Dinutuximab in adult-onset chemotherapy refractory high-risk neuroblastoma.

Introduction: Neuroblastoma is the most common extracranial solid tumor in pediatrics but is considerably uncommon in adults, with approximately 1 case per 10 million diagnosed per year and is associated with poor prognosis. There are no standard treatment protocols for adult-onset neuroblastomas and there are only a few published case reports on neuroblastoma in adults.

Case Report: We report our treatment experience in a 41-year-old female diagnosed with high-risk, poorly differentiated neuroblastoma.

Use of Standard Guidelines for Department of Medicine Summary Letters.

Unlabelled: Phenomenon: Fourth-year medical students obtain Department of Medicine (DOM) letters ("Chair" letters) to support their residency applications. Writing and interpreting DOM letters are challenging. There is heterogeneity in the letters that makes it difficult to both write and read these letters.