Yankelevich Maxim, Zaky Wafik, Lafay-Cousin Lucie, Osorio Diana, Adamski Jenny, Kordes Uwe, Finlay Jonathan L, Prados Michael, Mueller Sabine
Division of Oncology, St. Cristopher's Hospital for Children, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, MD Anderson Cancer Center, Houston, Texas, USA.
Neurooncol Adv. 2024 Jul 5;6(1):vdae109. doi: 10.1093/noajnl/vdae109. eCollection 2024 Jan-Dec.
Choroid plexus carcinomas (CPC) are early childhood cancers characterized by loss of function and poor survival. We are analyzing data on status, survival, and second cancers from the largest cohort of CPC receiving chemotherapy followed by consolidation with marrow-ablative chemotherapy (HDCx). Additionally, we discuss the rationale for targeted therapies for CPC patients. Currently, 8 of the 13 with Li-Fraumeni Syndrome-associated CPC were treated and continued CPC-free, indicating that HDCx improves CPC-free survival in young children with -mutated CPC. These data justify the inclusion of HDCx in the planned prospective international trial for children with -mutated CPC.
脉络丛癌(CPC)是儿童期癌症,其特征为功能丧失和生存率低。我们正在分析来自接受化疗后行清髓性化疗巩固治疗(HDCx)的最大脉络丛癌队列的状态、生存及二次癌症的数据。此外,我们还讨论了针对脉络丛癌患者进行靶向治疗的基本原理。目前,13例与李-佛美尼综合征相关的脉络丛癌患者中有8例接受了治疗且持续无脉络丛癌,这表明HDCx可提高携带特定突变的脉络丛癌幼儿的无脉络丛癌生存率。这些数据证明在针对携带特定突变的脉络丛癌儿童的计划中的前瞻性国际试验中纳入HDCx是合理的。