Table 4.
Summary of postoperative treatment strategies for localized tumors (SIOP)
Stage I | Stage II | Stage III | |
---|---|---|---|
Low-risk | No further treatment | AV-2a | AV-2 |
Intermediate-risk | AV-1b | Randomize to AVDc | Randomize to RT or AVD |
or | or | ||
AV-2 | RT or AV-2 | ||
High-risk | AVD | HRd + RT | HR + RT |
Abbreviations: HR, high-risk; RT, radiation therapy.
Vincristine weekly for 8 weeks, then on days 1 and 7 with a 2-week interval between courses for 6 courses, actinomycin D every 3 weeks for 9 doses.
Vincristine weekly for 4 weeks, actinomycin D at day 7.
Vincristine, actinomycin as per AV-2, doxorubicin every 6 weeks for 4 doses.
Cyclophosphamide-doxorubicin alternating with etoposide-carboplatin for 34 weeks.