TY - JOUR
T1 - Epidural compression in neuroblastoma
T2 - Diagnostic and therapeutic aspects
AU - De Bernardi, Bruno
AU - Balwierz, Walentyna
AU - Bejent, Joanna
AU - Cohn, Susan L.
AU - Garrè, Maria Luisa
AU - Iehara, Tomoko
AU - Plantaz, Dominique
AU - Simon, Thorsten
AU - Angelini, Paola
AU - Cama, Armando
AU - London, Wendy B.
AU - Kramer, Kim
AU - Katzenstein, Howard M.
AU - Tortori-Donati, Paolo
AU - Rossi, Andrea
AU - D'Angio, Giulio J.
AU - Evans, Audrey E.
PY - 2005/10/18
Y1 - 2005/10/18
N2 - The involvement by tumour of intervertebral foramina and the consequent invasion of the spinal space, accompanied or not by neurological symptoms, represent a well-recognised pattern of presentation of neuroblastoma. The main peculiarity of this condition stands in the fact that, in case of its late detection or inadequate treatment, severe, permanent neurological compromise may ensue. Surprisingly enough, remarkable disagreements still exist regarding its optimal treatment and the related literature provide contrasting indications at this respect. The neurosurgical and the chemotherapeutic approaches have equally convinced supporters, while the use of radiation therapy is uncommon, possibly without good reasons. This mini-review intends to report the clinical experiences of the major Paediatric Oncology Groups with the aim to collect as many data as possible in the perspective of establishing common guidelines for proper diagnosing and treatment of this important complication.
AB - The involvement by tumour of intervertebral foramina and the consequent invasion of the spinal space, accompanied or not by neurological symptoms, represent a well-recognised pattern of presentation of neuroblastoma. The main peculiarity of this condition stands in the fact that, in case of its late detection or inadequate treatment, severe, permanent neurological compromise may ensue. Surprisingly enough, remarkable disagreements still exist regarding its optimal treatment and the related literature provide contrasting indications at this respect. The neurosurgical and the chemotherapeutic approaches have equally convinced supporters, while the use of radiation therapy is uncommon, possibly without good reasons. This mini-review intends to report the clinical experiences of the major Paediatric Oncology Groups with the aim to collect as many data as possible in the perspective of establishing common guidelines for proper diagnosing and treatment of this important complication.
KW - Epidural compression
KW - Late effects
KW - Neuroblastoma
KW - Spinal cord compression
UR - http://www.scopus.com/inward/record.url?scp=23944444260&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=23944444260&partnerID=8YFLogxK
U2 - 10.1016/j.canlet.2005.01.053
DO - 10.1016/j.canlet.2005.01.053
M3 - Article
C2 - 15975710
AN - SCOPUS:23944444260
SN - 0304-3835
VL - 228
SP - 283
EP - 299
JO - Cancer Letters
JF - Cancer Letters
IS - 1-2
ER -