Ependymoma: new therapeutic approaches including radiation and chemotherapy.

作者: Thomas E. Merchant , Maryam Fouladi

DOI: 10.1007/S11060-005-6753-9

关键词:

摘要: Recent advances in neuroimaging, neurosurgery and radiation therapy have improved disease control functional outcomes for children with ependymoma, including under the age of 3 years. The rate gross-total resection has been increased to 85% some series year progression-free survival after as high 75% reported along significant reductions neurologic, endocrine cognitive deficits. Based on these renewed interest a frontline treatment modality, attention refocused instead radiotherapy avoidance. Future research this tumor, that afflicts fewer than 200 US each year, will focus molecular biology, clarifying risk factors tumor late effects, testing novel agents.

参考文章(52)
Natsuo Oya, Yuta Shibamoto, Yasushi Nagata, Yoshiharu Negoro, Masahiro Hiraoka, Postoperative radiotherapy for intracranial ependymoma: analysis of prognostic factors and patterns of failure. Journal of Neuro-oncology. ,vol. 56, pp. 87- 94 ,(2002) , 10.1023/A:1014442106111
L. A. Champion, M. D. Wharam, S. Y. Woo, A. B. Khan, B. J. D'Souza, L. F. Sinks, D. C. McCullough, B. G. Leventhal, Cisplatin therapy in recurrent childhood brain tumors. Cancer treatment reports. ,vol. 66, pp. 2013- 2020 ,(1982)
J R Geyer, P M Zeltzer, J M Boyett, L B Rorke, P Stanley, A L Albright, J H Wisoff, J M Milstein, J C Allen, J L Finlay, Survival of infants with primitive neuroectodermal tumors or malignant ependymomas of the CNS treated with eight drugs in 1 day: a report from the Childrens Cancer Group. Journal of Clinical Oncology. ,vol. 12, pp. 1607- 1615 ,(1994) , 10.1200/JCO.1994.12.8.1607
H S Friedman, J P Krischer, P Burger, W J Oakes, B Hockenberger, M D Weiner, J M Falletta, D Norris, A H Ragab, D H Mahoney, Treatment of children with progressive or recurrent brain tumors with carboplatin or iproplatin: a Pediatric Oncology Group randomized phase II study. Journal of Clinical Oncology. ,vol. 10, pp. 249- 256 ,(1992) , 10.1200/JCO.1992.10.2.249
Jacques Grill, Marie-Cécile Le Deley, Danièle Gambarelli, Marie-Anne Raquin, Dominique Couanet, Alain Pierre-Kahn, Jean-Louis Habrand, François Doz, Didier Frappaz, Jean-Claude Gentet, Christine Edan, Pascal Chastagner, Chantal Kalifa, Postoperative Chemotherapy Without Irradiation for Ependymoma in Children Under 5 Years of Age: A Multicenter Trial of the French Society of Pediatric Oncology Journal of Clinical Oncology. ,vol. 19, pp. 1288- 1296 ,(2001) , 10.1200/JCO.2001.19.5.1288
Ajay Jawahar, Douglas Kondziolka, John C. Flickinger, L. Dade Lunsford, Adjuvant stereotactic radiosurgery for anaplastic ependymoma. Stereotactic and Functional Neurosurgery. ,vol. 73, pp. 23- 30 ,(1999) , 10.1159/000029746
Anne M Comi, James W Backstrom, Peter C Burger, Patricia K Duffner, Pediatric Oncology Group, Clinical and neuroradiologic findings in infants with intracranial ependymomas Pediatric Neurology. ,vol. 18, pp. 23- 29 ,(1998) , 10.1016/S0887-8994(97)00162-8
Thomas E. Merchant, Ciara J. Gould, Xiaoping Xiong, Nicole Robbins, Junhong Zhu, David L. Pritchard, Raja Khan, Richard L. Heideman, Matthew J. Krasin, Larry E. Kun, Early neuro-otologic effects of three-dimensional irradiation in children with primary brain tumors. International Journal of Radiation Oncology Biology Physics. ,vol. 58, pp. 1194- 1207 ,(2002) , 10.1016/J.IJROBP.2003.07.008
Paul S. Gaynon, Lawrence J. Ettinger, Edward S. Baum, Stuart E. Siegel, Mark D. Krailo, G. Denman Hammond, Carboplatin in childhood brain tumors: A children's cancer study group phase II trial Cancer. ,vol. 66, pp. 2465- 2469 ,(1990) , 10.1002/1097-0142(19901215)66:12<2465::AID-CNCR2820661204>3.0.CO;2-N
Dan Lefton, Jeffrey Allen, Juliette Hukin, Fred Epstein, Treatment of Intracranial Ependymoma by Surgery Alone Pediatric Neurosurgery. ,vol. 29, pp. 40- 45 ,(1998) , 10.1159/000028683