Rhabdomyosarcoma epidemiology and demographics: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
Line 3: Line 3:
{{CMG}};{{AE}}{{S.M}}
{{CMG}};{{AE}}{{S.M}}
==Overview==
==Overview==
Rhabdomyosarcoma is considered as a most common [[soft tissue]] [[cancers]] among children and adolescents and it is the third most common extracranial solid tumors during childhood which comes after [[neuroblastoma]] and [[wilms tumor]]. Rhabdomyosarcoma is responsible for 50% of soft tissue tumors during childhood and 5% of all pediatrics [[cancers]]. Approximately two-third of all cases happen under 6 years old.The incidence of rhabdomyosarcoma is about 0.43 per 100,000 annually among children,adolescents, and young adults under 20 years old. In patients with localized disease, the estimated 5-year survival rate is greater than 80% after using [[surgery]], [[radiation therapy]], and [[chemotherapy]] for treatment and in patients with [[metastatic]] lesions, the estimated 5-year event-free survival is less than 30%. The incidence of rhabdomyosarcoma is a little more predominant in males than females.
Rhabdomyosarcoma is considered as a most common [[soft tissue]] [[cancers]] among children and adolescents and it is the third most common extracranial [[solid]] [[tumors]] during [[childhood]] which comes after [[neuroblastoma]] and [[wilms tumor]]. [[Rhabdomyosarcoma]] is responsible for 50% of [[soft tissue]] [[tumors]] during [[childhood]] and 5% of all pediatrics [[cancers]]. Approximately two-third of all cases happen under 6 years old.The incidence of [[rhabdomyosarcoma]] is about 0.43 per 100,000 annually among children, adolescents, and young adults under 20 years old. In patients with localized [[disease]], the estimated 5-year [[survival rate]] is greater than 80% after using [[surgery]], [[radiation therapy]], and [[chemotherapy]] for treatment and in [[patients]] with [[metastatic]] lesions, the estimated 5-year event-free survival is less than 30%. The [[incidence]] of [[rhabdomyosarcoma]] is a little more predominant in [[males]] than [[females]].


