Intensive chemotherapy in children with stage IV neuroblastoma. 1999

P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
Division of Pediatric Oncology, Regional Cancer Centre, Trivandrum, Kerala. rcctvm@md2.vsnl.net.in

A retrospective analysis of effectiveness of sequential chemotherapy with cyclophosphamide, doxorubicin, cisplatin and etoposide in children with stage IV neuroblastoma was undertaken. Study group included 17 children of mores than one year old with median age of 3 years (range 18 months to 7 years). Fourteen were males and three females. Sites of primary tumor were abdomen in 12 patients, pelvis in 3, paravertebral in 1 and unknown in 1. Metastatic sites included bone marrow (88%), bone (82%), orbit (29.4%) and lymph node (11.7%). One patient had brain parenchymal disease and another had cerebrospinal fluid positivity for malignant cells. Fifteen of the 17 patients had major response with chemotherapy (complete response in two and partial response in 13). Ten of the 15 patients completed four courses of chemotherapy and five patients progressed while on chemotherapy and died. Only two of the ten patients, who had four courses chemotherapy are alive after 2 years. Hence the 2-year survival in this series is 11.7%. There was no toxic death in this study.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D009367 Neoplasm Staging Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D009447 Neuroblastoma A common neoplasm of early childhood arising from neural crest cells in the sympathetic nervous system, and characterized by diverse clinical behavior, ranging from spontaneous remission to rapid metastatic progression and death. This tumor is the most common intraabdominal malignancy of childhood, but it may also arise from thorax, neck, or rarely occur in the central nervous system. Histologic features include uniform round cells with hyperchromatic nuclei arranged in nests and separated by fibrovascular septa. Neuroblastomas may be associated with the opsoclonus-myoclonus syndrome. (From DeVita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2099-2101; Curr Opin Oncol 1998 Jan;10(1):43-51) Neuroblastomas
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective

Related Publications

P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
January 1988, Bulletin du cancer,
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
April 2012, Japanese journal of clinical oncology,
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
March 2008, Pediatric research,
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
January 1993, European journal of cancer (Oxford, England : 1990),
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
April 2006, Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics,
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
January 1994, Medical oncology (Northwood, London, England),
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
January 1984, La Pediatria medica e chirurgica : Medical and surgical pediatrics,
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
March 1987, Harefuah,
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
January 1985, Medical and pediatric oncology,
P Kusumakumari, and T V Ajithkumar, and S Hariharan, and R R Varma, and V G Chellam, and R Nair, and M K Nair
March 2007, Journal of pediatric surgery,
Copied contents to your clipboard!