Document Detail


Chemotherapy of central nervous system tumours in infants.
MedLine Citation:
PMID:  10550591     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The development of curative strategies for infants and children with central nervous system tumours or acute lymphoblastic leukaemia involve similar clinical research principles. Both areas of paediatric oncology research focus on cancers with a broad range of sensitivity to chemotherapy and radiation therapy, together with concerns about the neurodevelopmental, neuroendocrine and growth outcomes of survivors. These considerations have influenced the design of curative- intent treatments, strategies for successfully eradicating leptomeningeal disease, and the importance of anatomic and functional identification of residual disease. Unlike the situation with childhood leukaemia, the emotional barriers of pessimism or even nihilism previously evident towards infants with brain tumours have only begun to crumble during the past decade. The challenge to improve both the quality and overall survival of infants with CNS tumours described in this chapter is ours to meet as we move into the new millennium. This paper examines the development of 'infant' approaches to the treatment of CNS tumours, including a discussion of epidemiology, the reasons for avoiding or delaying radiation therapy, and traces the chemotherapy hypotheses tested over the past two decades in the process of developing potentially curative therapy. The reasons for the disappointing rate of progress compared with that in childhood leukaemia, despite similar clinical research paradigms, are discussed, and potential opportunities are identified.
Authors:
S J Kellie
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  15     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-11-30     Completed Date:  1999-11-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  592-612     Citation Subset:  IM    
Affiliation:
University of Sydney, The New Children's Hospital, Westmead, Sydney, New South Wales, Australia. stuartk@nch.edu.au
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / adverse effects,  therapeutic use*
Brain Neoplasms / drug therapy*,  epidemiology,  radiotherapy
Child, Preschool
Humans
Incidence
Infant
Models, Theoretical
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

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