Up-to-date monitoring of childhood cancer long-term survival in Europe: tumours of the sympathetic nervous system, retinoblastoma, renal and bone tumours, and soft tissue sarcomas

Ann Oncol. 2007 Oct;18(10):1722-33. doi: 10.1093/annonc/mdm189. Epub 2007 Sep 5.

Abstract

Background: Prognosis for most types of childhood tumours has improved during the last few decades. In this article we estimate up-to-date period survival for less common, but important childhood malignancies in Europe.

Methods: Using the database of the Automated Childhood Cancer Information System we calculated period estimates of 10-year survival for the 1995-1999 period for children aged 0-14 years diagnosed during 1985-1999 with tumours of the sympathetic nervous system (NS), retinoblastoma, renal tumours, bone tumours and soft tissue sarcomas in four European regions.

Results: Ten-year period survival for 1995-1999 was 66% in children with tumours of the sympathetic NS, 96% for retinoblastoma, 87% for renal tumours, 58% for bone tumours and 61% for soft tissue sarcomas. The higher period estimates, as compared with cohort and complete estimates indicate recent improvement in survival for tumours of the sympathetic NS and to a lesser extent for retinoblastoma and renal tumours. Region-specific period survival estimates were lowest for Eastern Europe for renal, bone and soft tissue tumours, but not for the other two tumour groups.

Conclusion: There have been further improvements in the 1990s in long-term survival of children diagnosed with several malignancies, albeit to a different extent in different European regions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Bone Neoplasms / mortality
  • Child
  • Child, Preschool
  • Europe
  • Ganglioneuroma / mortality
  • Humans
  • Infant
  • Infant, Newborn
  • Kidney Neoplasms / mortality
  • Neoplasms / mortality*
  • Neoplasms, Nerve Tissue / mortality*
  • Neuroblastoma / mortality
  • Probability
  • Retinoblastoma / mortality
  • Sarcoma / mortality
  • Sympathetic Nervous System / pathology*
  • Wilms Tumor / mortality