==Epidemiology and Demographics==
==Epidemiology and Demographics==
*Rhabdomyosarcoma is considered as a most common [[soft tissue]] [[cancers]] among children and adolescents and it is the third most common extracranial solid tumors during childhood which comes after [[neuroblastoma]] and [[wilms tumor]].<ref name="pmid27955730">{{cite journal| author=Dasgupta R, Fuchs J, Rodeberg D| title=Rhabdomyosarcoma. | journal=Semin Pediatr Surg | year= 2016 | volume= 25 | issue= 5 | pages= 276-283 | pmid=27955730 | doi=10.1053/j.sempedsurg.2016.09.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27955730  }} </ref><ref name="pmid10423470">{{cite journal| author=Arndt CA, Crist WM| title=Common musculoskeletal tumors of childhood and adolescence. | journal=N Engl J Med | year= 1999 | volume= 341 | issue= 5 | pages= 342-52 | pmid=10423470 | doi=10.1056/NEJM199907293410507 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10423470  }} </ref>
*Rhabdomyosarcoma is considered as a most common [[soft tissue]] [[cancers]] among children and adolescents and it is the third most common extracranial [[solid]] [[tumors]] during [[childhood]] which comes after [[neuroblastoma]] and [[wilms tumor]].<ref name="pmid27955730">{{cite journal| author=Dasgupta R, Fuchs J, Rodeberg D| title=Rhabdomyosarcoma. | journal=Semin Pediatr Surg | year= 2016 | volume= 25 | issue= 5 | pages= 276-283 | pmid=27955730 | doi=10.1053/j.sempedsurg.2016.09.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27955730  }} </ref><ref name="pmid10423470">{{cite journal| author=Arndt CA, Crist WM| title=Common musculoskeletal tumors of childhood and adolescence. | journal=N Engl J Med | year= 1999 | volume= 341 | issue= 5 | pages= 342-52 | pmid=10423470 | doi=10.1056/NEJM199907293410507 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10423470  }} </ref>
*Rhabdomyosarcoma is responsible for 50% of soft tissue tumors during childhood and 5% of all pediatrics [[cancers]].<ref name="pmid22248972">{{cite journal| author=Dasgupta R, Rodeberg DA| title=Update on rhabdomyosarcoma. | journal=Semin Pediatr Surg | year= 2012 | volume= 21 | issue= 1 | pages= 68-78 | pmid=22248972 | doi=10.1053/j.sempedsurg.2011.10.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22248972  }} </ref>
*Rhabdomyosarcoma is responsible for 50% of [[soft tissue]] [[tumors]] during [[childhood]] and 5% of all [[pediatrics]] [[cancers]].<ref name="pmid22248972">{{cite journal| author=Dasgupta R, Rodeberg DA| title=Update on rhabdomyosarcoma. | journal=Semin Pediatr Surg | year= 2012 | volume= 21 | issue= 1 | pages= 68-78 | pmid=22248972 | doi=10.1053/j.sempedsurg.2011.10.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22248972  }} </ref>
*Almost 350 new cases of rhabdomyosarcoma are diagnosed annually.<ref name="pmid27955730" />
*Almost 350 new cases of [[rhabdomyosarcoma]] are diagnosed annually.<ref name="pmid27955730" />
===Incidence===
===Incidence===
*The incidence of rhabdomyosarcoma is about 0.43 per 100,000 annually among children,adolescents, and young adults under 20 years old.<ref name="pmid27955730" />
*The [[incidence]] of rhabdomyosarcoma is about 0.43 per 100,000 annually among children,adolescents, and young adults under 20 years old.<ref name="pmid27955730" />
*The incidence may depend on the [[histologic]] subtype of rhabdomyosarcoma:<ref name="pmid19536876">{{cite journal| author=Ognjanovic S, Linabery AM, Charbonneau B, Ross JA| title=Trends in childhood rhabdomyosarcoma incidence and survival in the United States, 1975-2005. | journal=Cancer | year= 2009 | volume= 115 | issue= 18 | pages= 4218-26 | pmid=19536876 | doi=10.1002/cncr.24465 | pmc=2953716 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19536876  }}</ref>
*The incidence may depend on the [[histologic]] subtype of [[rhabdomyosarcoma]]:<ref name="pmid19536876">{{cite journal| author=Ognjanovic S, Linabery AM, Charbonneau B, Ross JA| title=Trends in childhood rhabdomyosarcoma incidence and survival in the United States, 1975-2005. | journal=Cancer | year= 2009 | volume= 115 | issue= 18 | pages= 4218-26 | pmid=19536876 | doi=10.1002/cncr.24465 | pmc=2953716 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19536876  }}</ref>
**Embryonal rhabdomyosarcoma: Embryonal rhabdomyosarcoma peaks in 0 to 4 year age group at approximately 0.4 cases per 100,000 children, with a lower rate in adolescents, approximately 0.15 cases per 100,000 adolescents.
**[[Embryonal rhabdomyosarcoma]]: [[Embryonal rhabdomyosarcoma]] peaks in 0 to 4 year [[age]] group at approximately 0.4 cases per 100,000 children, with a lower rate in adolescents, approximately 0.15 cases per 100,000 adolescents.
**Alveolar rhabdomyosarcoma: The incidence of alveolar rhabdomyosarcoma does not vary by gender and is constant from ages 0 to 19 years at approximately 0.1 case per 100,000 children and adolescents.
**[[Alveolar rhabdomyosarcoma]]: The [[incidence]] of [[alveolar rhabdomyosarcoma]] does not vary by gender and is constant from ages 0 to 19 years at approximately 0.1 case per 100,000 [[children]] and adolescents.


