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Benesch, M; Nemes, K; Neumayer, P; Hasselblatt, M; Timmermann, B; Bison, B; Ebetsberger-Dachs, G; Bourdeaut, F; Dufour, C; Biassoni, V; Morales La Madrid, A; Entz-Werle, N; Laithier, V; Quehenberger, F; Weis, S; Sumerauer, D; Siebert, R; Bens, S; Schneppenheim, R; Kool, M; Modena, P; Fouyssac, F; C Frühwald, M.
Spinal cord atypical teratoid/rhabdoid tumors in children: Clinical, genetic, and outcome characteristics in a representative European cohort.
Pediatr Blood Cancer. 2020; 67(1):e28022-e28022 Doi: 10.1002/pbc.28022
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Führende Autor*innen der Med Uni Graz
Benesch Martin
Co-Autor*innen der Med Uni Graz
Quehenberger Franz
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Abstract:
Case reports have portrayed spinal cord atypical teratoid/rhabdoid tumor (spATRT) as an aggressive form of ATRT. We conducted a retrospective European survey to collect data on clinical characteristics, molecular biology, treatment, and outcome of children with intramedullary spATRT. Scrutinizing a French national series and the European Rhabdoid Registry database, we identified 13 patients (median age 32 months; metastatic disease at diagnosis, n = 6). Systemic postoperative chemotherapy was administered to all patients; three received intrathecal therapy and six were irradiated (craniospinal, n = 3; local, n = 3). Median observation time was 8 (range, 1-93) months. Progression-free and overall survival rates at 1 and (2 years) were 35.2% ± 13.9% (26.4% ± 12.9%) and 38.5% ± 13.5% (23.1% ± 11.7%). Four patients (ATRT-SHH, n = 2; ATRT-MYC, n = 1; DNA methylation subgroup not available, n = 1) achieved complete remission (CR); two of them are alive in CR 69 and 72 months from diagnosis. One patient relapsed after CR and is alive with progressive disease (PD) and one died of the disease. Three patients (ATRT-MYC, n = 2; subgroup not available, n = 1) died after 7 to 22 months due to PD after having achieved a partial remission (n = 1) or stabilization (n = 2). Five patients (ATRT-MYC, n = 2; subgroup not available, n = 3) developed early PD and died. One patient (ATRT-MYC) died of intracerebral hemorrhage prior to response evaluation. Long-term survival is achievable in selected patients with spATRT using aggressive multimodality treatment. Larger case series and detailed molecular analyses are needed to understand differences between spATRT and their inracranial counterparts and the group of extradural malignant rhabdoid tumors. © 2019 Wiley Periodicals, Inc.
Find related publications in this database (using NLM MeSH Indexing)
Biomarkers, Tumor - genetics
Child -
Child, Preschool -
Combined Modality Therapy -
DNA Helicases - genetics
Female -
Follow-Up Studies -
Humans -
Infant -
Male -
Nuclear Proteins - genetics
Prognosis -
Retrospective Studies -
Rhabdoid Tumor - genetics
Rhabdoid Tumor - mortality
Rhabdoid Tumor - pathology
Rhabdoid Tumor - therapy
SMARCB1 Protein - genetics
Spinal Cord Neoplasms - genetics
Spinal Cord Neoplasms - mortality
Spinal Cord Neoplasms - pathology
Spinal Cord Neoplasms - therapy
Survival Rate -
Teratoma - genetics
Teratoma - mortality
Teratoma - pathology
Teratoma - therapy
Transcription Factors - genetics

Find related publications in this database (Keywords)
brain tumors
neuro-oncology
pediatric oncology
teratoid
rhabdoid tumors
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