An Infant With Medulloepithelioma Successfully Treated by High-dose Chemotherapy Followed by Autologous Peripheral Blood Stem Cell Transplantation Without Radiotherapy

An Infant With Medulloepithelioma Successfully Treated by High-dose Chemotherapy Followed by Autologous Peripheral Blood Stem Cell Transplantation Without Radiotherapy
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婴儿髓上皮瘤经大剂量化疗后自体外周血干细胞移植(无放疗)成功治愈

DOI:
10.1097/mph.0000000000000381
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发表时间:
2015
期刊:
J Pediatr Hematol Oncol
影响因子:
--
通讯作者:
Gomi A.
Gomi A.
中科院分区:
--
文献类型:
--
作者:
Hayase T;Morimoto A;Kawahara Y;Yagi M;Kanai N;Nobusawa S;Hirato J;Gomi A.

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摘要中枢神经系统髓样上皮瘤是一种罕见的原始神经外胚层肿瘤,多发生于儿童早期。报告的病例很少,最佳的治疗方法仍然未知。在这里,我们报告一例中枢神经系统髓样上皮瘤成功治疗高剂量化疗(HDCTX),随后自体干细胞移植(auto-SCT)无放疗。在发病后3.0年的最后一次随访中,患者存活,无复发迹象,发育正常。据我们所知,这是第一例经HDCTX/auto-PBSCT治疗无放疗的中枢神经系统髓样上皮瘤长期存活的病例。
Medulloepithelioma of the central nervous system (CNS) is a rare primitive neuroectodermal tumor characterized by highly malignant behavior occurring in early childhood. Few cases have been reported and optimal management remains unknown. Here, we report a case of CNS medulloepithelioma successfully treated with high-dose chemotherapy (HDCTX) followed by autologous stem cell transplantation (auto-SCT) without radiotherapy. At the last follow-up, 3.0 years after onset, the patient was alive with no sign of relapse and normal development. To the best of our knowledge, this is the first reported case of long-term survival of CNS medulloepithelioma treated by HDCTX/auto-PBSCT without radiotherapy.
脑肿瘤治疗后的继发性肿瘤。
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