Treatment depends on the condition. Different sources of information on the description of the treatment is not the same. The following stat
Treatment depends on the condition. Different sources of information on the description of the treatment is not the same. The following statement for reference (from "pediatric oncology world" website).
1, after the complete resection of the primary tumor without further treatment. In recent years, the emphasis on 1 years of age, more than 1 of the tumors can be naturally subsided, the main Zhang can be closely followed up, no surgery.
2, the children with good tissue structure, no lymph node metastasis, NSE and ferritin normal, N-myc gene copy number of 10, after surgery should be routine chemotherapy for 12 months, if necessary, local radiotherapy.
Those 3 patients, complete resection of tumor, according to the organization structure, lymph node invasion, tumor marker, N-myc gene amplification, DNA ploidy detection results, determine the radiation dose (15 30Gy) and postoperative chemotherapy time (12 - 18 months). But without tumor resection, postoperative chemotherapy for 3 - 6 months after still had residual tumor or tumor markers (VMA, HVA, NSE, ferritin) was higher than that of normal or enlarged lymph nodes, two times or two times operation should be probed, conventional regional lymph node dissection, tumor bed stripping, postoperative chemotherapy in 18 a month. If the tumor is too large to be judged, the patient should be given a delayed operation after preoperative chemotherapy.
There are 4 patients with metastasis, after the first diagnosis of chemotherapy for 3 - to 6 months, the primary tumor to be reduced, the disappearance of metastatic lesions and then delayed surgery, postoperative chemotherapy for 18 months, radiotherapy - 15 - 30Gy.
4S stage is more special, the primary tumor resection, according to the change of the lesion, tumor tissue structure and tumor markers change, decide whether to give chemotherapy, and the application of radiotherapy should be very careful.
The above treatment may have side effects of nausea and vomiting, hair loss, weight loss, bone marrow suppression, liver damage, kidney damage, heart damage, hearing damage, affect fertility and so on. One
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