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Immunotherapy approaches for rare pediatric solid tumors: advances and future directions

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CURRENT OPINION IN PEDIATRICS
卷 35, 期 1, 页码 63-74

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOP.0000000000001206

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immunotherapy; pediatric oncology; rare tumor; very rare tumor

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This article discusses immunotherapy for pediatric rare tumors, describing four major immunotherapies used in pediatrics and discussing the results and challenges of utilizing immunotherapy in rare pediatric tumors.
Purpose of reviewImmunotherapy for pediatric tumors is rapidly evolving. From major successes in pediatric hematologic malignancies, immunotherapy utility increased in the pediatric solid tumor landscape. Numerous pediatric solid tumors are defined as rare with limitations in diagnosis and treatment. This review will describe four major immunotherapies used in pediatrics and discuss results seen in rare pediatric tumors. We will also briefly review the challenges of immunotherapy in solid tumors and opportunities to drive this therapy forward.Recent findingsDespite rare success employing immunotherapy for pediatric solid tumors, recently there have been several successes in pediatric rare solid tumors. After describing the evolving landscape of rare pediatric tumors, we will demonstrate the successes or disappointments of immunotherapy. We will describe the mechanism of four immunotherapies used in the pediatrics, followed by the published results. Finally, we will discuss the challenges and opportunities for immunotherapies in pediatric rare tumors.Pediatric rare tumors are lacking in treatment options. Despite numerous disappointments utilizing immunotherapies in the more common pediatric solid tumors, there have been several successes within the pediatric rare tumor landscape. Much work is still needed to enhance our understanding and knowledge on utilizing these immunotherapies for pediatric rare solid tumors.

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