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Letter to the Editor| Volume 147, ISSUE 3, P468, March 2010

Author response

      We would like to thank Dr Heij for his comments concerning our recent report.
      • Gutierrez J.C.
      • Koniaris L.G.
      • Cheung M.C.
      • Byrne M.M.
      • Fischer A.C.
      • Sola J.E.
      Cancer care in the pediatric surgical patient: a paradigm to abolish volume-outcome disparities in surgery.
      Understanding the volume-outcome relationship in neuroblastoma (NBL) and Wilms tumor (WT) is critical for providing children with malignant disease the best possible outcome. To this end, our group has published multiple population-based examinations of pediatric patients with malignant neoplasms.
      • Gutierrez J.C.
      • Fischer A.C.
      • Sola J.E.
      • Perez E.A.
      • Koniaris L.G.
      Markedly improving survival of neuroblastoma: a 30 year analysis of 1646 patients.
      • Gutierrez J.C.
      • Housri N.
      • Koniaris L.G.
      • Fischer A.C.
      • Sola J.E.
      Malignant breast cancer in children: a review of 75 patients.
      • Perez E.A.
      • Gutierrez J.C.
      • Koniaris L.G.
      • Neville H.L.
      • Thompson E.R.
      • Sola J.E.
      Malignant pancreatic tumors in children: incidence and outcomes in 58 patients.

      Yang R, Cheung MC, Zhuge Y, Armstrong C, Koniaris LG, Sola JE. Primary solid tumors of the colon and rectum in the pediatric patient: a review of 270 cases. J Surg Res. Epub 2008 Dec 30.

      • Zhuge Y.
      • Cheung M.C.
      • Yang R.
      • Koniaris L.G.
      • Sola J.E.
      Pediatric foregut and small bowel solid tumors: a review.
      We entirely agree that confirmatory studies are needed to define the observations we have made to date; however, we respectfully disagree with the assumptions and conclusions made by Heij in his letter to the editor.
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      References

        • Gutierrez J.C.
        • Koniaris L.G.
        • Cheung M.C.
        • Byrne M.M.
        • Fischer A.C.
        • Sola J.E.
        Cancer care in the pediatric surgical patient: a paradigm to abolish volume-outcome disparities in surgery.
        Surgery. 2009; 145: 76-85
        • Gutierrez J.C.
        • Fischer A.C.
        • Sola J.E.
        • Perez E.A.
        • Koniaris L.G.
        Markedly improving survival of neuroblastoma: a 30 year analysis of 1646 patients.
        Pediatr Surg Int. 2007; 23: 637-646
        • Gutierrez J.C.
        • Housri N.
        • Koniaris L.G.
        • Fischer A.C.
        • Sola J.E.
        Malignant breast cancer in children: a review of 75 patients.
        J Surg Res. 2008; 147: 182-188
        • Perez E.A.
        • Gutierrez J.C.
        • Koniaris L.G.
        • Neville H.L.
        • Thompson E.R.
        • Sola J.E.
        Malignant pancreatic tumors in children: incidence and outcomes in 58 patients.
        J Pediatr Surg. 2009; 44: 197-203
      1. Yang R, Cheung MC, Zhuge Y, Armstrong C, Koniaris LG, Sola JE. Primary solid tumors of the colon and rectum in the pediatric patient: a review of 270 cases. J Surg Res. Epub 2008 Dec 30.

        • Zhuge Y.
        • Cheung M.C.
        • Yang R.
        • Koniaris L.G.
        • Sola J.E.
        Pediatric foregut and small bowel solid tumors: a review.
        J Surg Res. 2009; 156: 95-102