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Pediatric Malignancies

IORT Alone or With EBRT

  • Chapter
Intraoperative Irradiation

Part of the book series: Current Clinical Oncology ((CCO))

Abstract

In pediatric tumors, local control when combined with intensive adjuvant systemic therapy often leads to long-term survival. In other words, because of greater sensitivity of systemic disease to chemotherapy, local control becomes of greater importance than in many adult malignancies. For example, in adult pancreatic cancer, improved local control does not translate into improved survival due to the high rate of systemic failure because of inadequate chemotherapy whereas an approximately 30% 5-year survival is seen in pediatric group IV rhabdomyosarcoma patients (1) and in metastatic Ewing’s sarcoma patients (2).

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References

  1. Crist W, Gehan EA, Ragab AH, et al. The third intergroup rhabdomyosarcoma study, J. Clin. Oncol., 13 (1995) 610–630.

    PubMed  CAS  Google Scholar 

  2. Cangir A, Vietti TJ, Gehan EA, et al. Ewing’s sarcoma metastatic at diagnosis, Cancer, 66 (1990) 887–893.

    Article  PubMed  CAS  Google Scholar 

  3. Neuhauser EDB, Wittenborg MH, Berman LZ, and Cohen J. Irradiation effects of roentgen therapy on the growing spine, Radiology, 59 (1952) 637–650.

    PubMed  CAS  Google Scholar 

  4. Goldwein JW and Meadows AT. Influence of radiation on growth in pediatric patients, Clinics in Plastic Surgery, 20 (1993) 455–464.

    PubMed  CAS  Google Scholar 

  5. Gurney JG, Davis S, Severson RK, Fang JY, Ross JA, and Robison LL. Trends in cancer incidence among children in the U.S., Cancer, 78 (1996) 532–541.

    Article  PubMed  CAS  Google Scholar 

  6. Crist WM, Raney RB, Tefft M, et al. Soft tissue sarcomas arising in the retroperitoneal space in children, Cancer, 56 (1985) 2125–2132.

    Article  PubMed  CAS  Google Scholar 

  7. Halperin EC, Kun LE, Constine LS, and Tarbell NJ. Neuroblastoma in Pediatric Radiation Oncology,Raven, New York, pp. 134–60.

    Google Scholar 

  8. Garaventa A, DeBernardi B, Pianca C, et al. Localized but unresectable neuroblastoma: Treatment and outcome of 145 cases, J. Clin. Oncol., 11 (1993) 1770–1779.

    PubMed  CAS  Google Scholar 

  9. Castleberry RP, Kun LE, Shuster JJ, et al. Radiotherapy improves the outlook for patients older than 1 year with Pediatric Oncology Group stage C neuroblastoma, J. Clin. Oncol., 9 (1991) 789–795.

    PubMed  CAS  Google Scholar 

  10. DeMaria JE, Hardy BE, Brezinski A, and Churchill BM. Renal transplantation in patients with bilateral Wilms’ tumor, J. of Ped. Surg., 14 (1979) 577–579.

    Article  CAS  Google Scholar 

  11. Exelby PR, Filler RM, and Grosfeld JL. Liver tumors in children in the particular reference to hepatoblastoma and heptocellular carcinoma: American Academy of pediatrics surgical section survey, 1974, J. Ped. Surg., 10 (1975) 329–337.

    Article  CAS  Google Scholar 

  12. Shafer AD and Selinkoff PM. Preoperative irradiation and chemotherapy for initially unresectable hepatoblastoma, J. Ped. Surg., 12 (1997) 1001–1007.

    Article  Google Scholar 

  13. Habrand JL, Nehme D, Kalifa C, et al. Is there a place for radiation therapy in the management of hepatoblastomas and hepatocellular carcinomas in children?, Int. J. Radiat. Onc. Biol. Phys., 23 (1992) 525–531.

    Article  CAS  Google Scholar 

  14. Haase GM, Meagher Jr DP, McNeely LK, et al. Electron beam intraoperative radiation therapy for pediatric neoplasms, Cancer, 74 (1994) 740–747.

    Article  PubMed  CAS  Google Scholar 

  15. Friesen RH, Morrison Jr JE, Verbrugge JJ, et al. Anesthesia for intraoperative radiation therapy in children, J. Surg. Oncol., 35 (1987) 96–98.

    Article  PubMed  CAS  Google Scholar 

  16. Harrison LB, Enker WE, and Anderson LL. Part 1: High-dose-rate intraoperative radiation therapy for colorectal cancer; Part 1, Oncology, 9 (1995) 679–683.