===Case-fatality rate/Mortality rate===
===Case-fatality rate/Mortality rate===
* In patients with localized disease, the estimated 5-year survival rate is greater than 80% after using [[surgery]], [[radiation therapy]], and [[chemotherapy]] for treatment.<ref name="pmid15712283">{{cite journal| author=Punyko JA, Mertens AC, Baker KS, Ness KK, Robison LL, Gurney JG| title=Long-term survival probabilities for childhood rhabdomyosarcoma. A population-based evaluation. | journal=Cancer | year= 2005 | volume= 103 | issue= 7 | pages= 1475-83 | pmid=15712283 | doi=10.1002/cncr.20929 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15712283  }} </ref>
* In [[patients]] with localized [[disease]], the estimated 5-year [[survival rate]] is greater than 80% after using [[surgery]], [[radiation therapy]], and [[chemotherapy]] for treatment.<ref name="pmid15712283">{{cite journal| author=Punyko JA, Mertens AC, Baker KS, Ness KK, Robison LL, Gurney JG| title=Long-term survival probabilities for childhood rhabdomyosarcoma. A population-based evaluation. | journal=Cancer | year= 2005 | volume= 103 | issue= 7 | pages= 1475-83 | pmid=15712283 | doi=10.1002/cncr.20929 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15712283  }} </ref>
* In patients with [[metastatic]] lesions, the estimated 5-year event-free survival is less than 30%.<ref name="pmid18467730">{{cite journal| author=Oberlin O, Rey A, Lyden E, Bisogno G, Stevens MC, Meyer WH et al.| title=Prognostic factors in metastatic rhabdomyosarcomas: results of a pooled analysis from United States and European cooperative groups. | journal=J Clin Oncol | year= 2008 | volume= 26 | issue= 14 | pages= 2384-9 | pmid=18467730 | doi=10.1200/JCO.2007.14.7207 | pmc=4558625 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18467730  }} </ref>
* In [[patients]] with [[metastatic]] [[lesions]], the estimated 5-year event-free [[Survival rate|survival]] is less than 30%.<ref name="pmid18467730">{{cite journal| author=Oberlin O, Rey A, Lyden E, Bisogno G, Stevens MC, Meyer WH et al.| title=Prognostic factors in metastatic rhabdomyosarcomas: results of a pooled analysis from United States and European cooperative groups. | journal=J Clin Oncol | year= 2008 | volume= 26 | issue= 14 | pages= 2384-9 | pmid=18467730 | doi=10.1200/JCO.2007.14.7207 | pmc=4558625 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18467730  }} </ref>
* The 3-year event-free survival rate for patients with metastatic lesions without high risk factors (bone marrow involvement, unfavorable site, more than 3 sites, and age younger than 1 year or older than 10 years) is approximately 50%.
* The 3-year event-free [[survival rate]] for [[patients]] with [[metastatic]] [[lesions]] without high [[risk factors]] ([[bone marrow]] involvement, unfavorable site, more than 3 sites, and [[age]] younger than 1 year or older than 10 years) is approximately 50%.
* The 3-year event-free survival rate for patients with [[metastatic]] lesions with 3 high risk factors is about 12% and with 4 high risk factors is 5%.
* The 3-year event-free [[survival rate]] for patients with [[metastatic]] lesions with 3 high [[risk factors]] is about 12% and with 4 high [[risk factors]] is 5%.
* The 5-year survival rate is 86% for [[Orbit (anatomy)|orbital]] site, 80% for [[genitourinary]] site, 50% for [[extremities]], 52% for [[retroperitoneum]] and [[trunk]].<ref name="pmid15895378">{{cite journal| author=Mazzoleni S, Bisogno G, Garaventa A, Cecchetto G, Ferrari A, Sotti G et al.| title=Outcomes and prognostic factors after recurrence in children and adolescents with nonmetastatic rhabdomyosarcoma. | journal=Cancer | year= 2005 | volume= 104 | issue= 1 | pages= 183-90 | pmid=15895378 | doi=10.1002/cncr.21138 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15895378  }} </ref>
* The 5-year [[survival rate]] is 86% for [[Orbit (anatomy)|orbital]] site, 80% for [[genitourinary]] site, 50% for [[extremities]], 52% for [[retroperitoneum]] and [[trunk]].<ref name="pmid15895378">{{cite journal| author=Mazzoleni S, Bisogno G, Garaventa A, Cecchetto G, Ferrari A, Sotti G et al.| title=Outcomes and prognostic factors after recurrence in children and adolescents with nonmetastatic rhabdomyosarcoma. | journal=Cancer | year= 2005 | volume= 104 | issue= 1 | pages= 183-90 | pmid=15895378 | doi=10.1002/cncr.21138 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15895378  }} </ref>
* The 5-year survival rate is 77% for patients aged 1-4 years, 47% for infants and 48% for adolescents.
* The 5-year [[survival rate]] is 77% for [[patients]] aged 1-4 years, 47% for [[infants]] and 48% for adolescents.


