Novel Treatments and Technologies Applied to Neuroblastoma

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Methods and Technologies Development".

Deadline for manuscript submissions: closed (20 April 2024) | Viewed by 1043

Special Issue Editor


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Guest Editor
1. Department of Human and Molecular Genetics, School of Medicine, Virginia Commonwealth University, Richmond, VA 23298, USA
2. VCU Institute of Molecular Medicine, School of Medicine, Virginia Commonwealth University, Richmond, VA 23298, USA
Interests: molecular basis of cancer development and progression; neuroblastoma and animal models of cancer

Special Issue Information

Dear Colleagues,

Neuroblastoma (NB) is a prevalent extracranial solid tumor that develops in children. NB can spontaneously regress or develop and metastasize, exhibiting therapy resistance. This tumor develops typically in the adrenal medulla and paraspinal ganglia and arises from primitive cells, primarily those of the neural crest, in the sympathetic nervous system. Documenting abnormalities at the genome, epigenome, and transcriptome levels, our knowledge of the molecular characteristics of human NBs continues to advance. The MYCN transcriptional regulator is highly expressed in the neural crest and is amplified in high-risk malignancies. Studies on the biology of NB have enabled a more precise risk stratification strategy and a concomitant reduction in the number of cases requiring treatment. To enhance outcomes and survival rates in these high-risk patients, a multicomponent therapeutic approach is required. Clinical staging of the disease and assessment of the associated risks based on biological, clinical, surgical, and pathological criteria are of the utmost importance for determining prognosis and planning effective therapeutic strategies. These reviews will examine the staging of neuroblastoma (NB), as well as the disease's biological and genetic characteristics, and several current therapies, including targeted chemotherapy delivery, novel radiation therapy, and immunotherapy for NB.

Dr. Praveen Bhoopathi
Guest Editor

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Keywords

  • neuroblastoma
  • chemotherapy
  • neuroendocrine
  • primitive neuroectodermal tumors
  • epigenome
  • chemoresistance

Published Papers (1 paper)

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Research

12 pages, 1811 KiB  
Article
Trap-Door Thoracotomy and Clamshell Thoracotomy as Surgical Approaches for Neuroblastoma and Other Thoracic Tumors in Children
by Benjamin F. B. Mayer, Matthias C. Schunn, Cristian Urla, Jürgen F. Schäfer, Frank Fideler, Felix Neunhoeffer, Martin U. Schuhmann, Steven W. Warmann and Jörg Fuchs
Cancers 2024, 16(2), 373; https://doi.org/10.3390/cancers16020373 - 15 Jan 2024
Viewed by 791
Abstract
Solid tumors of the cervicothoracic junction, the posterior mediastinum, or bilateral dorsal thoracic tumors represent a challenge in pediatric surgical oncology. The aim of this study was to evaluate trap-door thoracotomy and clamshell thoracotomy as surgical approaches. A single-center retrospective study of children [...] Read more.
Solid tumors of the cervicothoracic junction, the posterior mediastinum, or bilateral dorsal thoracic tumors represent a challenge in pediatric surgical oncology. The aim of this study was to evaluate trap-door thoracotomy and clamshell thoracotomy as surgical approaches. A single-center retrospective study of children with solid tumors in these specific localizations was performed. From 2015 to 2023, 26 children (17 girls; 9 boys) were treated at a median age of 54 months (range 8–229). Tumor resection was performed for neuroblastoma (n = 11); metastatic disease (n = 7); malignant rhabdoid tumor (n = 4); Ewing sarcoma (n = 1); inflammatory myofibroblastic tumor (n = 1); rhabdomyosarcoma (n = 1); and neurofibroma (n = 1). The surgical goal of macroscopic complete excision was achieved in all of the 14 children who underwent trap-door thoracotomy and in 11 of the 12 children who underwent clamshell thoracotomy. There were no major complications. At a median follow-up of 8 months (range 0–60), the disease was under local control or in complete remission in 66.7% of the children. In conclusion, surgical resection of solid tumors of the cervicothoracic junction in children can be performed safely and successfully with trap-door thoracotomy and with clamshell thoracotomy for posterior mediastinal or bilateral dorsal thoracic tumors. Full article
(This article belongs to the Special Issue Novel Treatments and Technologies Applied to Neuroblastoma)
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