The present invention provides methods and kits a) for preventing and / or treating
neuroblastoma (e.g., high-risk
neuroblastoma) that is linked, in part, to high levels of ODC activity and increased cellular
polyamine content, b) for predicting
cancer patient survival, especially
cancer patients whose
cancer is linked, in part, to high levels of ODC activity and increased cellular
polyamine contents, and c) for selecting
treatment options for such patients based on the allelic
nucleotide sequence or SNP at positions +263 and / or +316 of the ODC1
gene. The invention also provides,
cancer treatment methods comprising the determination of the ODC1
genotype at the +263 and / or +316 positions, as a means to guide treatment selection, which includes, in some aspects the administration of pharmaceutically effective amounts of α-difluoromethylornithine (DFMO), either as a monotherapy or in combination with one or more other drugs. In addition, the present invention provides methods for preventing and / or treating patients that have been determined to have cancer stem cells, such as patients in cancer remission that are at risk for relapse.