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Remote U.S. Consultation Leads to Promising Therapy Plan for Child with Rare Rhabdoid Tumor

Author: Medical Editor Iris


Date Created: July,1 2025

Word Count: 696 | Reading Time: 4 minutes

Article Type: Real Patient Case 


Content


Introduction: A Rare Diagnosis That Shakes Any Family

Receiving a diagnosis of a rhabdoid tumor in a young child is nothing short of devastating. Known for its aggressive nature and rarity, this type of cancer leaves many families grappling with fear, confusion, and urgent questions: What’s the best treatment? Who are the top specialists? Can my child survive this? For families across Asia and beyond, navigating a rare pediatric tumor diagnosis often means looking abroad for answers—especially to the United States, where cutting-edge treatments and top-tier expertise offer new hope.


Case Snapshot: A Young Child's Rhabdoid Tumor Battle

  • Patient Name: Xiao Li (alias)

  • Diagnosis: Atypical Teratoid/Rhabdoid Tumor (AT/RT)

  • Challenge: Despite receiving multiple treatments in China, the tumor continued to progress.

  • Goal: To seek expert advice from a leading U.S. pediatric oncologist to explore further treatment options.



U.S. Expert Consultation

Expert: Dr. Susan

  • Director of Pediatric Neuro-Oncology

  • Co-Director of the Solid Tumor Program

  • Dana-Farber Cancer Institute, Harvard Medical School

 

Expert Recommendations:

  • Dr. Susan confirmed that Xiao Li’s current treatment approach in China was appropriate but suggested increasing the dose of Tazemetostat to 1200 mg/m² (when used alone).

  • Recommended adding intrathecal Topotecan, administered under a carefully designed protocol. (Protocol details are confidential; to learn more, add WeChat: Mede1219)


 Further Treatment Suggestions:

  • Combination therapies involving Vorinostat + mTOR inhibitors (e.g., Everolimus or Sirolimus).

  • If disease progresses, consider the MEMMAT protocol a low-dose metronomic regimen that includes:

    • Five oral chemotherapy drugs: Cyclophosphamide, Etoposide, Fenofibrate, Celecoxib, Thalidomide

    • Bevacizumab (anti-angiogenic antibody)

    • Intrathecal injections for central nervous system protection


Cutting-Edge Therapies and Treatment Innovations

Oncolytic Virus Therapy

Promising results are emerging in pediatric trials and may become viable for AT/RT patients in the future.


CAR-T Advance Therapy

  • Among available targets, B7H3 CAR-T was identified as the most promising option for Xiao Li.

  • However, CAR-T therapy involves a complex process:

    • Lengthy waitlists for clinical trials

    • T-cell extraction and engineering (2–3 weeks)

    • Treatment cycles that may span up to 6 weeks

Fortunately, the U.S. is home to numerous active clinical trials and investigational drugs specifically targeting AT/RT, offering patients multiple new options with fewer side effects.


Remote consultation between Dr. Susan and the family of Xiao Li, a child with AT/RT in China


About Dr. Susan  

Specialties: AT/RT, infant brain tumors, choroid plexus tumors, DIPG, ependymoma, pediatric gliomas


  • Affiliations: Children’s Oncology Group (COG), American Association for Cancer Research (AACR)

  • Recognitions: Named “Top Pediatric Oncologist” by Castle Connolly

  • Publications: Over 100 papers in Journal of Clinical Oncology, Neuro-Oncology, and Clinical Cancer Research

 Patient Feedback

Xiao Li’s family expressed heartfelt gratitude after the consultation, feeling empowered by the innovative options shared by Dr. Susan. With Medebound’s support, they received a personalized treatment roadmap and maintained continuous communication with U.S. doctors for ongoing follow-up.


Why Top U.S. Doctors Are Often the Game-Changer

Unlike many local facilities, top U.S. cancer centers offer a multidisciplinary approach involving pediatric neurosurgeons, neuro-oncologists, geneticists, and clinical researchers. Doctors at institutions like St. Jude Children’s Research Hospital, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, and Memorial Sloan Kettering Cancer Center (MSKCC) have decades of experience treating rare brain tumors like AT/RT.

