Preradiation chemotherapy in advanced medulloblastoma. A Pediatric Oncology Group pilot study.

Abstract:

BACKGROUND:Children diagnosed with medulloblastoma whose tumor involves the brain stem or has spread through the cerebrospinal fluid pathways to other areas of the brain or spinal cord have a poor prognosis despite therapy with surgery, craniospinal irradiation (CSI), and chemotherapy. Preradiation chemotherapy may improve the outlook for these patients. METHODS:To further study the role and feasibility of preradiation chemotherapy, children between the ages of 4 and 21 years diagnosed with advanced medulloblastoma and measurable disease were enrolled in the Pediatric Oncology Group 8695 study. Patients were treated with a 9-week course of vincristine, cisplatin, and cyclophosphamide followed by CSI. Imaging films were reviewed centrally for eligibility and response to chemotherapy. Toxicity to chemotherapy and radiation as well as delays and modifications in subsequent CSI were recorded. RESULTS:Thirteen of 30 fully evaluable patients achieved complete or partial response (43%) to chemotherapy. Toxicity was mostly fever and neutropenia after cyclophosphamide, which is predictable and tolerable. Radiation therapy was delivered in full doses and volumes in most patients but was delayed in its start in most patients. Central review of films revealed frequent use of different imaging modalities at baseline and after therapy, making accurate assessment of tumor response difficult. CONCLUSION:Preradiation chemotherapy with vincristine, cisplatin, and cyclophosphamide is active in patients with advanced medulloblastoma but should be modified to minimize the risk of progressive disease while on therapy and to avoid delays in starting radiation therapy. Consistent use of the same neuroimaging modality is essential in documenting response.

journal_name

Cancer

journal_title

Cancer

authors

Mosijczuk AD,Nigro MA,Thomas PR,Burger PC,Krischer JP,Morantz RA,Kurdunowicz B,Mulne AF,Towbin RB,Freeman AI

doi

10.1002/1097-0142(19931101)72:9<2755::aid-cncr2820

subject

Has Abstract,Author List Incomplete

pub_date

1993-11-01 00:00:00

pages

2755-62

issue

9

eissn

0008-543X

issn

1097-0142

journal_volume

72

pub_type

杂志文章

相关文献

CANCER文献大全
  • Plasma ribonuclease: a marker for the detection of ovarian cancer.

    abstract::There were no significant differences between the mean blood plasma (leukocyte-free) RNAase activity among 128 healthy women volunteers age 13-70 and 49 women with benign gynecological tumors. Exceptions to this finding were three apparently healthy women volunteers who had plasma enzyme activity which was higher than...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197705)39:5<2204::aid-cncr282039

    authors: Sheid B,Lu T,Pedrinan L,Nelson JH Jr

    更新日期:1977-05-01 00:00:00

  • Stomach cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study.

    abstract:BACKGROUND:Stomach cancer was a leading cause of cancer-related deaths early in the 20th century and has steadily declined over the last century in the United States. Although incidence and death rates are now low, stomach cancer remains an important cause of morbidity and mortality in black, Asian and Pacific Islander...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30881

    authors: Jim MA,Pinheiro PS,Carreira H,Espey DK,Wiggins CL,Weir HK

    更新日期:2017-12-15 00:00:00

  • The role of human epidermal growth factor receptor 2 in the survival of women with estrogen and progesterone receptor-negative, invasive breast cancer: the California Cancer Registry, 1999-2004.

    abstract:BACKGROUND:Breast cancers that are negative for estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) (triple negative [TN]) have been associated with high-grade histology, aggressive clinical behavior, and poor survival. It has been determined that breast cancers that ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23243

    authors: Brown M,Tsodikov A,Bauer KR,Parise CA,Caggiano V

    更新日期:2008-02-15 00:00:00

  • Hereditary diffuse gastric cancer: diagnosis, genetic counseling, and prophylactic total gastrectomy.

