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Cited by 304

The DOI matches its Crossref record; 107 of the 107 references it cites were found in a registry or an index.

Neuroblastoma: clinical and biological approach to risk stratification and treatment

Open access
Tolbert, Vanessa P., Matthay, Katherine K.·2018·Cell and Tissue Research

Abstract

Neuroblastoma is the most common extra-cranial solid tumor of childhood and the most common in the first year of life. It is a unique malignancy in that infants often present with either localized or metastatic disease that can spontaneously regress without intervention while older children can succumb to the disease after months to years of arduous therapy. Given this wide range of outcomes, the International Neuroblastoma Risk Group was created to stratify patients based on presenting characteristics and tumor biology in order to guide intensity of treatment strategies. The goal has been to decrease therapy for low-risk patients to avoid long-term complications while augmenting and targeting therapies for high-risk patients to improve overall survival. The international risk stratification depends on age, stage, histology, MYCN gene amplification status, tumor cell ploidy and segmental chromosomal abnormalities. Treatment for asymptomatic low-risk patients with an estimated survival of > 98% is often observation or surgical resection alone, whereas intermediate-risk patients with an estimated survival of > 90% require moderate doses of response-adjusted chemotherapy along with resection. High-risk patients undergo multiple cycles of combination chemotherapy before surgery, followed by consolidation with myeloablative autologous hematopoietic stem cell transplantation and local radiation and finally immunotherapy with differentiation therapy as maintenance phase. With this approach, outcome for patients with neuroblastoma has improved, as the field continues to expand efforts in more targeted therapies for high-risk patients.

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Metadata

Authors
Tolbert, V. P., & Matthay, K. K.
Venue
Cell and Tissue Research
Published
2018-03-23
Volume
372
Issue
2
Pages
195-209
ISSN
  • 0302-766X (ISSN-L)
  • 1432-0878
OpenAlex
W2793376960
Cited by
304
References
107
FWCI
15.71
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Neuroblastoma: clinical and biological approach to risk stratification and treatment. https://app.cochat.ai/papers/10.1007/s00441-018-2821-2
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Tolbert, V. P., & Matthay, K. K. (2018). Neuroblastoma: clinical and biological approach to risk stratification and treatment. Cell and Tissue Research. https://doi.org/10.1007/s00441-018-2821-2

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