title: [Neuroblastoma IV-S. A multicenter study. Work Group of Pediatric Oncology. Spanish Society of Pediatric Surgery].
abstract: A retrospective multicentric study of 23 patients with stage IV-S neuroblastoma treated in 10 national Pediatric Surgery Departments between January 1988 and December 1992, is presented. All cases were classified as stage IV-S following staging criteria proposed by Evans et al. The age diagnosis was an average of 3 months. An acute clinical course was seen in 7 patients. Primary sites of the tumor were: adrenal gland in 6 patients (30.5%), abdominal paravertebral in 3 (13%) and unknown in 2 (9%). Distant tumor sites were: liver in 20 patients, bone marrow in 9, and skin in 5. There were not systematic therapeutic approach, in 16 cases (69%) the primary tumor was resected, 18 (78%) received chemotherapy, the liver was irradiated in 3 (13%), and 1 case (4%) received no treatment at all. One children died. The overall disease-free survival is 95.6% at 43 months post-diagnosis. A common treatment protocol is proposed, with systematic determination of N-myc oncogene which will indicate the appropriate therapy.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Infantil del Niño Jesús, Madrid.
authors.forename: V
authors.initials: V
authors.lastname: Rollán Villamarín
authors.forename: J
authors.initials: J
authors.lastname: García Aroca
authors.forename: E
authors.initials: E
authors.lastname: Costa Borrás
authors.forename: J
authors.initials: J
authors.lastname: Cuadros García
authors.forename: C
authors.initials: C
authors.lastname: Jiménez Alvarez
authors.forename: A
authors.initials: A
authors.lastname: Martínez-Caro
authors.forename: V
authors.initials: V
authors.lastname: Martínez Ibáñez
authors.forename: F
authors.initials: F
authors.lastname: Mulet Ferragut
authors.forename: P
authors.initials: P
authors.lastname: Obiols Arderius
authors.forename: G
authors.initials: G
authors.lastname: Pérez La Fuente
mesh_terms: D000008:Abdominal Neoplasms / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D000310:Adrenal Gland Neoplasms / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D002675:Child, Preschool; D003131:Combined Modality Therapy; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009362:Neoplasm Metastasis; D009367:Neoplasm Staging; D009447:Neuroblastoma / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D012189:Retrospective Studies; D013997:Time Factors
vernacular_title: Neuroblastoma IV-S. Estudio multicéntrico." Grupo de Trabajo de Oncología Pediátrica". Sociedad Española de Cirugía Pediátrica.