2013
DOI: 10.1002/pbc.24777
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Neuroblastoma in older children, adolescents and young adults: A report from the International Neuroblastoma Risk Group project

Abstract: Despite indolent disease and infrequent MYCN amplification, older children with advanced disease have poor survival, without evidence for a specific age cut-off. Our data suggest that AHCT may provide a survival benefit in older children with advanced disease. Novel therapeutic approaches are required to more effectively treat these patients.

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Cited by 85 publications
(106 citation statements)
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“…1,2 Classification as high-risk or non-high-risk neuroblastoma depends on the stage defined by the International Neuroblastoma Staging System (INSS) 3,4 or less common the International Neuroblastoma Pathology Classification (INPC) proposed by Shimada et al 5,6 Over the past decades a multitude of prognosis and risk factors such as genetic mutations (e.g., deletion of chromosome 1p36, [7][8][9] altered expression of ALK, 10 PHOX2B) epigenetics, 9,11 ploidy 12 and age 13 have been identified. In the mid-1980s, the clinical and prognostic role of the proto-oncogene MYCN encoding for the protein N-Myc (v-myc myelocytomatosis viral related oncogene, neuroblastoma derived (avian)) was first described.…”
Section: Introductionmentioning
confidence: 99%
“…1,2 Classification as high-risk or non-high-risk neuroblastoma depends on the stage defined by the International Neuroblastoma Staging System (INSS) 3,4 or less common the International Neuroblastoma Pathology Classification (INPC) proposed by Shimada et al 5,6 Over the past decades a multitude of prognosis and risk factors such as genetic mutations (e.g., deletion of chromosome 1p36, [7][8][9] altered expression of ALK, 10 PHOX2B) epigenetics, 9,11 ploidy 12 and age 13 have been identified. In the mid-1980s, the clinical and prognostic role of the proto-oncogene MYCN encoding for the protein N-Myc (v-myc myelocytomatosis viral related oncogene, neuroblastoma derived (avian)) was first described.…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, as many as 20% of patients with high-risk neuroblastoma experience disease progression during or have an inadequate response to induction therapy [4]. Tumor response rates are also lower in adolescents and adults, who often have indolent, chemoresistant tumors compared to tumors in younger children that tend to be more responsive to chemotherapy [66,67]. Although the specific induction regimens currently in use differ between different cooperative groups, most currently employed induction regimens for high-risk neuroblastoma utilize a combination of anthracyclines, platinum-containing compounds, alkylating agents and topoisomerase II inhibitors.…”
Section: Inductionmentioning
confidence: 99%
“…Patients younger than 18 months of age have a much beter prognosis compared to the older patients [38,39], especially for patients between 12 and 18 months of age with biologically favorable disease. Older children, adolescents and young adults have a more indolent course and far worse outcomes [40].…”
Section: Iniltration Of Adjacent Organs/structuresmentioning
confidence: 99%