Personalized treatment options of refractory and relapsed medulloblastoma in children: Literature review

Возможности персонификации терапии рефрактерных и рецидивирующих форм медуллобластомы у детей: Обзор литератур
Dinikina Y.V. Zheludkova O.G. Belogurova M.B. Spelnikov D.M. Osipov N.N. Nikitina I.L.
2023 Consilium MediCum

Journal of Modern Oncology
2023 #25 Issue 4 454 - 465 pp.

Medulloblastoma (MB) is the most common malignant tumor of the central nervous system in pediatric patients. Despite the complex anticancer therapy approach, refractory and relapsing forms of the disease remain fatal in most cases and account for approximately 30%. To date, repeated surgery, radiation, and chemotherapy can be used as life-prolonging treatment options; nevertheless, it should be emphasized that there are no standardized approaches based on existing data of molecular variants of MB. It is obvious that only a deep understanding of the biological mechanisms in association with clinical aspects in refractory and relapsing forms of MB would make it possible to personalize second- and subsequent- line therapy in order to achieve maximum efficiency and minimize early and long-term toxicity. The article presents the current understanding of prognostic factors in relapsed/refractory forms of MB, methods of modern diagnostics, as well as existing and perspective treatment options based on the biological and clinical aspects of the disease.

children oncology , medulloblastoma , metronomic chemotherapy , precision medicine , relapse , targeted therapy

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Almazov National Medical Research Centre, Saint Petersburg, Russian Federation
Voino-Yasenetskiy Scientific and Practical Center of Specialized Healthсare for Children, Moscow, Russian Federation
Darwin Tech Labs, Astana, Kazakhstan
Saint Petersburg Department of Steklov Mathematical Institute, Saint Petersburg, Russian Federation
Saint Petersburg State University, Saint Petersburg, Russian Federation

Almazov National Medical Research Centre
Voino-Yasenetskiy Scientific and Practical Center of Specialized Healthсare for Children
Darwin Tech Labs
Saint Petersburg Department of Steklov Mathematical Institute
Saint Petersburg State University

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