Multimodality treatment for recurrent neuroblastoma in the central nervous system

Pediatr Blood Cancer. 2023 Apr;70(4):e30227. doi: 10.1002/pbc.30227. Epub 2023 Jan 31.

Abstract

Survival for patients with recurrent central nervous system (CNS) neuroblastoma remains poor. A single-institutional study demonstrated the potential of multimodality therapy, including compartmental intrathecal radioimmunotherapy (cRIT) with 131 I-3F8 or 131 I-8H9 to increase the survival of neuroblastoma patients with CNS relapse. However, not all patients are able to receive this therapy. We report three patients with CNS neuroblastoma who remain disease-free 3-9 years after receiving multimodality treatment without cRIT. Additional studies to identify patients most likely to benefit from cRIT are warranted.

Keywords: CNS relapse; neuroblastoma; radiation therapy.

MeSH terms

  • Central Nervous System
  • Central Nervous System Neoplasms* / therapy
  • Combined Modality Therapy
  • Humans
  • Neuroblastoma* / therapy
  • Radioimmunotherapy
  • Recurrence