Neuroblastoma has a notorious reputation among solid tumorsof childhood because of its frequently massive and widespreadtumor burden. Yet stage for stage, this embryonal neoplasm ofthe sympathetic nervous system has become the most curable ofthe common pediatric solid tumors.1 More than 90% of patientswith localized neuroblastomas, including those with spread tothe regional lymph nodes, will survive, often with little orno cytotoxic therapy. Rates of cure of metastatic neuroblastomaexceed 90% among infants (who are usually treated with low-dosechemotherapy) and are approximately 25% among toddlers; in contrast,osteomedullary metastases associated with other pediatric solid. . . [Full Text of this Article]
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From the Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York.
This article (10.1056/NEJMe0802701) was published at www.nejm.org on May 7, 2008.
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