%0 Journal Article %A Heinz, Amadeus T %A Ebinger, Martin %A Schönstein, Anton %A Fuchs, Jörg %A Timmermann, Beate %A Seitz, Guido %A Vokuhl, Christian %A Münter, Marc W %A Pajtler, Kristian %A Stegmaier, Sabine %A von Kalle, Thekla %A Kratz, Christian P %A Rößler, Jochen %A Ljungman, Gustaf %A Klingebiel, Thomas %A Koscielniak, Ewa %A Sparber-Sauer, Monika %T Second-line treatment of pediatric patients with relapsed rhabdomyosarcoma adapted to initial risk stratification: Data of the European Soft Tissue Sarcoma Registry (SoTiSaR). %J Pediatric blood & cancer %V 70 %N 7 %@ 1545-5009 %C New York, NY %I Wiley %M DKFZ-2023-00771 %P e30363 %D 2023 %Z 2023 Jul;70(7):e30363 %X Outcome of relapsed disease of localized rhabdomyosarcoma remains poor. An individual treatment approach considering the initial systemic treatment and risk group was included in the Cooperative Weichteilsarkom Studiengruppe (CWS) Guidance.Second-line chemotherapy (sCHT) ACCTTIVE based on anthracyclines (adriamycin, carboplatin, cyclophosphamide, topotecan, vincristine, etoposide) was recommended for patients with initial low- (LR), standard- (SR), and high-risk (HR) group after initial treatment without anthracyclines. TECC (topotecan, etoposide, carboplatin, cyclophosphamide) was recommended after initial anthracycline-based regimen in the very high-risk (VHR) group. Data of patients with relapse (n = 68) registered in the European Soft Tissue Sarcoma Registry SoTiSaR (2009-2018) were retrospectively analyzed.Patients of initial LR (n = 2), SR (n = 16), HR (n = 41), and VHR (n = 9) group relapsed. sCHT consisted of ACCTTIVE (n = 36), TECC (n = 12), or other (n = 15). Resection was performed in 40/68 (59 %K Soft Tissue Sarcoma Registry (SoTiSaR) (Other) %K localized disease (Other) %K relapsed disease (Other) %K rhabdomyosarcoma (Other) %K second-line chemotherapy (Other) %F PUB:(DE-HGF)16 %9 Journal Article %$ pmid:37066598 %R 10.1002/pbc.30363 %U https://inrepo02.dkfz.de/record/275451