Department of Surgery, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA.
Clin Perinatol. 2021 Mar;48(1):101-115. doi: 10.1016/j.clp.2020.11.006. Epub 2021 Jan 12.
Neuroblastoma accounts for approximately 8% of all pediatric cancers, with 5% diagnosed during the neonatal period. Despite the disproportionate contribution of neuroblastoma to childhood cancer deaths, neonatal neuroblastoma has a favorable prognosis, often with little or no therapy required. Therefore, minimizing therapy and mitigating complications/toxicities are emphasized, including using a watch-and-wait approach for patients at low risk for disease progression/relapse. However, stage MS neuroblastoma exhibits a unique pattern of disseminated disease, can be challenging to manage, and may require early intervention with systemic chemotherapy. In this review, the epidemiology, treatment options, and anticipated outcomes for neonatal neuroblastoma are discussed.
神经母细胞瘤约占所有儿科癌症的 8%,其中 5%在新生儿期诊断。尽管神经母细胞瘤在儿童癌症死亡中所占比例不成比例,但新生儿神经母细胞瘤的预后良好,通常几乎不需要治疗。因此,强调最小化治疗和减轻并发症/毒性,包括对疾病进展/复发风险低的患者采用观察等待方法。然而,MS 期神经母细胞瘤表现出独特的播散性疾病模式,可能难以管理,并且可能需要早期进行全身化疗干预。在这篇综述中,讨论了新生儿神经母细胞瘤的流行病学、治疗选择和预期结果。