2018
DOI: 10.3390/children5090114
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High-Risk Neuroblastoma Treatment Review

Abstract: Neuroblastoma is the most common extracranial solid tumor in children. One subset, high-risk neuroblastoma, is very difficult to treat and requires multi-modal therapy. Intensification of therapy has vastly improved survival rates, and research is focused on novel treatments to further improve survival rates. The current treatment schema is divided into three stages—induction, consolidation, and maintenance. This review serves as an overview of the current treatment for high-risk neuroblastoma and a glimpse at… Show more

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Cited by 169 publications
(167 citation statements)
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“…A limited number of studies has monitored immune profiles during chemotherapy in cancer patients. Monitoring lymphocyte levels during and after chemotherapy in hematopoietic and solid tumors generally showed increased EFS in patients with higher lymphocyte counts at diagnosis as well as after induction chemotherapy [42,[47][48][49] In addition, fast monocyte recovery after chemotherapy is predictive for EFS in patients with leukemias and lymphomas [50,51]. In line with these data, an elevated neutrophil to lymphocyte ratio after chemotherapy, but before surgical resection of the NBL tumor, was associated with decreased OS [52].…”
Section: Chemotherapymentioning
confidence: 70%
See 1 more Smart Citation
“…A limited number of studies has monitored immune profiles during chemotherapy in cancer patients. Monitoring lymphocyte levels during and after chemotherapy in hematopoietic and solid tumors generally showed increased EFS in patients with higher lymphocyte counts at diagnosis as well as after induction chemotherapy [42,[47][48][49] In addition, fast monocyte recovery after chemotherapy is predictive for EFS in patients with leukemias and lymphomas [50,51]. In line with these data, an elevated neutrophil to lymphocyte ratio after chemotherapy, but before surgical resection of the NBL tumor, was associated with decreased OS [52].…”
Section: Chemotherapymentioning
confidence: 70%
“…In general, high-risk NBL patients receive 5-8 cycles of intensive chemotherapy including platinum, alkylating, and topoisomerase agents. In North-America, induction regimens include vincristine, doxorubicin, cyclophosphamide, cisplatin, and etoposide, while the Society of pediatric oncology Europe NBL group (SIOPEN) used a rapid COJEC regimen that gives eight cycles with combinations of vincristine, carboplatin, etoposide, cyclophosphamide, and cisplatin [47].…”
Section: Chemotherapymentioning
confidence: 99%
“…(37) Moreover, intensive international collaboration research efforts are still ongoing as cure rates for the high-risk NB have shown only modest improvement. (38) We found that 30% of 36.908 authors contributing to NB research were "core" authors, publishing two or more NB related articles. Correspondingly, the estimation of Lotka´s law indicates similarity in author´s productivity according to theoretically expectation.…”
Section: Discussionmentioning
confidence: 85%
“…Generally older children with metastatic tumors with extra MYCN copies are accepted as high stage tumors; and infants with even metastatic tumors without MYCN copies are considered as low risk. Chemotherapy of neuroblastoma generally includes combination of chemotherapeutic agents such as cyclophosphamide, cisplatin, carboplatin, vincristine, doxorubicin (Adriamycin), etoposide, topotecan, and busulfan (7,8) . While all of these treatment strategies have their own adverse effects, the adverse effects related to systemic chemotherapy is much restrictive due to their higher mortality rates.…”
Section: Introductionmentioning
confidence: 99%