title: Clinical Characteristics and Outcomes of Pediatric Patients with Desmoplastic Small Round Cell Tumor.
abstract: Desmoplastic small round cell tumor (DSRCT) is a rare malignancy that typically affects pediatric and young adult patients. There are limited data on the clinical features of pediatric DSRCT. We selected patients aged 0-21 years reported to the Surveillance, Epidemiology and End Results Program from 1991-2011. We estimated overall survival using Kaplan-Meier approaches and compared outcomes using the log rank test. The median age of the 95 pediatric patients was 15.3 years (range: 0-21). The majority of tumors originated in the abdomen and pelvis (84.4%) and the majority of patients had distant metastasis (72.6%). A minority of patients received radiation (34%). Overall survival at 5 years was poor (18.1%; 95% confidence interval 10.1-27.9%). Radiation therapy was associated with superior survival. Pediatric patients with DSRCT have significant disease burden. Outcomes for children are poor, though patients selected for radiation appear to have improved survival.
authors.affiliation: Department of Pediatrics, School of Medicine and Benioff Children's Hospital, University of California , San Francisco, CA, USA.
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Bent
authors.affiliation: Department of Surgery, School of Medicine and Benioff Children's Hospital, University of California , San Francisco, CA, USA.
authors.forename: Benjamin E
authors.initials: BE
authors.lastname: Padilla
authors.affiliation: Department of Pediatrics, School of Medicine and Benioff Children's Hospital, University of California , San Francisco, CA, USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Goldsby
authors.affiliation: Department of Pediatrics, School of Medicine and Benioff Children's Hospital, University of California , San Francisco, CA, USA.
authors.forename: Steven G
authors.initials: SG
authors.lastname: DuBois
keywords: Sarcoma; desmoplastic small round cell tumor; outcomes; pediatrics