The development of VAC chemotherapy in rhabdomyosarcoma: what does one do for an encore?

Abstract:

:The establishment of the Intergroup Rhabdomyosarcoma Study (IRS) Committee in 1972 by three extant American pediatric cooperative groups initiated five generations of studies in the multidisciplinary treatment of soft-tissue sarcomas. Taking the lead from the use of vincristine, actinomycin-D, and cyclophosphamide (VAC) by Dr. Ruth Heyn, Dr. Harold Mauer and colleagues developed a more robust VAC as well as three similar drug regimens with hematopoietic growth factor support, which, in the context of surgery with or without radiotherapy, achieved a 3-year failure-free survival rate of 83% (IRS-IV) in nonmetastatic embryonal rhabdomyosarcoma. This review documents the development of VAC and some of the new directions currently being pursued by the Children's Oncology Group Soft Tissue Committee.

journal_name

Curr Oncol Rep

journal_title

Current oncology reports

authors

Ruymann FB

doi

10.1007/s11912-003-0012-z

keywords:

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

505-9

issue

6

eissn

1523-3790

issn

1534-6269

journal_volume

5

pub_type

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