MODERN APPROACHES IN THE TREATMENT OF PATIENTS WITH RHABDOMYOSARCOMA OF THE URINOGENITAL SYSTEM

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Abstract

The modern approaches in the treatment of patients with rhabdomyosarcoma of the urinogenital system are discussed. Rhabdomyosarcoma (RMS) of the urinogenital system has benefited from near 30 years in more than 70% overall 5-year survival. Substantial progress has been made as a result of multi-center collaborative trials. Multimodahty treatment is based on risk stratification according to pretreatment stage, postoperative group, histology and site. Equivalent overall survival rates were reported in the last COG and SIOP trials, with worse event-free survival rates for bladder/prostate RMS in SIOP trials. The use of radiotherapy for local control was the main difference between COG and SIOP trials. Surgery is used to diagnose RMS and for local control after chemotherapy. One of the main tasks of treatment strategy is organ sparing result. Future combined studies are required to further treatment development of this childhood malignancy.

About the authors

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Author for correspondence.
Email: ryabovdoc@mail.ru
Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

НИИ ДОГ РОНЦ им. Н.Н.Блохина РАМН

Russian Federation

A. B. Ryabov

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

K. M. Figurin

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

I. V. Nechushkina

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

K. I. Jordanya

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

O. A. Kapkova

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

A. P. Kazantsev

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

P. A. Kerimov

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

M. A. Rubanskiy

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

D. V. Rybakova

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

M. A. Volkova

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

V. B. Matveev

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

N. M. Ivanova

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

V. G. Polyakov

Institute of pediatric oncology and hematology N.N. Blokhin cancer research center RAMS

Russian Federation

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Copyright (c) 2011 ., ., ., ., ., ., ., ., ., ., ., ., ., Ryabov A.B., Figurin K.M., Nechushkina I.V., Jordanya K.I., Kapkova O.A., Kazantsev A.P., Kerimov P.A., Rubanskiy M.A., Rybakova D.V., Volkova M.A., Matveev V.B., Ivanova N.M., Polyakov V.G.

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