Survival outcomes and relapse patterns in high-risk metastatic neuroblastoma treated with radiotherapy-only consolidation in a resource-limited setting: a retrospective study from a lower-middle-income country

Radiotherapy-only consolidation following induction chemotherapy provided limited systemic disease control, reflected in early relapses and modest survival. These findings highlight the urgent need to expand access to ASCT, immunotherapy, and integrated care pathways to improve outcomes for HR-MNB in LMICs. Reporting real-world data from resource-constrained settings contributes essential evidence to guide equitable neuroblastoma treatment strategies globally.