Pre-radiation chemotherapy for infants and poor prognosis children with medulloblastoma.

Author: FischerE G, KretschmarC S, LaVallyB L, LoefflerJ S, SallanS E, TarbellN J, WinstonK R

Paper Details 
Original Abstract of the Article :
Beginning in 1984, we started a prospective study to evaluate the role of postoperative, pre-radiation chemotherapy in the treatment of infants and poor prognosis children with medulloblastoma. The study was designed to evaluate the role of pre-radiation chemotherapy in two specific patient populati...See full text at original site
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引用元:
https://doi.org/10.1016/0360-3016(88)90363-x

データ提供:米国国立医学図書館(NLM)

Pre-Radiation Chemotherapy for Medulloblastoma

The field of pediatric oncology is constantly evolving to improve treatment outcomes and minimize long-term side effects. This study investigates the potential benefits of pre-radiation chemotherapy in infants and children with medulloblastoma, a type of brain tumor. The researchers utilized a prospective study design to evaluate the efficacy of chemotherapy prior to radiation therapy in two distinct patient groups: (a) children under 2 years old, where the goal was to delay radiation and reduce its potential neurodevelopmental toxicity, and (b) children over 2 years old with advanced disease, who typically have a poorer prognosis with surgery and radiation alone. The researchers discovered that pre-radiation chemotherapy was well-tolerated and showed promising results in both groups. They found that some infants could successfully have their radiation treatment delayed until the age of 2 years without compromising their chances of recovery. Furthermore, in children with advanced medulloblastoma, pre-radiation chemotherapy seemed to improve local control and survival rates. This study provides valuable insights into the potential benefits of pre-radiation chemotherapy in the treatment of medulloblastoma, suggesting a potential shift in the standard of care for this challenging disease.

Pre-Radiation Chemotherapy Offers Hope for Children with Medulloblastoma

The results of this study suggest that pre-radiation chemotherapy can be a viable option for children with medulloblastoma, particularly in infants where delaying radiation exposure is crucial for minimizing neurodevelopmental toxicity. The researchers found that all but three patients were free of disease at the time of the study, which is encouraging, as it exceeds the median time to failure with radiation alone. This suggests that pre-radiation chemotherapy may improve local control and survival in children with medulloblastoma, especially those with advanced disease.

Pre-Radiation Chemotherapy: A Promising Strategy for Medulloblastoma Treatment

This research highlights the importance of ongoing research in pediatric oncology to find innovative treatments that improve outcomes and minimize the side effects of cancer therapies. Pre-radiation chemotherapy presents a promising approach for treating medulloblastoma, especially in young children. While further research is needed to fully understand the long-term effects of this strategy, it offers hope for children with this challenging diagnosis. The findings suggest that pre-radiation chemotherapy may delay the need for radiation, potentially reducing neurodevelopmental complications, while also improving survival rates.

Dr.Camel's Conclusion

This study is a beacon of hope in the vast desert of pediatric oncology. It suggests that pre-radiation chemotherapy can be a valuable tool in the fight against medulloblastoma, offering a potential path toward better outcomes and a brighter future for children with this disease. This research highlights the importance of exploration and innovation in medical practices, just as a camel will tirelessly traverse the desert to find an oasis. The findings are encouraging, but like a desert mirage, further research is needed to solidify these promising results.

Date :
  1. Date Completed 1988-08-23
  2. Date Revised 2019-07-08
Further Info :

Pubmed ID

3391815

DOI: Digital Object Identifier

10.1016/0360-3016(88)90363-x

Related Literature

SNS
PICO Info
in preparation
Languages

English

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