===Age===
===Age===
* Approximately two-third of all cases happen under 6 years old.<ref name="MillerL Young1995">{{cite journal|last1=Miller|first1=Robert W.|last2=L Young|first2=John|last3=Novakovic|first3=Biljana|title=Childhood cancer|journal=Cancer|volume=75|issue=S1|year=1995|pages=395–405|issn=0008-543X|doi=10.1002/1097-0142(19950101)75:1+<395::AID-CNCR2820751321>3.0.CO;2-W}}</ref>
* Approximately two-third of all cases happen under 6 years old.<ref name="MillerL Young1995">{{cite journal|last1=Miller|first1=Robert W.|last2=L Young|first2=John|last3=Novakovic|first3=Biljana|title=Childhood cancer|journal=Cancer|volume=75|issue=S1|year=1995|pages=395–405|issn=0008-543X|doi=10.1002/1097-0142(19950101)75:1+<395::AID-CNCR2820751321>3.0.CO;2-W}}</ref>
* The peak incidence of rhabdomyosarcoma is between 2-6 years and 10-18 years.
* The peak [[incidence]] of [[rhabdomyosarcoma]] is between 2-6 years and 10-18 years.
* Embryonal rhabdomyosarcoma is usually happen in younger ages especially develops in [[head]]/[[neck]] sites and [[genitourinary]] locations.
* [[Embryonal rhabdomyosarcoma]] is usually happen in younger ages especially develops in [[head]]/[[neck]] sites and [[genitourinary]] locations.
* Alveolar rhabdomyosarcoma is usually happen in older patients (adolescents) especially develops in [[trunk]] and [[extremities]] sites.
* [[Alveolar rhabdomyosarcoma]] is usually happen in older [[patients]] (adolescents) especially develops in [[trunk]] and [[extremities]] sites.


===Race===
===Race===
*The incidence of rhabdomyosarcoma is higher among black patients than white patients particularly between 15-19 years.<ref name="pmid18206520">{{cite journal| author=Paulino AC, Okcu MF| title=Rhabdomyosarcoma. | journal=Curr Probl Cancer | year= 2008 | volume= 32 | issue= 1 | pages= 7-34 | pmid=18206520 | doi=10.1016/j.currproblcancer.2007.11.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18206520  }} </ref>
*The [[incidence]] of [[rhabdomyosarcoma]] is higher among black [[patients]] than white [[patients]] particularly between 15-19 years.<ref name="pmid18206520">{{cite journal| author=Paulino AC, Okcu MF| title=Rhabdomyosarcoma. | journal=Curr Probl Cancer | year= 2008 | volume= 32 | issue= 1 | pages= 7-34 | pmid=18206520 | doi=10.1016/j.currproblcancer.2007.11.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18206520  }} </ref>
===Gender===
===Gender===
*The incidence of rhabdomyosarcoma is a little more predominant in males than females (about 1.3:1-1.5:1).<ref name="pmid18206520" />
*The [[incidence]] of [[rhabdomyosarcoma]] is a little more predominant in [[males]] than [[females]] (about 1.3:1-1.5:1).<ref name="pmid18206520" />


===Region===
===Region===
*The incidence of rhabdomyosarcoma is higher among Caucasian population in comparison to Asian population.<ref name="pmid1654982">{{cite journal| author=Stiller CA, McKinney PA, Bunch KJ, Bailey CC, Lewis IJ| title=Childhood cancer and ethnic group in Britain: a United Kingdom children's Cancer Study Group (UKCCSG) study. | journal=Br J Cancer | year= 1991 | volume= 64 | issue= 3 | pages= 543-8 | pmid=1654982 | doi= | pmc=1977662 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1654982  }} </ref>
*The [[incidence]] of [[rhabdomyosarcoma]] is higher among Caucasian population in comparison to Asian [[population]].<ref name="pmid1654982">{{cite journal| author=Stiller CA, McKinney PA, Bunch KJ, Bailey CC, Lewis IJ| title=Childhood cancer and ethnic group in Britain: a United Kingdom children's Cancer Study Group (UKCCSG) study. | journal=Br J Cancer | year= 1991 | volume= 64 | issue= 3 | pages= 543-8 | pmid=1654982 | doi= | pmc=1977662 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1654982  }} </ref>


==References==
==References==

Latest revision as of 16:39, 6 March 2019

Rhabdomyosarcoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rhabdomyosarcoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Rhabdomyosarcoma epidemiology and demographics On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Rhabdomyosarcoma epidemiology and demographics

