“…This long natural course of the disease points out the importance of surgery in young patients despite locally advanced disease. None of the metastatic cases responded to chemotherapy and actually, none of the patients during childhood had adequate, standard surgery (table 1) [15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52]. …”