    abstract:BACKGROUND:A subset of patients with diffuse gastric cancer harbor deleterious cancer-causing germline mutations in the type 1 E-cadherin (epithelial) gene (CDH1), which predisposes to the autosomal dominantly inherited hereditary diffuse gastric cancer (HDGC) syndrome. These mutations are associated with a 70% life-ti...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23501

    authors: Lynch HT,Kaurah P,Wirtzfeld D,Rubinstein WS,Weissman S,Lynch JF,Grady W,Wiyrick S,Senz J,Huntsman DG

    更新日期:2008-06-15 00:00:00

  • HL-A in cancer family "N".

    abstract::Actual HL-A typing has been performed on 115 members of cancer family N, a large kindred (over 1000 members ascertained) showing the findings consistent with the cancer family syndrome. In the cancer-prone line (branches C and D) of the family, 20 of 21 members with cancer had one HL-A haplotype, HL-A2-HL-A12 (relativ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197510)36:4<1315::aid-cncr282036

    authors: Lynch HT,Thomas RJ,Terasaki PI,Ting A,Guirgis HA,Kaplan AR,Magee H,Lynch J,Kraft C,Chaperon E

    更新日期:1975-10-01 00:00:00

  • The value of combined-modality therapy in elderly patients with stage III nonsmall cell lung cancer.

    abstract:BACKGROUND:The objective of this study was to assess the value of combined-modality therapy in elderly patients by comparing the differences in outcome between patients who received radiotherapy (RT) alone and patients who received RT plus chemotherapy for stage III nonsmall cell lung cancer (NSCLC). METHODS:The North...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22780

    authors: Schild SE,Mandrekar SJ,Jatoi A,McGinnis WL,Stella PJ,Deming RL,Jett JR,Garces YI,Allen KL,Adjei AA,North Central Cancer Treatment GroupThis study was conducted as a collaborative trial of the North Central Cancer Treatment Group and

    更新日期:2007-07-15 00:00:00

  • The prognostic significance of nuclear DNA content in malignant epithelial tumors of the ovary.

    abstract::Recent studies have indicated that the nuclear DNA content of certain malignant neoplasms can be used as an adjunct in predicting their biologic behavior. The DNA content of 99 ovarian carcinomas was determined by flow cytometric analysis of nuclei obtained from paraffin-embedded tissue. Of the 99 tumors, 51 were dipl...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900101)65:1<141::aid-cncr28206

    authors: Brescia RJ,Barakat RA,Beller U,Frederickson G,Suhrland MJ,Dubin N,Demopoulos RI

    更新日期:1990-01-01 00:00:00

  • Identification of higher risk thin melanomas should be based on Breslow depth not Clark level IV.

    abstract:BACKGROUND:There is good prognostic correlation for the two microstaging systems, Breslow depth and Clark level, commonly used to stage melanomas. Many investigators have reported that Breslow depth is the superior microstaging method. Although Clark level has been dropped from most of the proposed American Joint Commi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Owen SA,Sanders LL,Edwards LJ,Seigler HF,Tyler DS,Grichnik JM

    更新日期:2001-03-01 00:00:00

  • Primary non-Hodgkin's lymphoma of the mediastinum.

    abstract::Non-Hodgkin's lymphoma localized to the mediastinum and adjacent structures occurred in 12 of 215 (6+) non-Hodgkin's lymphoma patients seen at the Massachusetts General Hospital between 1975 and 1979. Lymphangiography, radionuclide scanning and whole body computerized tomography were used to exclude patients with extr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19821201)50:11<2486::aid-cncr282

    authors: Levitt LJ,Aisenberg AC,Harris NL,Linggood RM,Poppema S

    更新日期:1982-12-01 00:00:00

  • The relationship between shaved margin and inked margin status in breast excision specimens.

    abstract:BACKGROUND:The presence of tumor at the inked margins (IMs) of breast specimens is associated with an increased risk of local recurrence after breast-conserving therapy for invasive breast carcinoma and ductal carcinoma in situ (DCIS). Given the importance of margin status, some have advocated the use of shaved margins...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Guidi AJ,Connolly JL,Harris JR,Schnitt SJ

    更新日期:1997-04-15 00:00:00

  • Chemoprevention: drug pricing and mortality: the case of tamoxifen.

