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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1992-1-28
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pubmed:abstractText |
Since there is little information regarding the possible prognostic significance of tumor rupture in localized neuroblastoma, we have analyzed the clinical courses of 163 children registered from 1979-1990 in 12 italian pediatric oncology Centers participating in the Neuroblastoma Cooperative Group of the A.I.E.O.P. (Italian Association for Paediatric Haematology-Oncology). Ten instances (6%) of tumor rupture were described. Ruptures occurred preoperatively in one child, during the operation in 9; among these 9, two were provoked by the surgeon to allow radical tumor excision, 7 were accidental. Of these 10 children, 7 relapsed at 3-25 months (median, 8 months) from diagnosis. Relapses were local in 5 children (2 of the 5 died), disseminated in one (who died), local + disseminated in one (presently alive with disease). Two local relapses were followed by bony or haematologic spread at 4 and 8 months, respectively. Of the 7 children who relapsed, 2 are alive in complete remission at 29, 100 months, respectively; two are alive with disease at 3 and 65 months, 3 died at 8, 15 and 24 months, respectively. We conclude that rupture of a localized neuroblastoma is a factor predisposing to relapse and may compromise the chance of cure. The surgeon should be aware of the risks connected with this complication and make any effort to avoid it.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0391-5387
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
359-63
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1754468-Abdominal Neoplasms,
pubmed-meshheading:1754468-Child,
pubmed-meshheading:1754468-Child, Preschool,
pubmed-meshheading:1754468-Female,
pubmed-meshheading:1754468-Humans,
pubmed-meshheading:1754468-Infant,
pubmed-meshheading:1754468-Male,
pubmed-meshheading:1754468-Neoplasm Recurrence, Local,
pubmed-meshheading:1754468-Neuroblastoma,
pubmed-meshheading:1754468-Prognosis,
pubmed-meshheading:1754468-Rupture, Spontaneous,
pubmed-meshheading:1754468-Thoracic Neoplasms
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pubmed:articleTitle |
[Neuroblastoma. Tumor rupture as an unfavorable prognostic factor].
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pubmed:affiliation |
Clinica Pediatrica, Istituto Burlo Garofalo, Trieste, Italia.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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