    PubMed  CAS  Google Scholar 

  17. Harrison LB, Enker WE, and Anderson LL. High-dose-rate intraoperative radiation therapy for colorectal cancer. In: Part 2, technical aspects of brachytherapy/remote afterloader, Oncology,9 (1995) 737–740.

    Google Scholar 

  18. Schomberg PJ, Gunderson LL, Moir CR, Gilchrist GS, and Smithson WA. Intraoperative electron irradiation in the management of pediatric malignancies, Cancer, 79 (1997) 2251–2256.

    Article  PubMed  CAS  Google Scholar 

  19. Halberg FE, Harrison MR, Salvatierra O, Longaker MT, Wara WM, and Phillips Tl. Intraoperative radiation therapy for Wilms’ tumor in situ or ex vivo, Cancer, 67 (1991) 2839–2843.

    Article  PubMed  CAS  Google Scholar 

  20. Ohnuma N, Takahashi H, Tanabe M, Yoshida H, Iwai J, and Iwakawa M. Multimodal therapy combined with intraoperative radiation therapy for malignant abdominal tumor in children. Proceedings of 3rd International Symposium on IORT Kyoto Nov 1990.

    Google Scholar 

  21. Matsuura K, Ogata T, Araki K, Inomata T, and Nishioka A. Intraoperative radiation therapy for advanced abdominal neuroblastoma and Wilms’ tumor. International Congress of Radiation Oncology 1993. Kyoto, Japan p. 360.

    Google Scholar 

  22. Maeno T, Kamata R, Sanuke E, et al. IORT for advanced neuroblastoma. Proceedings of 3rd International Symposium on IORT Kyoto Nov. 1990.

    Google Scholar 

  23. Masaki H, Saeki M, Tsuchida Y, et al. Intraoperative radiation therapy for advanced neuroblastoma. Proceedings of 3rd International Symposium on IORT Kyoto Nov 1990.

    Google Scholar 

  24. Aitken DR, Hopkins A, Archambeau JO, et al. Intraoperative radiotherapy in the treatment of neuroblastoma: report of a pilot study, Annals. of Surg. Oncol., 2 (1995) 343–350.

    Article  CAS  Google Scholar 

  25. Mugishima H, Harada K, Suzuke T, et al. Comprehensive treatment of advanced neuroblastoma involving autologous bone marrow transplant, Acta. Paediatrica. Japonica., 37 (1995) 493–494.

    Article  PubMed  CAS  Google Scholar 

  26. August CS, Serota FT, Kock PA, et al. Treatment of advanced neuroblastoma with supraletheral chemotherapy, radiation, and allogeneic or autologous marrow re constitution, J. Clin. Oncol., 2 (1984) 609–616.

    PubMed  CAS  Google Scholar 

  27. Philip T, Bernard JL, Aucher JM, et al. High dose chemoradiotherapy with bone marrow transplantation as consolidation treatment in neuroblastoma: an unselected group of stage IV patients over one year of age, J. Clin. Oncol., 5 (1987) 266–271.

    PubMed  CAS  Google Scholar 

  28. Seeger RC, Moss TJ, Feig SA, et al. Bone marrow transplantation for poor prognosis neuroblastoma. In Evans AE, D’Angio GJ, and Seeger RC (eds.), Advances in neuroblastoma research. New York, Liss, (1988) pp. 203–213.

    Google Scholar 

  29. Yamamuro T and Kotoura Y. Intraoperative radiation therapy for osteosarcoma. In Humphrey GB, Koops HS, Molenaar WM, and Postma A (eds.), Osteosarcoma in adolescents and young adults: new developments and controversies, Boston (1993) Kluwer Academic Publishers, pp. 177–183.

    Chapter  Google Scholar 

  30. Ritchey ML, Gunderson LL, Smithson WA, et al. Pediatric urological complications with intraoperative radiation therapy, J. of Urol., 143 (1990) 89–91.

    CAS  Google Scholar 

  31. Nag S, Olson T, Ruymann F, Teich S, and Pieters R. High-dose-rate brachytherapy in childhood sarcomas: a local control strategy preserving bone growth and function, Med. Pediatr. Oncol., 25 (1995) 463–469.

    Article  PubMed  CAS  Google Scholar 

  32. Merchant TE, Zelefsky MJ, Sheldon JM, LaQuaglia MB, and Harrison LB. High-dose rate intraoperative radiation therapy for pediatric solid tumors, Med. Pediatr. Oncol., 30 (1998) 34–39.

