Treatment of peripheral neuroepithelioma in children and young adults

J Clin Oncol. 1987 Nov;5(11):1752-8. doi: 10.1200/JCO.1987.5.11.1752.


Seventeen patients with peripheral neuroepithelioma were treated with an intensive chemotherapy regimen of vincristine, Adriamycin (Adria Laboratories, Columbus, OH), and cyclophosphamide (VADRIAC) in combination with radiation therapy. Fifteen patients with stage III (seven) or stage IV (eight) at presentation were treated on a more intensive regimen including total body irradiation (TBI) (8 Gy). Two patients with stage I (one) or II (one) disease received a less intensive chemotherapy regimen of VADRIAC. Therapy was completed within 6 to 7 months in all patients. The disease arose in the chest wall in 12 patients, pelvis in three patients, and extremity in two patients. Sixteen of the 17 (94%) patients achieved a complete remission. With a median follow-up of 18 months, ten patients remain in complete remission with an actuarial survival of 68% and an actuarial relapse-free survival of 56% at 12 months. On the basis of our initial experience with this tumor, we believe that peripheral neuroepithelioma is a chemoresponsive and radioresponsive tumor.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Child
  • Child, Preschool
  • Cyclophosphamide / administration & dosage
  • Dactinomycin / administration & dosage
  • Extremities*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Neuroectodermal Tumors, Primitive, Peripheral / drug therapy
  • Neuroectodermal Tumors, Primitive, Peripheral / radiotherapy
  • Neuroectodermal Tumors, Primitive, Peripheral / therapy*
  • Pelvic Neoplasms / drug therapy
  • Pelvic Neoplasms / radiotherapy
  • Pelvic Neoplasms / therapy*
  • Prognosis
  • Radiotherapy Dosage
  • Sarcoma, Ewing / therapy
  • Thoracic Neoplasms / drug therapy
  • Thoracic Neoplasms / radiotherapy
  • Thoracic Neoplasms / therapy*
  • Time Factors
  • Vincristine / administration & dosage
  • Whole-Body Irradiation


  • Dactinomycin
  • Vincristine
  • Cyclophosphamide

Supplementary concepts

  • VAC protocol