2005
DOI: 10.1200/jco.2005.07.145
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Predictive Value of the Pretreatment Extent of Disease System in Hepatoblastoma: Results From the International Society of Pediatric Oncology Liver Tumor Study Group SIOPEL-1 Study

Abstract: PRETEXT has moderate accuracy with a tendency to overstage patients, shows good interobserver agreement (reproducibility), shows superior predictive value for survival, offers the opportunity to monitor the effect of preoperative therapy, and can also be applied in patients who have not had operations. For comparability reasons, we recommend that all HB patients included in trials also be staged according to PRETEXT.

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Cited by 194 publications
(153 citation statements)
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References 17 publications
(18 reference statements)
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“…All groups contributed to HB management collecting data that have been used to associate clinical characteristics with different disease outcomes. Some characteristics that predict for worse outcomes, the 'poor' prognostic factors, have been identified across groups, such as metastatic disease at enrollment [12][13][14][15]; however, some risk factors achieved statistical significance in certain group studies, while remaining non-significant in others [12][13][14][15].…”
Section: Prevalence and Clinical Features Of Hepatoblastomasmentioning
confidence: 99%
“…All groups contributed to HB management collecting data that have been used to associate clinical characteristics with different disease outcomes. Some characteristics that predict for worse outcomes, the 'poor' prognostic factors, have been identified across groups, such as metastatic disease at enrollment [12][13][14][15]; however, some risk factors achieved statistical significance in certain group studies, while remaining non-significant in others [12][13][14][15].…”
Section: Prevalence and Clinical Features Of Hepatoblastomasmentioning
confidence: 99%
“…A lettering system further indicates extrahepatic involvement. This staging system has been useful in determining treatment plans and offers good prognostic value for overall and disease-free survival outcomes [41,42].…”
Section: Stagingmentioning
confidence: 99%
“…The samples from inked margins of resection and gross vascular involvement (portal vein or hepatic vein-inferior vena cava) should be submitted, and the site and extent of macroscopic vascular invasion should be carefully documented. In our attempts to validate the preoperative PRETEXT and POST-TEXT grouping of the tumor, the pathologist should document which Couinaud segments of the liver are pathologically involved by the tumor 79 (Figures 5 and 6). In multifocal tumors, the size and segment location of all tumor nodules should be reported; this is especially important in helping to identify the location of any nodules found on pathologic evaluation that were not radiographically apparent on preoperative imaging.…”
Section: Immunohistochemistry and Other Ancillary Studiesmentioning
confidence: 99%