    Article  PubMed  CAS  Google Scholar 

  33. Merchant TE, Zelefsky MJ, Sheldon JM, LaQuaglia MB, and Harrison LB. High-dose rate intraoperative radiation therapy for pediatric solid tumors, Radiother. Oncol., 39 (SI) (1996) 17.

    Article  Google Scholar 

  34. Schuck A, Rube Ch, Hillmann A, Paulussen M, et al. Intraoperative high dose rate brachytherapy after preoperative radiochemotherapy in the treatment of Ewing’s sarcoma, personal communication.

    Google Scholar 

  35. Scheding S, Media JE, KuKuruga MA, and Nakeff A. In situ radiation sensitivity of recombinant human granulocyte colony stimulating factor recruited murine circulating blood and bone marrow progenitors: evidence for possible biologic differences between mobilized blood and bone marrow, Blood, 88 (1996) 472–478.

    PubMed  CAS  Google Scholar 

  36. Douglas RM, Beatty J, Gall K, Valenzuela RF, et al. Dosimetric results from a feasibility study of a novel radiosurgical source for irradiation of intracranial metastases, Int. J. Radiat. Oncol. Biol. Phys., 36 (1996) 443–450.

    Article  PubMed  CAS  Google Scholar 

  37. Maurer HM. Intergroup rhabdomyosarcoma study V: A pilot study of vincristine (VCR), actinomycindD (AMD), and escalating dose cyclophosphamide (CTX) therapy for children with localized rhabdomyosarcoma in increased risk of relapse and metastatic rhabdomyosarcoma with a parameningeal site. Protocol activation date: January 24, 1997.

    Google Scholar 

  38. Maurer HM, Gehan EA, Beltangady M, et al. The intergroup rhabdomyosarcoma study-II, Cancer, 71 (1993) 1904–1922.

    Article  PubMed  CAS  Google Scholar 

  39. Garton GR, Gunderson LL, Webb MJ, et al. Intraoperative irradiation in gynecologic cancer: the Mayo Clinic experience, Gynecol. Oncol., 48 (1993) 328–332.

    Article  PubMed  CAS  Google Scholar 

  40. Stelzer K, Koh W, Greer B, et al. Intraoperative electron beam therapy (IOERT) as an adjunct to radical surgery for recurrent cancer of the cervix. In Schieldberg GW, Willich N, and Kramling H (eds.), Intraoperative radiation therapy, Essen: Verlag Die Blaue (1993), 411–414.

    Google Scholar 

  41. Willett CG, Shellito PC, Tepper JE, et al. Intraoperative electron beam radiation therapy for recurrent locally advanced rectal and rectosigmoid carcinoma, Cancer, 67 (1991) 1504–1508.

    Article  PubMed  CAS  Google Scholar 

  42. Gunderson LL, Nelson H, Martenson JA, et al. Intraoperative electron and external beam irradiation ± 5FU and maximal surgical resection for previously unirradiated locally recurrent colorectal cancer, Dis. Col. Rect., 39 (1996) 1379–1395.

    Article  CAS  Google Scholar 

  43. Willett CG, Suit HD, Tepper JE, et al. Intraoperative electron beam radiation therapy for retroperitoneal soft tissue sarcoma, Cancer, 68 (1991) 278–283.

    Article  PubMed  CAS  Google Scholar 

  44. Gunderson LL, Nagorney DM, Mcllrath DC, et al. External beam and intraoperative electron irradiation for locally advanced soft tissue sarcomas, Int. J. Radiat. Oncol. Biol. Phys., 25 (1993) 647–656.

    Article  PubMed  CAS  Google Scholar 

  45. Petersen IP, Haddock MG, Donohue JH, et al. Use of intraoperative electron beam radiation therapy (IOERT) in the management of retroperitoneal and pelvic soft tissue sarcomas, ASTRO abstracts, Int. J. Radiat. Oncol. Biol. Phys., 36 (Suppl 1) (1996) 185.

    Article  Google Scholar 

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Schomberg, P.J., Merchant, T.E., Haase, G., Aristu, J. (1999). Pediatric Malignancies. In: Gunderson, L.L., Willet, C.G., Harrison, L.B., Calvo, F.A. (eds) Intraoperative Irradiation. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-696-6_25

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  • DOI: https://doi.org/10.1007/978-1-59259-696-6_25

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-5576-3

  • Online ISBN: 978-1-59259-696-6

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