    abstract:BACKGROUND:Tamoxifen is a prototypic cancer chemopreventive agent, yet clinical trials have not evaluated its effect on mortality or the impact of drug pricing on its cost-effectiveness. METHODS:A state-transition Markov model for a hypothetical cohort of women age 50 years was used to evaluate the effects of tamoxife...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22075

    authors: Melnikow J,Kuenneth C,Helms LJ,Barnato A,Kuppermann M,Birch S,Nuovo J

    更新日期:2006-09-01 00:00:00

  • Fine-needle aspiration of thyroid nodules: correlation between cytology and histology and evaluation of discrepant cases.

    abstract:BACKGROUND:The purpose of this study was to evaluate the results of thyroid fine-needle aspiration (FNA) and to determine the reasons for the discrepancies between the cytologic and histologic diagnoses. METHODS:The authors evaluated the cytologic and histologic results of 133 FNAs obtained from 92 patients who underw...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970825)81:4<253::aid-cnc

    authors: Sidawy MK,Del Vecchio DM,Knoll SM

    更新日期:1997-08-25 00:00:00

  • The treatment of Wilms' tumor: results of the Second National Wilms' Tumor Study.

    abstract::One-hundred-eighty-eight children up to 16 years of age were randomized in the second National Wilms' Tumor Study (NWTS) with tumors that were confined to the kidney and that had been totally excised (Group I). Most fared well whether treated for six or for 15 months with both actinomycin D (AMD) and vincristine (VCR)...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(19810501)47:9<2302::aid-cncr2820

    authors: D'Angio GJ,Evans A,Breslow N,Beckwith B,Bishop H,Farewell V,Goodwin W,Leape L,Palmer N,Sinks L,Sutow W,Tefft M,Wolff J

    更新日期:1981-05-01 00:00:00

  • Preoperative chemotherapy for giant cell carcinoma of the thyroid.

    abstract::Reported is the case of a 24-year-old white man with inoperable giant cell carcinoma of the thyroid who achieved tumor regression following therapy with bleomycin, Adriamycin and cisplatinum. After 2 courses of chemotherapy, the tumor was deemed operable, and the patient underwent total thyroidectomy followed by radia...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19821201)50:11<2252::aid-cncr282

    authors: Spanos GA,WolK D,Desner MR,Khan A,Platt N,Khafif RA,Cortes EP

    更新日期:1982-12-01 00:00:00

  • Acute non-lymphocytic leukemia in patients with ovarian carcinoma following long-term treatment with Treosulfan (= dihydroxybusulfan).

    abstract::Acute non-lymphocytic leukemia occurred in eight women following long-term treatment with Treosulfan (= dihydroxybusulfan) for ovarian carcinoma. The leukemia developed from 21 to 58 months (median 50 months) after the institution of chemotherapy. At the time when the leukemia appeared seven of the patients were in co...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800101)45:1<19::aid-cncr282045

    authors: Pedersen-Bjergaard J,Nissen NI,Sørensen HM,Hou-Jensen K,Larsen MS,Ernst P,Ersbøl J,Knudtzon S,Rose C

    更新日期:1980-01-01 00:00:00

  • Ductal carcinoma in situ (intraductal carcinoma) of the breast treated with breast-conserving surgery and definitive irradiation. Correlation of pathologic parameters with outcome of treatment.

    abstract:BACKGROUND:To evaluate the pathologic characteristics of the primary tumor relative to local control, survival, and freedom from distant metastases, an analysis was performed of 172 patients with ductal carcinoma in situ (intraductal carcinoma) of the breast treated with breast-conserving surgery and definitive breast ...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/1097-0142(19930415)71:8<2532::aid-cncr2820

    authors: Solin LJ,Yeh IT,Kurtz J,Fourquet A,Recht A,Kuske R,McCormick B,Cross MA,Schultz DJ,Amalric R

    更新日期:1993-04-15 00:00:00

  • Radiation therapy of epithelioid sarcoma.

