Table 3.
No. | Sex | Age at Dx (mo) | Primary site | Results of surgery | M stagea) | Treatment after surgery and response | Tumor status before HDCT1 | Tumor status after HDCT1 | Tumor status after HDCT2 | Outcome | Site of failure |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | Female | 20 | PF | GTR | 1 | AB–PD | - | - | - | 3 mo dead, PD at 2 mo | P+M |
5 | Female | 3 | PF | NTR | 3 | ABABAB–HDCT1–HDCT2–PD | PR | PR | PR | 15 mo dead, PD at 14 mo | M |
8 | Female | 29 | T | STR | 3 | ABABAB–HDCT1–HDCT2–RT (23.4-30.6-0)b)–Relapse | PR | CR | CCR | 23 mo dead, relapse at 22 mo | P+M |
9 | Female | 9 | PF | STR | 3 | ABABAB–PD–Surgery (STR)–HDCT1–HDCT2–RT (23.4-30.6-0)–PD | PR2c) | PR | PR | 37 mo dead, PD at 7 mo | P+M |
10 | Female | 2 | PF | STR | 2 | ABA–PD | - | - | 6 mo dead, PD at 5 mo | P+M | |
2 | Female | 177 | T | NTR | 0 | AB–RT (23.4-30.6-0)–PD–Surgery (GTR)–A–PD–RT (0-30.0-0)–HDCT1–PD | PD | PD | - | 12 mo dead, PD at 6 mo | P |
3 | Female | 180 | F | GTR | 0 | AB–RT (23.4-30.6-0)–ABAB–HDCT1–HDCT2 | CCR | CCR | CCR | 108+ mo alive, Ds free | - |
4 | Male | 181 | P-O | STR | 0 | AB–PD–RT (23.4-30.6-0)–Surgery (NTR)–PD | - | - | - | 9 mo dead, PD at 2 mo | P |
6 | Female | 154 | F | GTR | 0 | AB–RT (23.4-30.6-0)–ABAB–HDCT1–HDCT2 | CCR | CCR | CCR | 85+ mo alive, Ds free | - |
7 | Male | 79 | T | STR | 3 | AB–RT (30.6-23.4-0)–ABAB–HDCT1–HDCT2 | PR | CR | CCR | 73 mo dead, relapse at 73 mo | P |
11 | Female | 43 | LV | STR | 3 | PD after surgery–AB–RT (36.0-18.0-0)–PD–A–HDCT1–PD–HDCT2–PD | PD | PD | PD | 14 mo dead, PD at 1 mo | M |
12 | Female | 93 | SC | STR | 3 | RT (36.0-18.0-14.4)–ABABAB–HDCT1–HDCT2 | PR | PR | CR | 43+ mo alive, Ds free | - |
13 | Male | 171 | TV | Bxd) | 0 | RT (23.4-30.6-0)–ABABAB–HDCT1–Surgery (GTR)e) | PR | PR | - | 39+ mo alive, Ds free | - |
Dx, diagnosis; HDCT1, first high-dose chemotherapy; HDCT2, second high-dose chemotherapy; PF, posterior fossa; GTR, gross total resection; A, CECV (carboplatin+etoposide+cyclophosphamide+vincristine) regimen; B, CEIV (carboplatin+etoposide+ifosfamide+vincristine) regimen; PD, progression; P, primary site; M, metastatic site; NTR, near total resection; PR, partial response; T, temporal lobe; STR, subtotal resection; RT, radiotherapy; CR, complete response; CCR, continuous CR; PR2, second PR; F, frontal lobe; Ds, disease; P-O, parieto-occipital lobe; LV, lateral ventricle; SC, spinal cord; TV, third ventricle; Bx, biopsy; CSF, cerebrospinal fluid.
M stage; 0, no leptomeningeal seeding; 1, positive CSF cytology; 2, seeding at cerebrum; 3, seeding at spinal cord,
RT dose (Gy) to craniospinal-primary (boost)- gross seeding nodule (boost),
PR2 was achieved by second-look surgery, not by chemotherapy or RT,
Only biopsy was possible due to severe tumor bleeding during surgery and cognitive function worsened after surgery,
No viable tumor cells were found.