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非小脑原始神经外胚层肿瘤(PNET):米兰共识总结和关于儿童及青少年恶性脑肿瘤的骨髓清除性化疗联合造血细胞挽救的最新研讨会。

Non-cerebellar primitive neuroectodermal tumors (PNET): summary of the Milan consensus and state of the art workshop on marrow ablative chemotherapy with hematopoietic cell rescue for malignant brain tumors of childhood and adolescents.

机构信息

Pediatric Hematology/Oncology and Stem Cell Transplantation, Children's Memorial Hospital Chicago, Chicago, Illinois 60614, USA.

出版信息

Pediatr Blood Cancer. 2010 Apr;54(4):638-40. doi: 10.1002/pbc.22373.

DOI:10.1002/pbc.22373
PMID:20146218
Abstract

CNS non-cerebellar primitive neuroectodermal tumors (PNET) represent <5% of all childhood brain tumors. Despite similar therapies, these patients have had significantly worse outcomes compared to patients with medulloblastoma. Although these tumors have historically been considered analogous to medulloblastoma, there is growing evidence that they are biologically distinct. Since these tumors are relatively rare, there are few large series in the literature. Here we present the international experience treating these patients with a variety of therapies, including marrow ablative chemotherapy followed by autologous hematopoietic cell rescue.

摘要

中枢神经系统(CNS)非小脑原始神经外胚层肿瘤(PNET)占所有儿童脑肿瘤的<5%。尽管采用了类似的治疗方法,但与髓母细胞瘤患者相比,这些患者的预后明显更差。尽管这些肿瘤在历史上被认为与髓母细胞瘤类似,但越来越多的证据表明它们在生物学上是不同的。由于这些肿瘤相对罕见,因此文献中很少有大型系列报道。在这里,我们介绍了使用各种疗法治疗这些患者的国际经验,包括骨髓清除化疗后进行自体造血细胞挽救。

相似文献

1
Non-cerebellar primitive neuroectodermal tumors (PNET): summary of the Milan consensus and state of the art workshop on marrow ablative chemotherapy with hematopoietic cell rescue for malignant brain tumors of childhood and adolescents.非小脑原始神经外胚层肿瘤(PNET):米兰共识总结和关于儿童及青少年恶性脑肿瘤的骨髓清除性化疗联合造血细胞挽救的最新研讨会。
Pediatr Blood Cancer. 2010 Apr;54(4):638-40. doi: 10.1002/pbc.22373.
2
Role of high-dose chemotherapy for recurrent medulloblastoma and other CNS primitive neuroectodermal tumors.大剂量化疗在复发性髓母细胞瘤和其他中枢神经系统原始神经外胚层肿瘤中的作用。
Pediatr Blood Cancer. 2010 Apr;54(4):649-51. doi: 10.1002/pbc.22378.
3
High-dose chemotherapy and autologous hematopoietic progenitor cell rescue in children with recurrent medulloblastoma and supratentorial primitive neuroectodermal tumors: the impact of prior radiotherapy on outcome.大剂量化疗及自体造血祖细胞解救治疗复发性髓母细胞瘤和幕上原始神经外胚层肿瘤患儿:既往放疗对预后的影响
Cancer. 2009 Jul 1;115(13):2956-63. doi: 10.1002/cncr.24341.
4
Intensive chemotherapy followed by consolidative myeloablative chemotherapy with autologous hematopoietic cell rescue (AuHCR) in young children with newly diagnosed supratentorial primitive neuroectodermal tumors (sPNETs): report of the Head Start I and II experience.新诊断幕上原始神经外胚层肿瘤(sPNETs)幼儿强化化疗后行巩固性清髓化疗及自体造血细胞挽救(AuHCR):“启智I和II”经验报告
Pediatr Blood Cancer. 2008 Feb;50(2):312-8. doi: 10.1002/pbc.21307.
5
Long-term survival in a child with a central nervous system medulloepithelioma.一名患有中枢神经系统髓上皮瘤儿童的长期生存情况。
J Neurosurg Pediatr. 2008 Nov;2(5):339-45. doi: 10.3171/PED.2008.2.11.349.
6
A consensus and state-of-the-art workshop: marrow ablative chemotherapy with hematopoietic cell rescue for malignant brain tumors of childhood and adolescence.一次共识与前沿技术研讨会:儿童及青少年恶性脑肿瘤的造血细胞拯救骨髓清除化疗
Pediatr Blood Cancer. 2010 Apr;54(4):634. doi: 10.1002/pbc.22374.
7
The role of high-dose chemotherapy and stem cell rescue in the treatment of malignant brain tumors.大剂量化疗和干细胞救援在恶性脑肿瘤治疗中的作用。
Bone Marrow Transplant. 1996 Dec;18 Suppl 3:S1-5.
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Outcome for children <4 years of age with malignant central nervous system tumors treated with high-dose chemotherapy and autologous stem cell rescue.接受大剂量化疗和自体干细胞救援治疗的4岁以下恶性中枢神经系统肿瘤儿童的预后。
Pediatr Blood Cancer. 2007 Mar;48(3):278-84. doi: 10.1002/pbc.20781.
9
Patterns of treatment failure in infants with primitive neuroectodermal tumors who were treated on CCG-921: a phase III combined modality study.在CCG-921研究中接受治疗的原始神经外胚层肿瘤婴儿的治疗失败模式:一项III期综合治疗研究。
Pediatr Blood Cancer. 2005 Oct 15;45(5):676-82. doi: 10.1002/pbc.20184.
10
Brain magnetic resonance imaging after high-dose chemotherapy and radiotherapy for childhood brain tumors.儿童脑肿瘤大剂量化疗和放疗后的脑部磁共振成像
Int J Radiat Oncol Biol Phys. 2008 Mar 15;70(4):1011-9. doi: 10.1016/j.ijrobp.2007.07.2377. Epub 2007 Sep 27.

