The significance of the surgical treatment of neuroblastoma

Results of surgical treatment of 29 neuroblastoma patients between 1968 and 1980 are presented. 13 of these children have remained free from relapses and complaints for more than 2 years. Despite the progress in (immuno)chemotherapy and (immuno)radiotherapy the prognosis depends on the kind of surge...

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Bibliographic Details
Published inZeitschrift für Kinderchirurgie Vol. 37; no. 2; p. 56
Main Authors Grüssner, R, nii-Amon Kotei, D, Gutjahr, P, Hofmann-von Kap-herr, S
Format Journal Article
LanguageGerman
Published Germany 01.10.1982
Subjects
Abdominal Neoplasms - surgery
Child
Child, Preschool
Female
Germany, West
Humans
Infant
Male
Mediastinal Neoplasms - surgery
Neuroblastoma - mortality
Neuroblastoma - pathology
Neuroblastoma - surgery
Pelvic Neoplasms - surgery
Postoperative Complications
Spinal Neoplasms - surgery
Germany, West
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Summary:Results of surgical treatment of 29 neuroblastoma patients between 1968 and 1980 are presented. 13 of these children have remained free from relapses and complaints for more than 2 years. Despite the progress in (immuno)chemotherapy and (immuno)radiotherapy the prognosis depends on the kind of surgery performed, also and especially in stages III and IV (after Evans). Among the author's own patients it became evident that both the survival rate and the survival period were increased in the prognostically unfavourable cases by subtotal resection. No representative collective statistics are known and it will probably take quite some time before these can be compiled, since it is extremely difficult to evaluate the disease pattern. However, it appears meaningful to establish postoperative prognosis in accordance with the possibilities of surgical procedure. Hence we are offering a classification of postoperative prognoses which, in our opinion, is superior to that proposed by Evans.
ISSN:0174-3082