6533b861fe1ef96bd12c4d5a

RESEARCH PRODUCT

Der Stellenwert der chirurgischen Behandlung des Neuroblastoms

subject

description

Results of surgical treatment of 29 neuroblastoma patients between 1968 and 1980 are presented. 13 of these children have remained free from relapses and complaints for more than 2 years. Despite the progress in (immuno)chemotherapy and (immuno)radiotherapy the prognosis depends on the kind of surgery performed, also and especially in stages III and IV (after Evans). Among the author's own patients it became evident that both the survival rate and the survival period were increased in the prognostically unfavourable cases by subtotal resection. No representative collective statistics are known and it will probably take quite some time before these can be compiled, since it is extremely difficult to evaluate the disease pattern. However, it appears meaningful to establish postoperative prognosis in accordance with the possibilities of surgical procedure. Hence we are offering a classification of postoperative prognoses which, in our opinion, is superior to that proposed by Evans.