A focal lesion in the falx cerebri: Harbinger of classic stage 4 neuroblastoma in an infant cured despite residual disease after minimal therapy Journal Article


Authors: Kushner, B. H.; Kramer, K.; Modak, S.; Akhurst, T. J.; Cheung, N. K. V.
Article Title: A focal lesion in the falx cerebri: Harbinger of classic stage 4 neuroblastoma in an infant cured despite residual disease after minimal therapy
Abstract: An asymptomatic 11 weeks old received no treatment after he was classified as having a suspected atypical form of MYCN-nonamplified hyperdiploid stage 4S neuroblastoma (NB), with masses in an adrenal gland, subcutaneous tissues, and the falx cerebri. Within 2 months, however, disease progressed in dura and bone marrow. Two cycles of low-dose chemotherapy achieved a partial response; treatment was discontinued. Complete remission was documented 24 weeks post-cycle 2, and has continued >6 years. The falx cerebri probably does not represent an atypical site for stage 4S NB, but stage 4 NB with favorable biology is sometimes curable with minimal therapy. © 2009 Wiley-Liss, Inc.
Keywords: treatment response; disease-free survival; genetics; histopathology; case report; doxorubicin; disease free survival; cancer staging; nuclear magnetic resonance imaging; antineoplastic agent; neoplasm staging; carboplatin; metastasis; bone marrow; skin neoplasms; etoposide; antineoplastic combined chemotherapy protocols; cyclophosphamide; pathology; skin tumor; diagnostic agent; radioactive iodine; iodine radioisotopes; infant; meningeal neoplasms; neuroblastoma; minimal residual disease; neoplasm, residual; scintiscanning; (3 iodobenzyl)guanidine; (3 iodobenzyl)guanidine i 123; 3-iodobenzylguanidine; remission; remission induction; meningioma; femur; aneuploidy; falx cerebri; mibg; minimal therapy; adrenal tumor; femur tumor; dura mater; adrenal gland neoplasms
Journal Title: Pediatric Blood and Cancer
Volume: 53
Issue: 7
ISSN: 1545-5009
Publisher: Wiley Periodicals, Inc  
Date Published: 2009-12-15
Start Page: 1340
End Page: 1342
Language: English
DOI: 10.1002/pbc.22243
PUBMED: 19711437
PROVIDER: scopus
PMCID: PMC4079037
DOI/URL:
Notes: --- - "Export Date: 30 November 2010" - "CODEN: PBCEA" - "Source: Scopus"
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Brian Kushner
    311 Kushner
  2. Nai-Kong Cheung
    648 Cheung
  3. Kim Kramer
    236 Kramer
  4. Shakeel Modak
    249 Modak
  5. Timothy J Akhurst
    139 Akhurst