An unresolved issue in rhabdomyosarcoma treatment: The duration of chemotherapy

被引:9
作者
Bisogno, Gianni [1 ]
Hawkins, Douglas S. [2 ]
机构
[1] Univ Padua, Dept Womens & Childrens Hlth, Hematol Oncol Div, Via Giustiniani 3, I-35128 Padua, Italy
[2] Univ Washington, Seattle Childrens Hosp, Fred Hutchinson Canc Res Ctr, Div Hematol Oncol, Seattle, WA 98195 USA
关键词
chemotherapy duration; maintenance; rhabdomyosarcoma; soft tissue sarcoma; SOFT-TISSUE SARCOMA; LOW-RISK RHABDOMYOSARCOMA; INTERGROUP RHABDOMYOSARCOMA; NONMETASTATIC RHABDOMYOSARCOMA; INTERNATIONAL-SOCIETY; PEDIATRIC-ONCOLOGY; PROGNOSTIC-FACTORS; POOLED ANALYSIS; CHILDHOOD; ADOLESCENCE;
D O I
10.1002/pbc.28174
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Clinical trials have tested different chemotherapy regimens to improve outcome for patients with rhabdomyosarcoma (RMS), but therapy duration has never been explicitly evaluated. North American trials evolved from longer (104 weeks) to shorter duration (24-42 weeks). In Europe, treatment duration similarly evolved from 35 to 48 to 22 weeks for lower risk patients and from 56 to 72 to 27 weeks for higher risk patients. There was no evidence that chemotherapy duration influenced outcome over time. The recent RMS2005 trial showed an improved survival with the addition of 24 weeks of low-dose chemotherapy. Treatment duration remains a question to be addressed in future trials.
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页数:7
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