RESULTS.Rates of 6-year survival ({ standard error) after isolated bone marrow,
4Memorial Sloan-Kettering Cancer Center, New isolated central nervous system (CNS), and isolated testis relapse were 20% { 2%, York, New York.48% { 4%, and 70% { 5%, respectively. Rates of survival after isolated bone marrow relapse at 0-17 months, 18-35 months, and after 36 months were 6% { 2%, 11% University of Iowa, Iowa City, Iowa. { 2%, and 43% { 4%, respectively. Rates of survival after isolated CNS relapse at 0-17 months, 18-35 months, and after 36 months were 33% { 4%, 59% { 5%, and 72% { 8%, respectively. Rates of survival after isolated testis relapse at 0-17 months, 18-35 months, and after 36 months were 52% { 11%, 57% { 10%, and 81% { 5%, respectively. Rates of survival after combined bone marrow and CNS or testis relapse at 0-17 months, 18-35 months, and after 36 months were 9% { 5%, 11% { 6%, and 49% { 7%, respectively.
CONCLUSIONS.Substantial survival at 6 years is evident among several subsets of this unselected group of heterogeneously treated children, namely, those with isolated or combined bone marrow relapse after 36 months and those with isolated extramedullary relapse at any time. Second malignant neoplasms are rare thus far.