    abstract::Epithelioid sarcoma is an uncommon tumor characterized by its appearance in the distal extremities (especially the forearm, wrist, and ankle), the tendency to recur locally, and high probability of spread to regional lymph nodes. Most patients have been treated surgically, and the potential role of radiation therapy a...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830915)52:6<1022::aid-cncr2820

    authors: Shimm DS,Suit HD

    更新日期:1983-09-15 00:00:00

  • Laboratory aids to diagnosis--enzymes.

    abstract::A summary is presented of those organ specific enzyme assays traditionally used in evaluation of the patient with cancer. In addition, the use of certain serum enzymes such as gamma-glutamyl transpeptidase, phosphohexose isomerase or 5'-nucleotidase as aids in following the course of the disease, particularly in patie...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(197601)37:1+<542::aid-cncr282037

    authors: Schwartz MK

    更新日期:1976-01-01 00:00:00

  • Long-term outcome after a treosulfan-based conditioning regimen for patients with acute myeloid leukemia: A report from the Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation.

    abstract:BACKGROUND:Allogeneic hematopoietic cell transplantation (HCT) is a curative therapy for patients with acute myeloid leukemia (AML). However, post-HCT relapse and regimen-related toxicity remain significant barriers to long-term survival. In recent years, new conditioning regimens have been explored to improve transpla...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30646

    authors: Nagler A,Labopin M,Beelen D,Ciceri F,Volin L,Shimoni A,Foá R,Milpied N,Peccatori J,Polge E,Mailhol A,Mohty M,Savani BN

    更新日期:2017-07-15 00:00:00

  • Parametric survival analysis of gastric cancer patients.

    abstract::A total of 1026 patients with gastric cancer was followed up for five years after surgery and classified into different groups according to surgeons' assessment of nodal involvement, serosal invasion, peritoneal spread, and hepatic metastasis. The survival of each group was studied by parametric analysis, using the lo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19801215)46:12<2709::aid-cncr282

    authors: Maetani S,Tobe T,Hirakawa A,Kashiwara S,Kuramoto S

    更新日期:1980-12-15 00:00:00

  • A uniform residual tumor (R) classification: integration of the R classification and the circumferential margin status.

    abstract:BACKGROUND:Since the introduction of the TNM residual tumor (R) classification, the involvement of resection margins has been defined either as a microscopic (R1) or a macroscopic (R2) demonstration of tumor directly at the resection margin ("tumor transected"). METHODS:The recognition of the importance of the circumf...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.24320

    authors: Wittekind C,Compton C,Quirke P,Nagtegaal I,Merkel S,Hermanek P,Sobin LH

    更新日期:2009-08-01 00:00:00

  • Alternating noncross-resistant combination chemotherapy and active nonspecific immunotherapy with BCG or MER-BCG for advanced breast carcinoma.

    abstract::One hundred fifty-six evaluable patients with metastatic breast cancer were treated with vincristine, Adriamycin and cyclophosphamide alternating at fixed intervals with 5-FU and methotrexate. Immunotherapy with BCG or MER-BCG was administered to all patients in two consecutive treatment programs. Overall objective re...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19800215)45:4<742::aid-cncr28204

    authors: Blumenschein GR,Hortobagyi GN,Richman SP,Gutterman JU,Tashima CK,Buzdar AU,Burgess MA,Livingston RB,Hersh EM

    更新日期:1980-02-15 00:00:00

  • 2'-5' oligoadenylate synthetase 1 polymorphism is associated with prostate cancer.

    abstract:BACKGROUND:The antiviral, proapoptotic, antiproliferative gene 2'-5' oligoadenylate synthetase (2-5OAS1) converts adenosine triphosphate into a series of 2'-5' oligoadenylates (2-5A). In turn, 2-5A activates latent ribonuclease (RNaseL), a candidate hereditary prostate cancer gene. OAS1 polymorphism (reference single n...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26219

    authors: Mandal S,Abebe F,Chaudhary J

    更新日期:2011-12-15 00:00:00

  • Chemotherapy for adenocystic carcinoma.

