Abstract
A 5-year-old girl with stage IV neuroblastoma with diesseminated marrow involvement was treated with high-dose chemotherapy and autografts with peripheral blood stem/progenitor cells (PBSC), without local or total-body irradiation. After PBSC autograft, hematologic recovery was complete. Without further anticancer therapy, she remained tumor-free for 38 months until a local recurrence was identified. This case illustrates that late relapse can occur in advanced-stage neuroblastoma after long-term remission following high-dose chemotherapy without irradiation.
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