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Вопросы гематологии/онкологии и иммунопатологии в педиатрии. 2017; 16: 15-22

Малоинвазивное хирургическое лечение детей с нейробластомой забрюшинной локализации

Андреев Е. С., Шаманская Т. В., Сухов М. Н., Талыпов С. Р., Грачев Н. С., Качанов Д. Ю., Ускова Н. Г., Терещенко Г. В., Амосова А. А., Озеров С. С., Варфоломеева С. Р.

https://doi.org/10.24287/1726-1708-2017-16-3-15-22

Аннотация

Нейробластома (НБ) - самая частая экстракраниальная опухоль детского возраста. Наиболее благоприятный прогноз имеют пациенты с локализованной стадией заболевания в возрасте до 1 года. В НМИЦ ДГОИ им. Дмитрия Рогачева эндохирургическое лечение в объеме радикального удаления опухоли забрюшинной локализации выполнено 39 больным. С медианой наблюдения 36 месяцев не отмечено ни одного случая развития локального рецидива заболевания. С учетом положительных результатов лапароскопическое удаление опухоли может быть рекомендовано в качестве операции выбора при локализованных формах НБ и отсутствии факторов хирургического риска, по данным визуализационных методов обследования, с учетом четко сформулированных показаний. Ключевые слова: нейробластома, дети, лапароскопия, лапароскопическая адреналэктомия.
Список литературы

1. Brodeur G.M., Castleberry R.P. Neuroblastoma. In: Pizzo, PA.; Poplack, DG., editors. Principles and Practice of Pediatric Oncology. 2. Philadelphia: J. B. Lippincott; 1993. p. 739-67.

2. Young J.L., Ries L.G., Silverberg E., et al. Cancerincidence, survival, andmortality for children younger than age 15 years. Cancer 1986; 58: 598-602. [PubMed: 3719551].

3. Look A.T., Hayes F.A., Shuster J.J., et al. Clinical relevance of tumor cell ploidy and N-myc gene amplification in childhood neuroblastoma: a Pediatric Oncology Group study. J Clin Oncol 1991; 9: 581-91 [PubMed: 2066755].

4. Seeger R.C., Brodeur G.M., Sather H., et al. Association of multiple copies of the N-myc oncogene with rapid progression of neuroblastomas. N Engl J Med. 1985; 313: 1111-6 [PubMed: 4047115]

5. Breslow N., McCann B. Statistical estimation of prognosis for children with neuroblastoma. Cancer Res 1971; 31: 2098-103 [PubMed: 5120301].

6. Colon N.C., Chung D.H. Neuroblastoma. Adv Pediatr 2011; 58 (1): 297-311.

7. Park J.R., Eggert A., Caron H. Neuroblastoma: biology, prognosis, and treatment. Hematol Oncol Clin North Am 2010; 24: 65-86 [PubMed: 20113896].

8. Kiely E. A technique for execision of abdominal and pelvic neuroblastomas. Ann R Coll Surg Engl 2007; 89: 342-8.

9. Davidoff A.M. Neuroblastoma. Semin Pediatr Surg 2012; 21 (1): 2-14.

10. Douglas R. Outcome After Surgery Alone or With Restricted Use of Chemotherapy for Patients With Low-Risk Neuroblastoma: Results of Children’s Oncology Group Study P9641. J Clin Oncol 2012; 30: 1842-8.

11. Kelleher C.M. Clinical outcomes in children with adrenal neuroblastoma undergoing open versus laparoscopic adrenalectomy. J Pediatr Surg 2013; 48: 1727-32.

12. Lacreuse I., Stéphane, Valla J. Thoracoscopic resection of neurogenic tumors in children. J Pediatr Surg 2007: 42: 1725-8.

13. Iwanaka T., et al. Surgical treatment for abdominal neuroblastoma in the laparoscopic era. Surg Endosc 2001; 15 (7): 751-4.

14. Yamomoto H. Laparoscopic surgery for neuroblastoma identified by mass screening. J Pediatr Surg 1996; 3 1(3): 385-8.

15. Shimada H., Umehara S., Monobe Y., et al. International neuroblastoma pathology classification for prognostic evaluation of patients with peripheral neuroblastic tumors: a report from the Children’s Cancer Group. Cancer 2001; 92: 2451-61 [PubMed: 11745303].

