The Predictive Value of Initial Cytostatic Response in Primary Unresectable Rhabdomyosarcoma in Children
DOI:
https://doi.org/10.3109/02841868909111184Keywords:
Rhabdomyosarcoma, children, chemotherapy response, prognosisAbstract
The relation between the initial tumour regression produced by chemotherapy and the later event-free survival was studied in a prospective multicentre study on soft-tissue sarcomas in children. The event-free survival rate in patients with complete remission after seven weeks of chemotherapy was 95%; in patients with incomplete tumour reduction of >2/3, 61%; and in patients with tumour reduction of <2/3 but >1/3, 31 %. Patients with partial remission at week 7, who achieved complete remission by week 16 after additional chemotherapy had an event-free survival rate of 64%. A multivariate analysis suggested that the response per unit of time was an important prognostic factor.