Table 3. Chemotherapy and outcome.
| Case no. | Treatment (see details*) | Response to treatment | |
|---|---|---|---|
| 1 | SIOP MMT 952 protocol | Unable to assess response (microscopic residues), no clinical recurrence after cessation of chemotherapy | |
| 2 | No chemotherapy | Refractory disease and death | |
| 3 | SIOP MMT 952 protocol | No response | |
| 4 | A | SIOP MMT 953 B protocol | Developed pulmonary metastasis during treatment (7 weeks) → rescue chemotherapy (B) |
| B | SIOPEL 3 High Risk | Stable disease after 4 cycles of treatment | |
| 5 | A | SIOP MMT 952 protocol | Progressive disease after 2 courses → rescue chemotherapy (B) |
| B | Carboplatin, etoposide | Stable disease after six cycles of treatment |
SIOP MMT 952 protocol: vincristine 1.5 mg m−2 (weeks 1, 2, 3, 4, 5, 6, 7, 10, 13, 16, 19, 22 and 25); actinomycin D 1.5 mg m−2 (weeks 1, 4, 7, 10, 13, 16, 19, 22 and 25); ifosfamide 6 g m−2 – over 2 days (weeks 1, 4, 7, 10, 13, 16, 19, 22 and 25). *SIOP MMT 953 B protocol: vincristine 1.5 mg m−2 (weeks 1, 2, 3, 4, 5, 6, 7, 10, 13, 16, 19, 22 and 25); actinomycin D 1.5 mg m−2 (weeks 1, 10 and 19); ifosfamide 9 g m−2 over 3 days (weeks 1, 7, 10, 16, 19 and 25); carboplatin 500 mg m−2 (weeks 4, 10 and 22); epirubicin 150 mg m−2 (weeks 4, 10 and 22); etoposide 150 mg m−2 over 3 days, (weeks 7, 16 and 25). *SIOPEL 3 high risk (protocol for hepatoblastoma): cisplatin 80 mg m−2 (days 1, 29, 57 and 85); carboplatin 500 mg m−2 (days 15, 43 and 71); doxorubicin 60 mg m−2 over 48 h (days 15, 43 and 71). *Carboplatin, etoposide: carboplatin 600–800 mg m−2 per course; etoposide 150 mg m−2 (days 1, 2 and 3 each course).