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h

Those with a poor prognosis

(~50% or less 5 year survival) such as acute myeloid

leukaemia, several CNS tumours, neuroblastoma, bone and soft tissue sarcomas.

Among these diseases, some have a very poor prognosis such as diffuse intrinsic

pontine glioma, high-risk neuroblastoma and metastatic sarcomas;

h

The extremely rare tumours

, for which there is insufficient information on their real

incidence and survival.

Figure 2: 5 year age-standardized survival from

childhood cancers diagnosed in Europe between

2005 and 2007. Survival for retinoblastoma is calcu-

lated for 0-4 years only, and survival for osteosar-

coma is calculated for 10-14 years only. Figures were

region weighted and those for all cancers together

and CNS cancers were adjusted by case-mix [2]

8

A EUROPEAN CANCER PLAN FOR CHILDREN AND ADOLESCENTS

9

h

CNS tumours (33%), leukaemias (29%) and neuroblastoma (8%) are responsible for 60%

of cancer deaths amongst childrenaged 0 to 14 years.

Figure 3: Cause of death by different cancer (Courtesy of Eva Steliarova-Foucher).

Percentage of all cancer deaths in children (age 0-14) in all 50 areas covered by population-

based cancer registries contributing data for years 2000-2007 to the European Cancer

Observatory (N=6256) [3]. Causes of deaths are classified according to the ICD-10 (WHO, 1992)