Journal of Clinical Pediatrics >
Clinical efficacy analysis of AVDC/ICE regimen in the treatment of 10 pediatric extracranial malignant rhabdoid tumors
Received date: 2024-01-06
Online published: 2024-12-02
Objective This study aims to assess the therapeutic effectiveness of the AVDC/ICE regimen for children diagnosed with extracranial malignant rhabdoid tumors (MRT). Methods A retrospective analysis was conducted on 10 pediatric cases of extracranial MRT treated with the AVDC/ICE from January 2020 to January 2023. Results Clinical data from 10 pediatric patients with extracranial MRT were analyzed. The gender distribution was balanced (1:1), with a median age at diagnosis of 24.5 months (range 1-138 months). Three patients had distant metastases at diagnosis, predominantly in the lungs. The average size of primary tumors at diagnosis was (9.87±5.42) cm. Two patients with malignant rhabdoid tumor of the kidney (MRTK) experienced tumor rupture before surgery. Following pathological confirmation, all patients received the AVDC/ICE chemotherapy regimen. At the last follow-up, seven patients achieved complete remission (CR), one patient achieved partial remission (PR) and was receiving maintenance therapy with bevacizumab, sorafenib, and cyclophosphamide. Two patients with extra-renal extracranial rhabdoid tumor (EERT) succumbed to metastasis. The median follow-up was 14 months (range 5-28 months), with a one-year overall survival (OS) rate of 78.8% and a one-year event-free survival (EFS) rate of 68.6%. No severe treatment-related adverse events were observed. Conclusion The AVDC/ICE regimen emerges as a safe and effective chemotherapy option for managing extracranial MRT in pediatric patients.
Key words: extracranial malignant rhabdoid tumors; treatment; prognosis; child
Shuyue FENG , Heng ZHANG , Mengjiao SUN , Yongjun FANG . Clinical efficacy analysis of AVDC/ICE regimen in the treatment of 10 pediatric extracranial malignant rhabdoid tumors[J]. Journal of Clinical Pediatrics, 2024 , 42(12) : 1032 -1038 . DOI: 10.12372/jcp.2024.24e0019
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