16. Hervé J.B., et al. Guidelines for Imaging and Staging of Neuroblastic Tumors: Consensus Report from the International Neuroblastoma Risk Group Project. Radiology 2011; 261 (1): 243-57.

Pediatric Hematology/Oncology and Immunopathology. 2017; 16: 15-22

Minimally invasive surgery treatment of children with abdominal neuroblastoma

Andreev E. S., Shamanskaya T. V., Sukhov M. N., Talypov S. R., Grachev N. S., Kachanov D. Y., Uskova N. G., Tereshenko G. V., Amosova A. A., Ozerov S. S., Varfolomeeva S. R.

https://doi.org/10.24287/1726-1708-2017-16-3-15-22

Abstract

Neuroblastoma is the most common extracranial solid tumor of pediatrics, with the most favorable prognosis in children under 1 year. In the Dmitry Rogachev National Research Centre of Pediatric  Hematology, Oncology and Immunology radical endosurgical treatment of the neuroblastoma abdominal  localization received 39 patients. Local relapses were not observed with the median follow-up time of 36  months. Due to the positive results of endosurgical procedures laparoscopic approach may be the procedure of choice for localized forms of abdominal neuroblastoma without image-defined risk factors.

References

1. Brodeur G.M., Castleberry R.P. Neuroblastoma. In: Pizzo, PA.; Poplack, DG., editors. Principles and Practice of Pediatric Oncology. 2. Philadelphia: J. B. Lippincott; 1993. p. 739-67.

2. Young J.L., Ries L.G., Silverberg E., et al. Cancerincidence, survival, andmortality for children younger than age 15 years. Cancer 1986; 58: 598-602. [PubMed: 3719551].

3. Look A.T., Hayes F.A., Shuster J.J., et al. Clinical relevance of tumor cell ploidy and N-myc gene amplification in childhood neuroblastoma: a Pediatric Oncology Group study. J Clin Oncol 1991; 9: 581-91 [PubMed: 2066755].

4. Seeger R.C., Brodeur G.M., Sather H., et al. Association of multiple copies of the N-myc oncogene with rapid progression of neuroblastomas. N Engl J Med. 1985; 313: 1111-6 [PubMed: 4047115]

5. Breslow N., McCann B. Statistical estimation of prognosis for children with neuroblastoma. Cancer Res 1971; 31: 2098-103 [PubMed: 5120301].

6. Colon N.C., Chung D.H. Neuroblastoma. Adv Pediatr 2011; 58 (1): 297-311.

7. Park J.R., Eggert A., Caron H. Neuroblastoma: biology, prognosis, and treatment. Hematol Oncol Clin North Am 2010; 24: 65-86 [PubMed: 20113896].

8. Kiely E. A technique for execision of abdominal and pelvic neuroblastomas. Ann R Coll Surg Engl 2007; 89: 342-8.

9. Davidoff A.M. Neuroblastoma. Semin Pediatr Surg 2012; 21 (1): 2-14.

10. Douglas R. Outcome After Surgery Alone or With Restricted Use of Chemotherapy for Patients With Low-Risk Neuroblastoma: Results of Children’s Oncology Group Study P9641. J Clin Oncol 2012; 30: 1842-8.

11. Kelleher C.M. Clinical outcomes in children with adrenal neuroblastoma undergoing open versus laparoscopic adrenalectomy. J Pediatr Surg 2013; 48: 1727-32.

12. Lacreuse I., Stéphane, Valla J. Thoracoscopic resection of neurogenic tumors in children. J Pediatr Surg 2007: 42: 1725-8.

13. Iwanaka T., et al. Surgical treatment for abdominal neuroblastoma in the laparoscopic era. Surg Endosc 2001; 15 (7): 751-4.

14. Yamomoto H. Laparoscopic surgery for neuroblastoma identified by mass screening. J Pediatr Surg 1996; 3 1(3): 385-8.

15. Shimada H., Umehara S., Monobe Y., et al. International neuroblastoma pathology classification for prognostic evaluation of patients with peripheral neuroblastic tumors: a report from the Children’s Cancer Group. Cancer 2001; 92: 2451-61 [PubMed: 11745303].

16. Hervé J.B., et al. Guidelines for Imaging and Staging of Neuroblastic Tumors: Consensus Report from the International Neuroblastoma Risk Group Project. Radiology 2011; 261 (1): 243-57.