Amore protocol in pediatric head and neck rhabdomyosarcoma: Descriptive analysis of failure patterns
Article first published online: 11 APR 2005
Copyright © 2005 Wiley Periodicals, Inc.
Head & Neck
Volume 27, Issue 5, pages 390–396, May 2005
How to Cite
Buwalda, J., Freling, N. J., Blank, L. E. C. M., Balm, A. J. M., Bras, J., Voûte, P. A., Caron, H. N., Schouwenburg, P. F. and Merks, J. H. M. (2005), Amore protocol in pediatric head and neck rhabdomyosarcoma: Descriptive analysis of failure patterns. Head Neck, 27: 390–396. doi: 10.1002/hed.20164
- Issue published online: 18 APR 2005
- Article first published online: 11 APR 2005
- Manuscript Accepted: 8 NOV 2004
- head and neck neoplasms;
- combined modality therapy;
The AMORE protocol is a local treatment for patients with nonorbital pediatric head and neck rhabdomyosarcoma (HNRMS). The objectives of this study were: (1) to assess the adequacy of the concept, and (2) to identify factors associated with relapse.
We performed a retrospective multidisciplinary review of 22 children primarily treated according to the AMORE protocol, excluding two children with inadequate imaging data.
Seven patients had a local relapse, six within and one outside the residual tumor area. Five of the six patients with relapse in the residual area had gross total or debulking (incomplete) surgery, suboptimal position of the mold for brachytherapy, or both. In the 15 nonrecurrent cases, four patients had either incomplete surgery or suboptimal mold position. Both surgical and brachytherapeutic factors seem to be associated with relapse.
AMORE is an adequate concept. More rigid preoperative imaging and intraoperative verification of the brachytherapy mold position might lead to a reduction in the number of local failures. © 2005 Wiley Periodicals, Inc. Head Neck27: XXX–XXX, 2005