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Long-term disease stabilization in a patient with relapsed neuroblastoma after allogeneic hematopoietic stem cell transplantation. Clinical case and literature review

https://doi.org/10.17650/2311-1267-2018-5-1-68-72

Abstract

Neuroblastoma (NB) is a malignant pediatric tumor originating from undifferentiated neural crest cells. About 20 % of high-risk group patients are high-risk group patients are refractory to first line therapy and about 50 % of initial responders later develop a relapse. There is no common tactics for salvage therapy. In spite of a c relatively high response rate observed for most second- and third-line therapy regimens used, the long-term event-free survival is still as low as 5 %, which implies a need for consolidation, e.g. by allogeneic hematopoietic stem cell transplantation (allo-HSCT) from haploidentical donor. 

We present a case report of a patient with systemic NB relapse achieving a long-term disease stabilization after a haplo-HSCT and post-transplant therapy. 


About the Authors

P. S. Tolkunova
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


I. V. Kazantsev
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


A. G. Gevorgyan
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


T. V. Youkhta
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


A. V. Kozlov
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


E. V. Morozova
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


V. I. Amosov
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


A. P. Litvinov
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


S. V. Lapekin
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


A. А. Pushkarev
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


V. A. Kartashov
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


S. A. Safonova
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


Yu. A. Punanov
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


L. S. Zubarovskaya
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


B. V. Afanasyev
Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation, First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation
6–8 L’va Tolstogo St., Saint Petersburg, 197022


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Review

For citations:


Tolkunova P.S., Kazantsev I.V., Gevorgyan A.G., Youkhta T.V., Kozlov A.V., Morozova E.V., Amosov V.I., Litvinov A.P., Lapekin S.V., Pushkarev A.А., Kartashov V.A., Safonova S.A., Punanov Yu.A., Zubarovskaya L.S., Afanasyev B.V. Long-term disease stabilization in a patient with relapsed neuroblastoma after allogeneic hematopoietic stem cell transplantation. Clinical case and literature review. Russian Journal of Pediatric Hematology and Oncology. 2018;5(1):68-72. (In Russ.) https://doi.org/10.17650/2311-1267-2018-5-1-68-72

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ISSN 2311-1267 (Print)
ISSN 2413-5496 (Online)
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