Aggressive multimodal treatment of pleuropulmonary blastoma.
Pleuropulmonary blastoma is a rare intrathoracic neoplasm almost solely confined to childhood. Survival is poor. The authors report 2 children with extensive intrathoracic disease who are long term survivors after multimodal therapy. Both children received multiagent neoadjuvant chemotherapy, followed by surgical resection to remove all gross tumor. Postoperative chemotherapy was given to both children; radiotherapy was also given in the second case because of a question of positive tumor margins. Experience supports the use of multimodal therapy, including an aggressive surgical approach in the potentially curative treatment of this tumor.
Parsons
S K
SK
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. sparsons@partners.org
Fishman
S J
SJ
Hoorntje
L E
LE
Jaramillo
D
D
Marcus
K C
KC
Perez-Atayde
A R
AR
Kozakewich
H P
HP
Grier
H E
HE
Shamberger
R C
RC
D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D008297:Male; D010997:Pleural Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D018202:Pulmonary Blastoma / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D011859:Radiography