ju Youn Kim ; Eun Joo Cho ; Hong Hoe Koo ; Suk Koo Lee ; Jhingook Kim ; Do Hoon Lim ; Yeon Lim Suh ; Dae Won Kim 1

[요약] 1

Introduction 1

Materials and methods 2

Patients 2

Treatment of patients 2

PBSC collection 3

HDCT and ASCR 3

Local radiotherapy 3

Post-HDCT treatment 3

Response criteria 3

Statistics 3

Results 3

Patient characteristics 3

Treatment prior to HDCT/ASCR 4

Feasibility of PBSC collection 4

HDCT/ASCR 4

Feasibility of post-HDCT/ASCR therapy 5

Survival of patients 5

Discussion 6

ACKNOWLEDGMENTS 7

REFERENCES 7

초록보기

High-dose chemotherapy and autologous stem cell rescue (HDCT/ASCR) was

applied to improve the prognosis of patients with high-risk stage 3 neuroblastoma.

From January 1997 to December 2006, 28 patients were newly diagnosed as stage

3 neuroblastoma. Nine of 11 patients with N-myc amplification and 5 of 17 patients

without N-myc amplification (poor response in 2 patients, persistent residual tumor

in 2 and relapse in 1) underwent single or tandem HDCT/ASCR. Patients without

high-risk features received conventional treatment modalities only. While 8 of 9

patients underwent single HDCT/ASCR and the remaining one patient underwent

tandem HDCT/ASCR during the early study period, all 5 patients underwent tandem

HDCT/ASCR during the late period. Toxicities associated with HDCT/ASCR

were tolerable and there was no treatment-related mortality. While the tumor relapsed

in two of eight patients in single HDCT/ASCR group, all six patients in tandem HDCT/

ASCR group remained relapse free. The 5-yr event-free survival (EFS) from diagnosis,

in patients with N-myc amplification, was 71.6?4.0%. In addition, 12 of 14

patients who underwent HDCT/ASCR remained event free resulting in an 85.1?

9.7% 5-yr EFS after the first HDCT/ASCR. The present study demonstrates that

HDCT/ASCR may improve the survival of patients with high-risk stage 3 neuroblastoma.

권호기사

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참고문헌 (22건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Successful treatment of stage III neuroblastoma based on prospective biologic staging: a Children's Cancer Group study. 네이버 미소장
2 The biologic basis for neuroblastoma heterogeneity and risk stratification. 네이버 미소장
3 N-Myc Gene Amplification Is a Major Prognostic Factor in Localized Neuroblastoma: Results of the French NBL 90 Study 네이버 미소장
4 Prospective evaluation of the International Neuroblastoma Staging System (INSS) and the International Neuroblastoma Response Criteria (INRC) in a multicentre setting 네이버 미소장
5 The impact of gross total resection on local control and survival in high-risk neuroblastoma 네이버 미소장
6 The impact of surgical radicality on outcome in childhood neuroblastoma. 네이버 미소장
7 Consolidation chemoradiotherapy and autologous bone marrow transplantation versus continued chemotherapy for metastatic neuroblastoma: a report of two concurrent Children's Cancer Group studies. 네이버 미소장
8 Autologous bone marrow transplantation for recurrent malignant lymphoma after liver transplantation. 네이버 미소장
9 Multivariate analysis of risk factors in stage 4 neuroblastoma patients over the age of one year treated with megatherapy and stem-cell transplantation: a report from the European Bone Marrow Transplantation Solid Tumor Registry. 네이버 미소장
10 Treatment of poor-risk neuroblastoma patients with high-dose chemotherapy and autologous peripheral stem cell rescue. 네이버 미소장
11 Myeloablative megatherapy with autologous stem-cell rescue versus oral maintenance chemotherapy as consolidation treatment in patients with high-risk neuroblastoma: a randomised controlled trial 네이버 미소장
12 Tandem high-dose chemotherapy and autologous stem cell rescue in patients over 1 year of age with stage 4 neuroblastoma. 네이버 미소장
13 High-risk neuroblastoma treated with tandem autologous peripheral-blood stem cell-supported transplantation: long-term survival update. 네이버 미소장
14 Treatment of high-risk neuroblastoma with triple-tandem high-dose therapy and stem-cell rescue: results of the Chicago Pilot II Study. 네이버 미소장
15 Revisions of the international criteria for neuroblastoma diagnosis, staging, and response to treatment. 네이버 미소장
16 Pession A, Prete A, Locatelli F, Pierinelli S, Pession AL, Maccario R, Magrini E, De Bernardi B, Paolucci P, Paolucci G. Immunotherapy with low-dose recombinant interleukin 2 after high-dose chemotherapy and autologous stem cell transplantation in neuroblastoma. Br J Cancer 1998; 78: 528-33. 미소장
17 Flandin I, Hartmann O, Michon J, Pinkerton R, Coze C, Stephan JL, Fourquet B, Valteau-Couanet D, Bergeron C, Philip T, Carrie C. Impact of TBI on late effects in children treated by megatherapy for Stage IV neuroblastoma. A study of the French Society of Pediatric oncology. Int J Radiat Oncol Biol Phys 2006; 64: 1424-31. 미소장
18 Body mass index in long-term adult survivors of childhood cancer: a report of the Childhood Cancer Survivor Study. 네이버 미소장
19 Finklestein JZ, Krailo MD, Lenarsky C, Ladisch S, Blair GK, Reynolds CP, Sitarz AL, Hammond GD. 13-cis-retinoic acid (NSC 122758) in the treatment of children with metastatic neuroblastoma unresponsive to conventional chemotherapy: report from the Childrens Cancer Study Group. Med Pediatr Oncol 1992; 20: 307-11. 미소장
20 Kohler JA, Imeson J, Ellershaw C, Lie SO. A randomized trial of 13-Cis retinoic acid in children with advanced neuroblastoma after high-dose therapy. Br J Cancer 2000; 83: 1124-7. 미소장
21 Matthay KK, Reynolds CP. Is there a role for retinoids to treat minimal residual disease in neuroblastoma? Br J Cancer 2000; 83: 1121-3. 미소장
22 Shin MY, Ahn KM, Sung KW, Koo HH. Immunotherapy with interleukin-2 after autologous stem cell transplantation in children with high-risk solid tumor. Korean J Hematol Stem Cell Trans 1999; 4: 239-48. 미소장