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[記錄結束]
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輸出記錄範例 - 儲存為 HTML 格式
PT
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J
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AN
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22189395
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DT
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Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
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TI
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The molecular classification of medulloblastoma: driving the next generation clinical trials.
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AU
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Leary, Sarah E S Olson, James M
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SO
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Current opinion in pediatrics
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VL
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24
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IS
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1
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PS
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33-9
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PY
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2012
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PD
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2012 Feb
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LA
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英文
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AB
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PURPOSE OF REVIEW:Most children diagnosed with cancer today are expected to be cured.Medulloblastoma, the most common pediatric malignant brain tumor, is an example of a disease that has benefitted from advances in diagnostic imaging, surgical techniques, radiation therapy and combination chemotherapy over the past decades.It was an incurable disease 50 years ago, but approximately 70% of children with medulloblastoma are now cured of their disease.However, the pace of increasing the cure rate has slowed over the past 2 decades, and we have likely reached the maximal benefit that can be achieved with cytotoxic therapy and clinical risk stratification.Long-term toxicity of therapy also remains significant.To increase cure rates and decrease long-term toxicity, there is great interest in incorporating biologic 'targeted' therapy into treatment of medulloblastoma, but this will require a paradigm shift in how we classify and study disease.RECENT FINDINGS:Using genome-based high-throughput analytic techniques, several groups have independently reported methods of molecular classification of medulloblastoma within the past year.This has resulted in a working consensus to view medulloblastoma as four molecular subtypes, including wingless-type murine mammary tumor virus integration site (WNT) pathway subtype, Sonic Hedgehog pathway subtype and two less well defined subtypes (groups C and D).SUMMARY:Novel classification and risk stratification based on biologic subtypes of disease will form the basis of further study in medulloblastoma and identify specific subtypes that warrant greater research focus.
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C1
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Seattle Children's Hospital, University of Washington School of Medicine, Washington, USA. sarah.leary@seattlechildrens.org
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SS
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Index Medicus
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SN
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1531-698X
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JC
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9000850
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PA
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United States
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GI
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R01CA112350 / NCI NIH HHS.R01CA114567 / NCI NIH HHS
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SA
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In-Process
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RC
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16 Jan 2012
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UT
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MEDLINE:22189395
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ER
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