What sets these experts apart is access to:

  • Pediatric brain tumor-specific clinical trials

  • Comprehensive genomic profiling

  • Proton beam therapy

  • Novel immunotherapies and biologics

In the case mentioned above, the U.S.-based remote second opinion confirmed the diagnosis and recommended a refined treatment protocol incorporating targeted therapy based on the tumor’s unique genetic profile and suggesting a modified radiation approach to reduce long-term damage.



What’s New in Rhabdoid Tumor Care: Precision, Immunotherapy, and More

Rhabdoid tumors are increasingly being treated through precision medicine, where therapies are tailored to the tumor’s molecular features. In some cases, loss of the INI1/SMARCB1 gene triggers specific vulnerabilities that new drugs can target.

Exciting advancements include:

  • Targeted therapy trials for tumors with SMARCB1 deletion

  • Immune checkpoint inhibitors in combination with radiation and chemo

  • CAR-T advance therapy being studied in clinical trials

These emerging strategies can be life-changing lbut they’re often only accessible in the U.S. or through global trial enrollment facilitated by international patient programs.


Best U.S. Hospitals for Rare Pediatric Brain Tumors

For rhabdoid tumor care, these institutions lead the field:

  1. St. Jude Children’s Research Hospital (Memphis, TN) – World-renowned for pediatric brain tumor trials

  2. Dana-Farber/Boston Children’s Cancer Center (Boston, MA) – Specialized in AT/RT and precision pediatric oncology

  3. Memorial Sloan Kettering Cancer Center (New York, NY) – Leading expert panel for rare CNS tumors

  4. MD Anderson Cancer Center (Houston, TX) – Offers advanced pediatric neuro-oncology care and research access

  5. Children’s Hospital of Philadelphia (CHOP, PA) – Innovative surgical and therapeutic approaches for high-risk tumors


Second Opinions Save Lives: What Families Need to Know

A second opinion from a U.S. expert is not just reassurance; it can dramatically change the treatment course, introduce less toxic options, and even open doors to clinical trials unavailable locally.

Families are often surprised to learn that a full expert review—including pathology, imaging, and genetic reports can be done remotely, without travel. The insights gained may improve survival outcomes and quality of life for the child.


How to Start: Your Path to Better Care Begins Here

Taking the first step toward an international medical consultation may feel daunting especially when every moment counts. But with the right support, the process can move quickly and smoothly. Once you gather essential medical documents such as biopsy reports, MRI or CT scans, pathology results, and lab work—the second opinion process can often begin within just a few days.

Top U.S. hospitals are equipped to review international cases efficiently. In most situations, families can expect to receive expert feedback within a week, including written treatment recommendations and the option for a virtual consultation with a leading specialist. With the right guidance, your journey toward better care can begin today.


Why Families Trust Medebound HEALTH to Navigate the Journey

At Medebound HEALTH, we specialize in connecting families facing rare, complex diseases with top-tier medical experts in the U.S. Our services include:

  • Fast-track remote second opinions from hospitals like MSKCC, St. Jude, and Dana-Farber

  • Coordination of medical record translation, imaging transfer, and scheduling

  • Guidance on access to treatment trials, visas, and travel when in-person care is needed

  • Support throughout the care journey from diagnosis to post-treatment monitoring


Contact Medebound HEALTH today for your bridge to world-class cancer care.


WhatsApp: +1 718 213 8508



Final Thoughts: Turning Uncertainty into Action

A rhabdoid tumor diagnosis is daunting but with the right medical guidance and access to world-class care, there is reason for hope. Whether through a remote expert consultation or travel for specialized treatment, families have more power than ever to chart a better path forward.

Your child deserves the best. Let Medebound HEALTH help you get there.


New Way of Health: When knowledge, care, and global access come together hope follows.

Medebound HEALTH


Disclaimer

This article is for informational purposes only and does not substitute professional medical advice. Please consult your physician before making any changes to your treatment plan.



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