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Table 1 Treatment strategies and outcomes of 8 patients with brain metastasis

From: Brain metastasis in children with stage 4 neuroblastoma after multidisciplinary treatment

Patient no.

Metastatic site

Surgery

Radiotherapy

Chemotherapy

Outcome

1

Bilateral cerebral hemisphere, right temporal lobe

No

32.4 Gy

IFO + VM26, 4 cycles

Died

2

Right frontal lobe

Partial resection

25.4 Gy

TMZ + CPT-11, 2 cycles; VIP, 5 cycles

Died

3

Bilateral frontal lobes

No

25.2 Gy

No

Died

4

Right temporal lobe

Complete resection

27.0 Gy whole brain cranial irradiation + 30.0 Gy localized irradiation

CPT-11 + TMZ, 6 cycles; CPT-11 + Bevacizumab, 1 cycle

Currently alive for 47 months

5

Right frontal lobe, left cerebellum, left frontal lobe, spinal cord

Partial resection of the right frontal lobe

30.0 Gy localized irradiation + 30.0 Gy spinal cord irradiation

CPT-11 + TMZ, 2 cycles; CPT-11 + Nedaplatin + VCR, 5 cycles

Currently alive for 29 months

6

Left cerebellum, medulla

No

30.0 Gy localized irradiation

CPT-11 + VCR + TMZ, 4 cycles; VIP, 1 cycle

Still alive for 30 months

7

Left frontal lobe

No

No

CPT-11 + TMZ, 1 cycle

Died

8

Left parietal lobe

No

No

CPT-11 + TMZ, 2 cycles; CPT-11 + Bevacizumab, 1 cycle

Died

  1. IFO ifosfamide, VM26 teniposide, TMZ temozolomide, CPT-11 irinotecan, VIP etoposide, ifosfamide, and cisplatinum, VCR vincristine.