Department of Medical Oncology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Crit Rev Oncol Hematol. 2012 Jun;82(3):259-79. doi: 10.1016/j.critrevonc.2011.06.005. Epub 2011 Jul 30.
Rhabdomyosarcoma (RMS) is a rare type of soft tissue sarcoma that mainly affects children, but also occurs in adolescents and (young) adults (AYA). Despite dramatic survival improvements reported by international study groups in children over the past decades, the awareness of a dismal outcome for older patients with RMS has grown. In contrast to the world-wide organization of care for children with RMS, standard care in adults lags behind. A step forward in RMS management for patients of all ages is urgently needed. Both paediatric oncologists and medical oncologists are essential players in development of a concept of RMS care, but bringing two worlds together seems not so easy. This review provides an overview which highlights the similarities and differences in children and adults with RMS. Furthermore, it comes up with a novel concept to overcome the virtual gap between the treatment approach of children and AYA with RMS.
横纹肌肉瘤(RMS)是一种罕见的软组织肉瘤,主要影响儿童,但也发生在青少年和(年轻)成年人(AYA)中。尽管国际研究小组在过去几十年中报告了儿童生存率的显著提高,但人们对 RMS 老年患者预后不佳的认识也在不断增强。与全世界为 RMS 患儿提供的护理组织相比,成人的标准护理落后了。迫切需要为所有年龄段的 RMS 患者提供管理上的进步。儿科肿瘤学家和肿瘤内科医生都是制定 RMS 护理理念的重要参与者,但将两个世界联系起来似乎并不容易。这篇综述提供了一个概述,强调了儿童和成人 RMS 之间的相似点和不同点。此外,它提出了一个新的概念,以克服儿童和 AYA 中 RMS 治疗方法之间的虚拟差距。