Definitions.
* High risk localized defined as a tumor volume >200mls, poor response to neoadjuvant chemotherapy with <90% necrosis.
Chemo combinations- VAC: vincristine, dactinomycin, cyclophosphamide; VAI: vincristine, dactinomycin, ifosfamide; IE: ifosfamide, etoposide; VACA: vincristine, dactinomycin, cyclophosphamide, doxorubicin; VAIA: vincristine, dactinomycin, ifosfamide, doxorubicin; EVAIA: plus etoposide; VIDE: vincristine, ifosfamide, doxorubicin, etoposide.
Bu-Mel/ ASCT: Busulphan Melphalan conditioning with autologous stem cell transplant.
WLI: whole lung irradiation.