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Rhabdomyosarcoma epidemiology and demographics

CDC on Rhabdomyosarcoma epidemiology and demographics

Rhabdomyosarcoma epidemiology and demographics in the news

Blogs on Rhabdomyosarcoma epidemiology and demographics

Directions to Hospitals Treating Rhabdomyosarcoma

Risk calculators and risk factors for Rhabdomyosarcoma epidemiology and demographics

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]

Overview

Rhabdomyosarcoma is considered as a most common soft tissue cancers among children and adolescents and it is the third most common extracranial solid tumors during childhood which comes after neuroblastoma and wilms tumor. Rhabdomyosarcoma is responsible for 50% of soft tissue tumors during childhood and 5% of all pediatrics cancers. Approximately two-third of all cases happen under 6 years old.The incidence of rhabdomyosarcoma is about 0.43 per 100,000 annually among children, adolescents, and young adults under 20 years old. In patients with localized disease, the estimated 5-year survival rate is greater than 80% after using surgery, radiation therapy, and chemotherapy for treatment and in patients with metastatic lesions, the estimated 5-year event-free survival is less than 30%. The incidence of rhabdomyosarcoma is a little more predominant in males than females.

Epidemiology and Demographics

Incidence

Case-fatality rate/Mortality rate

Age

Race

Gender

Region

References

  1. 1.0 1.1 1.2 Dasgupta R, Fuchs J, Rodeberg D (2016). "Rhabdomyosarcoma". Semin Pediatr Surg. 25 (5): 276–283. doi:10.1053/j.sempedsurg.2016.09.011. PMID 27955730.
  2. Arndt CA, Crist WM (1999). "Common musculoskeletal tumors of childhood and adolescence". N Engl J Med. 341 (5): 342–52. doi:10.1056/NEJM199907293410507. PMID 10423470.
  3. Dasgupta R, Rodeberg DA (2012). "Update on rhabdomyosarcoma". Semin Pediatr Surg. 21 (1): 68–78. doi:10.1053/j.sempedsurg.2011.10.007. PMID 22248972.
  4. Ognjanovic S, Linabery AM, Charbonneau B, Ross JA (2009). "Trends in childhood rhabdomyosarcoma incidence and survival in the United States, 1975-2005". Cancer. 115 (18): 4218–26. doi:10.1002/cncr.24465. PMC 2953716. PMID 19536876.
  5. Punyko JA, Mertens AC, Baker KS, Ness KK, Robison LL, Gurney JG (2005). "Long-term survival probabilities for childhood rhabdomyosarcoma. A population-based evaluation". Cancer. 103 (7): 1475–83. doi:10.1002/cncr.20929. PMID 15712283.
  6. Oberlin O, Rey A, Lyden E, Bisogno G, Stevens MC, Meyer WH; et al. (2008). "Prognostic factors in metastatic rhabdomyosarcomas: results of a pooled analysis from United States and European cooperative groups". J Clin Oncol. 26 (14): 2384–9. doi:10.1200/JCO.2007.14.7207. PMC 4558625. PMID 18467730.
  7. Mazzoleni S, Bisogno G, Garaventa A, Cecchetto G, Ferrari A, Sotti G; et al. (2005). "Outcomes and prognostic factors after recurrence in children and adolescents with nonmetastatic rhabdomyosarcoma". Cancer. 104 (1): 183–90. doi:10.1002/cncr.21138. PMID 15895378.
  8. Miller, Robert W.; L Young, John; Novakovic, Biljana (1995). "Childhood cancer". Cancer. 75 (S1): 395–405. doi:10.1002/1097-0142(19950101)75:1+<395::AID-CNCR2820751321>3.0.CO;2-W. ISSN 0008-543X.
  9. 9.0 9.1 Paulino AC, Okcu MF (2008). "Rhabdomyosarcoma". Curr Probl Cancer. 32 (1): 7–34. doi:10.1016/j.currproblcancer.2007.11.001. PMID 18206520.
  10. Stiller CA, McKinney PA, Bunch KJ, Bailey CC, Lewis IJ (1991). "Childhood cancer and ethnic group in Britain: a United Kingdom children's Cancer Study Group (UKCCSG) study". Br J Cancer. 64 (3): 543–8. PMC 1977662. PMID 1654982.

Template:WH Template:WS