引用本文的文献

1
Proteomic analysis of cerebrospinal fluid from children with central nervous system tumors identifies candidate proteins relating to tumor metastatic spread.对患有中枢神经系统肿瘤儿童的脑脊液进行蛋白质组学分析,确定了与肿瘤转移扩散相关的候选蛋白质。
Oncotarget. 2017 Jul 11;8(28):46177-46190. doi: 10.18632/oncotarget.17579.
2
Long-term safety of growth hormone replacement therapy after childhood medulloblastoma and PNET: it is time to set aside old concerns.儿童髓母细胞瘤和原始神经外胚层肿瘤后生长激素替代疗法的长期安全性:是时候摒弃旧有的担忧了。
J Neurooncol. 2017 Jan;131(2):349-357. doi: 10.1007/s11060-016-2306-7. Epub 2016 Oct 21.
3
New gene signatures for pediatric brain tumors: a step forward in the understanding of molecular basis of CNS PNET.
小儿脑肿瘤的新基因特征:在理解中枢神经系统原始神经外胚层肿瘤分子基础方面的一大进步。
Transl Pediatr. 2013 Jan;2(1):3-4. doi: 10.3978/j.issn.2224-4336.2012.10.02.
4
Institutional experience of paediatric high-grade central nervous system tumours: an analysis of 74 patients and review of the literature.儿童高级别中枢神经系统肿瘤的机构经验:74例患者分析及文献综述
Contemp Oncol (Pozn). 2012;16(1):26-33. doi: 10.5114/wo.2012.27333. Epub 2012 Feb 29.
5
Treatment of young children with CNS-primitive neuroectodermal tumors/pineoblastomas in the prospective multicenter trial HIT 2000 using different chemotherapy regimens and radiotherapy.采用不同化疗方案和放疗方案的前瞻性多中心 HIT 2000 试验治疗中枢神经系统原始神经外胚层肿瘤/成松果体细胞瘤的幼儿。
Neuro Oncol. 2013 Feb;15(2):224-34. doi: 10.1093/neuonc/nos292. Epub 2012 Dec 7.
6
DNA copy number alterations in central primitive neuroectodermal tumors and tumors of the pineal region: an international individual patient data meta-analysis.中枢原始神经外胚层肿瘤和松果体区肿瘤的 DNA 拷贝数改变:国际患者个体数据荟萃分析。
J Neurooncol. 2012 Sep;109(2):415-23. doi: 10.1007/s11060-012-0911-7. Epub 2012 Jul 7.
7
High-dose chemotherapy with autologous hematopoietic stem-cell rescue for pediatric brain tumor patients: a single institution experience from UCLA.大剂量化疗联合自体造血干细胞挽救治疗小儿脑肿瘤患者:来自加州大学洛杉矶分校的单机构经验
J Transplant. 2011;2011:740673. doi: 10.1155/2011/740673. Epub 2011 Apr 14.