/sup 131/I-metaiodobenzylguanidine treatment in neuroblastoma: report of two cases
Poor results with /sup 131/I-meta-iodobenzylguanidine (MIBG) therapy have been obtained in two children with stage IV neuroblastoma treated after partial surgery and unsatisfactory combination chemotherapy. Both patients' response to treatment (four and three 1-month-spaced courses, respectively; cumulative administration of 11.9 and 9.2 GBq) has been characterized by a low isotope concentration in the primary tumor and in the multiple bone metastases and by bone marrow uptake with final severe hematological toxicity. A slight decrease in the primary tumor's volume was observed in one patient at a cumulative dose of 85 Gy; there was no change in the other's at 42 Gy. At an initial, greater isotope concentration delivering 103 Gy, some bone metastases displayed a sharp decrease in uptake that persisted in the successive courses. For both patients a progressive spreading of new tumor localization in the bones and finally in the soft tissues was observed.
- Research Organization:
- Nuclear Medicine Service, Torino, Italy
- OSTI ID:
- 5721691
- Journal Information:
- Med. Pediatr. Oncol.; (United States), Vol. 15:4
- Country of Publication:
- United States
- Language:
- English
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NEOPLASMS
RADIOTHERAPY
RADIOPHARMACEUTICALS
THERAPEUTIC USES
BONE MARROW
CHILDREN
IODINE 131
METASTASES
PATIENTS
SKELETON
AGE GROUPS
ANIMAL TISSUES
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
DAYS LIVING RADIOISOTOPES
DISEASES
DRUGS
HEMATOPOIETIC SYSTEM
INTERMEDIATE MASS NUCLEI
IODINE ISOTOPES
ISOTOPES
LABELLED COMPOUNDS
MEDICINE
NUCLEAR MEDICINE
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPES
RADIOLOGY
THERAPY
TISSUES
USES
550604* - Medicine- Unsealed Radionuclides in Therapy- (1980-)