Autor: Joanne M. Hilden, Darryl C. Longee, Bernd W. Scheithauer, Joanne Kurtzberg, Jan Watterson, Christopher L. Moertel, Mary Elizabeth Dunn
Rok vydání: 1998
Předmět:
Zdroj: Journal of Neuro-Oncology. 40:265-275
ISSN: 0167-594X
DOI: 10.1023/a:1006125120866
Popis: Central nervous system atypical teratoid/rhabdoid tumor (ATT/RT) of infancy and childhood is a unique histologic entity with an extremely aggressive natural history. Standard therapy for infant and childhood medulloblastoma, for which this entity is often mistaken, has been ineffective; most children survive less than 12 months after diagnosis. Intensified therapy has been recently used for children with this disease, with promising results [1,2]. We report four cases of ATT/RT in young children; all had subtotal resections and localized disease at diagnosis. One child treated prior to bone marrow transplant availability died of progressive disease 9 months after diagnosis. Another child, treated with high-dose chemotherapy and radiotherapy in preparation for bone marrow transplant, had a recurrence and died 20 months after diagnosis, without undergoing the transplant. Two children received high-dose chemotherapy and autologous bone-marrow transplant and had a good response to treatment; one survived 19 months, the other child is free of disease 46 months from diagnosis. Intensified therapy has altered the natural history of central nervous system ATT/RT.
Databáze: OpenAIRE
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