Treatment and outcome of neuroblastoma with intraspinal extension: A systematic review

被引:26
作者
Kraal, Kathelijne [1 ,2 ]
Blom, Thomas [1 ]
van Noesel, Max [1 ]
Kremer, Leontien [2 ]
Caron, Huib [2 ]
Tytgat, Godelieve [1 ,2 ]
van der Pal, Heleen [3 ]
机构
[1] Princess Maxima Ctr Pediat Oncol, Lundlaan 6, NL-3584 EA Utrecht, Netherlands
[2] Emma Childrens Hosp, Dept Pediat Oncol, Acad Med Ctr, Amsterdam, Netherlands
[3] Acad Med Ctr AMC, Dept Med Oncol, Amsterdam, Netherlands
关键词
intraspinal extension; late effects; long-term health problems; neuroblastoma; spinal cord compression; systematic review; SPINAL-CORD COMPRESSION; CHILDHOOD-CANCER; MARROW-TRANSPLANTATION; IDIOPATHIC SCOLIOSIS; II NEUROBLASTOMA; RESIDUAL DISEASE; NEURO-BLASTOMA; FRENCH-SOCIETY; CHILDREN; RADIATION;
D O I
10.1002/pbc.26451
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We performed a systematic review to define the long-term health problems and optimal treatment strategy for patients with neuroblastoma with intraspinal extension. Of 685 identified studies, 28 were included in this review. The burden of long-term health problems is high; a median of 50% of patients suffered from neurological motor deficit, 34% from sphincter dysfunction, and 30% from spinal deformity. The currently available literature remains suboptimal as a guide for treatment of NBL with intraspinal extension. More well-designed, prospective studies are needed to determine the optimal treatment strategy.
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页数:12
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