    abstract::Seventeen patients with adenocystic carcinoma have received 34 adequate trials of chemotherapy at Princess Margaret Hospital since 1969. There have been five objective responses to chemotherapy in 4 cases, lasting from five to 24 months, and 3 other patients have had stabilized disease for a period of five to seven mo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800801)46:3<452::aid-cncr28204

    authors: Tannock IF,Sutherland DJ

    更新日期:1980-08-01 00:00:00

  • Interleukin-6 and its receptor in cancer: implications for translational therapeutics.

    abstract::Interleukin-6 (IL-6) plays a major role in the response to injury or infection and is involved in the immune response, inflammation, and hematopoiesis. Its deregulation impacts numerous disease states, including many types of cancer. Consequently, modulating IL-6 may be an innovative therapeutic strategy in several di...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.22999

    authors: Hong DS,Angelo LS,Kurzrock R

    更新日期:2007-11-01 00:00:00

  • Molecular cytogenetic analysis of cytokeratin 20-labeled cells in primary tumors and bone marrow aspirates from colorectal carcinoma patients.

    abstract:BACKGROUND:Low frequency epithelial cells in bone marrow from colorectal carcinoma patients are associated with an increased risk of recurrence and decreased survival. Current immunohistochemical approaches to detect epithelial cells in bone marrow aspirates rely on antibodies against cytokeratin 18 (CK18). The predict...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Litle VR,Warren RS,Moore D 2nd,Pallavicini MG

    更新日期:1997-05-01 00:00:00

  • 11p15.5 epimutations in children with Wilms tumor and hepatoblastoma detected in peripheral blood.

    abstract:BACKGROUND:Constitutional or somatic mosaic epimutations are increasingly recognized as a mechanism of gene dysregulation resulting in cancer susceptibility. Beckwith-Wiedemann syndrome is the cancer predisposition syndrome most commonly associated with epimutation and is extremely variable in its phenotypic presentati...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.32907

    authors: Fiala EM,Ortiz MV,Kennedy JA,Glodzik D,Fleischut MH,Duffy KA,Hathaway ER,Heaton T,Gerstle JT,Steinherz P,Shukla N,McNeer N,Tkachuk K,Bouvier N,Cadoo K,Carlo MI,Latham A,Dubard Gault M,Joseph V,Kemel Y,Kentsis A,

    更新日期:2020-07-01 00:00:00

  • Comparative studies of human malignant mesothelioma in vivo, in xenografts in nude mice, and in vitro. Cell origin of malignant mesothelioma.

    abstract::Several decades ago, it was reported that normal and malignant mesothelial cells were transformed into distinct cell types (epithelial to fibrous and fibrous to epithelial) when transferred to in vitro conditions. Those tissue culture data are still cited as evidence supporting that the mesothelial cell has multipoten...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870801)60:3<334::aid-cncr28206

    authors: Suzuki Y,Chahinian AP,Ohnuma T

    更新日期:1987-08-01 00:00:00

  • Primary management of operable breast cancer by minimal surgery and radiotherapy.

    abstract::109 cases of breast cancer were treated by tumorectomy and radiotherapy or radiotherapy alone. Almost 30% with small tumors (T1, T2) were considered inoperable for medical reasons and 70% refused mastectomy. Over the past five years the number of patients refusing mastectomy has definitely increased. 59 cases of surgi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197810)42:4<2054::aid-cncr282042

    authors: Alpert S,Ghossein NA,Stacey P,Migliorelli FA,Efron G,Krishnaswamy V

    更新日期:1978-10-01 00:00:00

  • Young and uninsured: Insurance patterns of recently diagnosed adolescent and young adult cancer survivors in the AYA HOPE study.

    abstract:BACKGROUND:Young adults have historically been the least likely to have health insurance in the United States. Previous studies of survivors of childhood cancer found lower rates of insurance and less access to medical care compared with siblings; however, to the authors' knowledge, no studies to date have examined con...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28685

    authors: Parsons HM,Schmidt S,Harlan LC,Kent EE,Lynch CF,Smith AW,Keegan TH,AYA HOPE Collaborative.

    更新日期:2014-08-01 00:00:00