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ARTICLE |

Curability of Childhood Cancer FREE

Donald Pinkel, MD
[+] Author Affiliations

Reprint requests to Department of Pediatrics, Milwaukee Children's Hospital, 1700 W Wisconsin Ave, Milwaukee, WI 53233 (Dr Pinkel).

Coordinated by William H. Crosby, MD; Emil Freireich, MD; and Peter V. Sacks, MD.


JAMA. 1976;235(10):1049-1050. doi:10.1001/jama.1976.03260360049031
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THE DIAGNOSIS of cancer in children has been accompanied by a fatalistic outlook in the past. The child with cancer and his family have been a favorite subject of the thanatologists, who equate it with a "terminal" status. However, advances in the evaluation and care of childhood cancer, resulting from basic and clinical cancer research, have led to increasing periods of disease-free survival and probable cure for greater proportions of the children.

Acute Lymphocytic Leukemia  Acute lymphocytic leukemia (ALL) is the most frequent form of childhood cancer. Ten years ago it was considered almost uniformly fatal, despite the temporary remissions induced by antileukemia drugs. In 1962, a treatment program was initiated in which "late" ALL was quickly converted to "early" ALL by inducing remission with prednisone and vincristine sulfate. Then, multiple antimetabolites were administered for two to three years to eliminate this "early" disease. When the major form of initial

REFERENCES

Simone J:  Acute lymphocytic leukemia in childhood . Semin Hematol 11:25-39, 1974;.
Aur RJA, Simone JV, Hustu O, et al:  Cessation of therapy in childhood acute lymphocytic leukemia . N Engl J Med 291:1230-1234, 1974;.
Aur RJA, Simone JV, Verzosa MS, et al:  Comparison of four schedules of chemotherapy during remission of childhood acute lymphocytic leukemia (ALL) . Pediatr Res 9:386, 1975;.
Borella L, Sen L:  T- and B-lymphocytes and lymphoblasts in untreated acute lymphocytic leukemia . Cancer 34:646-654, 1974;.
Cassady JR, Tefft M, Filler RM, et al:  Considerations in the radiation therapy of Wilms' tumor . Cancer 32:598-608, 1973;.
Bolande RP:  Congenital and infantile neoplasia of the kidney . Lancet 2:1497-1499, 1974;.
Pratt CB, Hustu HO, Fleming ID, et al:  Coordinated treatment of childhood rhabdomyosarcoma with surgery, radiotherapy and combination chemotherapy . Cancer Res 32:606-610, 1972;.
Pratt CB, Hustu HO, Pinkel D:  Coordinated treatment of childhood rhabdomyosarcoma . Prog Clin Cancer , to be published.
Hustu HO, Pinkel D, Pratt CB:  Treatment of clinically localized Ewing's sarcoma with radiotherapy and combination chemotherapy . Cancer 30:1522-1526, 1972;.
Jaffe N, Frei E III, Traggis D, et al:  Adjuvant methotrexate and citrovorum-factor treatment of osteogenic sarcoma . N Engl J Med 291:994-997, 1974;.
Cortes EP, Holland JF, Wang JJ, et al:  Amputation and adriamycin in primary osteosarcoma . N Engl J Med 291:998-1000, 1974;.
Sutow WW, Sullivan MP, Fernbach DJ:  Adjuvant chemotherapy in primary treatment of osteogenic sarcoma . Proc Am Assoc Cancer Res 15:20, 1974;.
Smith KL, Johnson D, Hustu O, et al:  Concurrent chemotherapy and radiation therapy in the treatment of childhood and adolescent Hodgkin's disease . Cancer 33:38-46, 1974;.
Aur RJA, Hustu HO, Simone JV, et al:  Therapy of localized and regional lymphosarcoma of childhood . Cancer 27:1328-1331, 1971;.
Wollner N, D'Angio G, Burchenal J, et al:  Treatment of non-Hodgkin's lymphoma in children with multiple drug leukemia regimen and radiation therapy . Proc Am Assoc Cancer Res 14:97, 1973;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Simone J:  Acute lymphocytic leukemia in childhood . Semin Hematol 11:25-39, 1974;.
Aur RJA, Simone JV, Hustu O, et al:  Cessation of therapy in childhood acute lymphocytic leukemia . N Engl J Med 291:1230-1234, 1974;.
Aur RJA, Simone JV, Verzosa MS, et al:  Comparison of four schedules of chemotherapy during remission of childhood acute lymphocytic leukemia (ALL) . Pediatr Res 9:386, 1975;.
Borella L, Sen L:  T- and B-lymphocytes and lymphoblasts in untreated acute lymphocytic leukemia . Cancer 34:646-654, 1974;.
Cassady JR, Tefft M, Filler RM, et al:  Considerations in the radiation therapy of Wilms' tumor . Cancer 32:598-608, 1973;.
Bolande RP:  Congenital and infantile neoplasia of the kidney . Lancet 2:1497-1499, 1974;.
Pratt CB, Hustu HO, Fleming ID, et al:  Coordinated treatment of childhood rhabdomyosarcoma with surgery, radiotherapy and combination chemotherapy . Cancer Res 32:606-610, 1972;.
Pratt CB, Hustu HO, Pinkel D:  Coordinated treatment of childhood rhabdomyosarcoma . Prog Clin Cancer , to be published.
Hustu HO, Pinkel D, Pratt CB:  Treatment of clinically localized Ewing's sarcoma with radiotherapy and combination chemotherapy . Cancer 30:1522-1526, 1972;.
Jaffe N, Frei E III, Traggis D, et al:  Adjuvant methotrexate and citrovorum-factor treatment of osteogenic sarcoma . N Engl J Med 291:994-997, 1974;.
Cortes EP, Holland JF, Wang JJ, et al:  Amputation and adriamycin in primary osteosarcoma . N Engl J Med 291:998-1000, 1974;.
Sutow WW, Sullivan MP, Fernbach DJ:  Adjuvant chemotherapy in primary treatment of osteogenic sarcoma . Proc Am Assoc Cancer Res 15:20, 1974;.
Smith KL, Johnson D, Hustu O, et al:  Concurrent chemotherapy and radiation therapy in the treatment of childhood and adolescent Hodgkin's disease . Cancer 33:38-46, 1974;.
Aur RJA, Hustu HO, Simone JV, et al:  Therapy of localized and regional lymphosarcoma of childhood . Cancer 27:1328-1331, 1971;.
Wollner N, D'Angio G, Burchenal J, et al:  Treatment of non-Hodgkin's lymphoma in children with multiple drug leukemia regimen and radiation therapy . Proc Am Assoc Cancer Res 14:97, 1973;.
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