1999
DOI: 10.1056/nejm199910143411601
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Treatment of High-Risk Neuroblastoma with Intensive Chemotherapy, Radiotherapy, Autologous Bone Marrow Transplantation, and 13-cis-Retinoic Acid

Abstract: Treatment with myeloablative therapy and autologous bone marrow transplantation improved event-free survival among children with high-risk neuroblastoma. In addition, treatment with 13-cis-retinoic acid was beneficial for patients without progressive disease when it was administered after chemotherapy or transplantation.

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Cited by 1,722 publications
(1,468 citation statements)
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References 29 publications
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“…Although several cytogenetic aberrations linked to poor neuroblastoma prognosis have been identified, at the gene level amplification of MYCN is the only aberration that strongly associates with advanced disease, which in turn associates with activated MYC signaling and an immature phenotype . The fully disseminated disease, Stage 4, is highly aggressive and the overall survival of children with this disease stage is less than 40% (Matthay et al 1999). …”
Section: Differential Tumor Hif Expression In Relation To Patient Outmentioning
confidence: 99%
“…Although several cytogenetic aberrations linked to poor neuroblastoma prognosis have been identified, at the gene level amplification of MYCN is the only aberration that strongly associates with advanced disease, which in turn associates with activated MYC signaling and an immature phenotype . The fully disseminated disease, Stage 4, is highly aggressive and the overall survival of children with this disease stage is less than 40% (Matthay et al 1999). …”
Section: Differential Tumor Hif Expression In Relation To Patient Outmentioning
confidence: 99%
“…Cytotoxic therapies (doxorubicin, cyclophosphamide, etoposide, irinotecan and cisplatin) still play a major role in neuroblastoma treatment (Furman et al, 1999;Thompson et al, 1999Thompson et al, , 2001Houghton and Santana, 2002;Castel and Canete, 2004;Donfrancesco et al, 2004). Bone marrow or peripheral blood stem cell transplants appear to have some value increasing relapse-free survival, at least in some studies (Matthay et al, 1999;Valteau-Couanet et al, 2000;Imaizumi et al, 2001;Goldsby and Matthay, 2004). Differentiation agents and immunotherapies have also been seen to increase survival in patients having a complete or good partial response during induction therapy.…”
mentioning
confidence: 99%
“…MYCN amplification, 1p deletion, 17q gain) (Seeger et al, 1985;Caron et al, 1996;Bown et al, 1999) in the tumour cells are major adverse prognostic factors. For these patients long-term survival is seldom achieved despite intensive multimodal treatment (Matthay et al, 1999). The availability of repeated noninvasive assessment of treatment response could contribute to improved outcome for children with high-risk neuroblastoma by early evaluation of novel therapy and application of individualised treatment.…”
mentioning
confidence: 99%