PALLIATIVE TREATMENT EFFICACY OF CARBOPLATIN IN CHILDREN WITH HIGH-RISK NEUROBLASTOMA AT VIETNAM NATIONAL CHILDREN’S HOSPITAL
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Abstract
Objective: To evaluate the palliative effectiveness of Carboplatin in treating high-risk neuroblastoma in pediatric patients at the Vietnam National Children’s Hospital. Subject and method: This retrospective study included 43 children diagnosed with high-risk neuroblastoma between 2022 and 2023 who received monthly Carboplatin infusions at a dose of 560 mg/m². Clinical symptoms, tumor size changes, overall survival (OS), and treatment-related side effects were assessed based on medical records. Results: Most patients observed significant improvement in clinical symptoms following two cycles of palliative treatment. A total of 65.5% showed partial tumor response, including 13.9% with a tumor size reduction of over 90%. The 12-month OS was 41.9%, with better outcomes in patients without Hutchinson syndrome. Main adverse effects included mild anemia and thrombocytopenia, with no severe toxicity recorded. Conclusion: Carboplatin demonstrated acceptable effectiveness and safety in the palliative treatment of high-risk neuroblastoma in children, particularly in resource-limited settings.
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Keywords
high-risk neuroblastoma, palliative treatment, carboplatin, Vietnam National Children’s Hospital
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