Department of Pediatric Surgery, B.J. Wadia Hospital for Children, Acharya Donde Marg, Parel, Mumbai, Maharashtra, 400 012, India.
Indian J Pediatr. 2012 Jun;79(6):787-92. doi: 10.1007/s12098-012-0748-2. Epub 2012 Apr 18.
Solid tumors in children are a major cause of death in the developed countries and now even in the developing countries. Of these tumors, neuroblastoma, the most common tumor in children, despite extensive and on-going research and clinical trials still remains an enigma. About 50 % of children with neuroblastoma overall succumb to the disease. This tumor generates lot of curiosity in developing newer therapies for management, but creates equal amount of frustration albeit a risk-stratification system, patients with the same clinical-pathologic parameters and being treated with the same protocols may have markedly different clinical courses and outcomes. Most of the neuroblastomas are sporadic but some are familial. This article aims at understanding the different protocols existing for the risk stratification and management of neuroblastomas. Further, it also aims to study the outcomes of the several different stages of the tumor all across the country as well as in India.
儿童实体瘤是发达国家乃至发展中国家儿童死亡的主要原因。在这些肿瘤中,神经母细胞瘤是儿童中最常见的肿瘤,尽管进行了广泛而持续的研究和临床试验,但它仍然是一个谜。大约 50%的神经母细胞瘤患儿最终会死于该疾病。这种肿瘤激发了人们开发新的治疗方法的兴趣,但也带来了同样多的挫折,尽管有风险分层系统,具有相同临床病理参数的患者,并且接受相同方案治疗的患者可能具有明显不同的临床过程和结果。大多数神经母细胞瘤是散发性的,但也有一些是家族性的。本文旨在了解用于神经母细胞瘤风险分层和管理的不同方案。此外,它还旨在研究全国以及印度不同肿瘤阶段的结果。