Atypical teratoid rhabdoid tumor: long-term survival after chemoradiotherapy

Vivek Verma, Catrina P. Johnson, Nathan R. Bennion, Abhijeet R. Bhirud, Sicong Li, Rodney D McComb, Chi Lin

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Purpose: Atypical teratoid rhabdoid tumors (ATRTs) arise from the central nervous system largely in the pediatric population. They portend a very poor prognosis with few long-term survivors. We describe a series of five cases at our institution. Methods: We conducted a retrospective chart review and clinical follow-up. Results: Three patients underwent chemoradiation after surgical resection; the two patients whose caretakers declined this therapy passed away soon after diagnosis. Chemoradiation included intravenous and intrathecal chemotherapy as well as intensity-modulated radiotherapy after resection. Of the patients receiving chemoradiation, two patients had infratentorial tumors, two had gross residual tumor after resection, and two were under the age of 3 years. The three patients receiving trimodality therapy remain clinically and symptomatically disease-free with follow-up times of 44, 46, and 55 months. Two of the patients have mild neuropsychiatric sequelae after therapy. Conclusions: Long-term, high-volume trials of ATRT are currently not published. We offer experience in successful long-term survival of this tumor treated with chemoradiotherapy.

Original languageEnglish (US)
Pages (from-to)1393-1399
Number of pages7
JournalChild's Nervous System
Volume31
Issue number8
DOIs
StatePublished - Aug 27 2015

Keywords

  • Atypical teratoid rhabdoid tumor
  • Chemotherapy
  • Pediatric brain tumors
  • Radiotherapy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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