PMID- 17586306 OWN - NLM STAT- MEDLINE DCOM- 20070703 LR - 20231120 IS - 1474-547X (Electronic) IS - 0140-6736 (Linking) VI - 369 IP - 9579 DP - 2007 Jun 23 TI - Neuroblastoma. PG - 2106-20 AB - The clinical hallmark of neuroblastoma is heterogeneity, with the likelihood of cure varying widely according to age at diagnosis, extent of disease, and tumour biology. A subset of tumours will undergo spontaneous regression while others show relentless progression. Around half of all cases are currently classified as high-risk for disease relapse, with overall survival rates less than 40% despite intensive multimodal therapy. This Seminar focuses on recent advances in our understanding of the biology of this complex paediatric solid tumour. We outline plans for the development of a uniform International Neuroblastoma Risk Group (INRG) classification system, and summarise strategies for risk-based therapies. We also update readers on new discoveries related to the underlying molecular pathogenesis of this tumour, with special emphasis on advances that are translatable to the clinic. Finally, we discuss new approaches to treatment, including recently discovered molecular targets that might provide more effective treatment strategies with the potential for less toxicity. FAU - Maris, John M AU - Maris JM AD - Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, PA 19104-4318, USA. maris@chop.edu FAU - Hogarty, Michael D AU - Hogarty MD FAU - Bagatell, Rochelle AU - Bagatell R FAU - Cohn, Susan L AU - Cohn SL LA - eng GR - P01-CA97323/CA/NCI NIH HHS/United States GR - P30CA60553/CA/NCI NIH HHS/United States GR - R01-CA78545/CA/NCI NIH HHS/United States GR - R01-CA87847/CA/NCI NIH HHS/United States GR - R01-NS049814/NS/NINDS NIH HHS/United States GR - U10-CA98543/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Lancet JT - Lancet (London, England) JID - 2985213R SB - IM MH - Gene Expression Profiling/*methods MH - Humans MH - *Neuroblastoma/genetics/physiopathology/therapy MH - Prognosis RF - 209 EDAT- 2007/06/26 09:00 MHDA- 2007/07/04 09:00 CRDT- 2007/06/26 09:00 PHST- 2007/06/26 09:00 [pubmed] PHST- 2007/07/04 09:00 [medline] PHST- 2007/06/26 09:00 [entrez] AID - S0140-6736(07)60983-0 [pii] AID - 10.1016/S0140-6736(07)60983-0 [doi] PST - ppublish SO - Lancet. 2007 Jun 23;369(9579):2106-20. doi: 10.1016/S0140-6736(07)60983-0.