CASE REPORT
Characteristics of patients with blastemal-type Wilms’ tumour
 
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1
Doctoral School, Department of Pediatric Hematology and Oncology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
 
2
Students’ Scientific Association, Department of Pediatric Hematology and Oncology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
 
3
Department of Pediatric Hematology and Oncology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
 
 
Submission date: 2021-02-23
 
 
Final revision date: 2021-04-15
 
 
Acceptance date: 2021-05-05
 
 
Publication date: 2021-07-01
 
 
Pediatr Pol 2021;96(2):134-138
 
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ABSTRACT
Wilms’ tumour (nephroblastoma) is the most common malignant tumour of kidney in children and one of the 2 most common solid tumours located outside of the central nervous system. Nephroblastoma has a very good prognosis, but some histological types like blastemal-type require qualification to a high-risk group and intensification of treatment. We present the cases of 3 children diagnosed with nephroblastoma, blastemal-type. The first girl’s treatment was unsuccessful, as there were 4 cancer recurrences. The second girl had primarily metachronous form of nephroblastoma, but during recurrence the blastemal-type was diagnosed. Despite intensive treatment, it ended with failure. The third girl had a tumour in the left kidney, which was transformed from the bilateral nephroblastomatosis. She remains in remission; the therapy ended on February 2018.
REFERENCES (22)
1.
Marciniak P, Wachowiak J. Nerczak zarodkowy u dzieci i młodzieży –.
 
2.
czynniki prognostyczne w pierwszej manifestacji guza oraz we wznowie. Medycyna Wieku Rozwojowego 2009; 13: 59-65.
 
3.
Phelps H, Kaviany S, Borinstein S, et al. Biological Drivers of Wilms Tumour Prognosis and Treatment. Children 2018; 5: 145.
 
4.
Bhatnagar S. Management of Wilms’ tumour: NWTS vs SIOP. J Indian Assoc Pediatr Surg. 2009; 1: 6-14.
 
5.
Vujanić GM, Gessler M, Ooms AHAG, et al. The UMBRELLA SIOP–RTSG 2016 Wilms tumour pathology and molecular biology protocol. Nat Rev Urol 2018; 15: 693-701.
 
6.
van del Heuvel-Eibrink MM, van Tinteren H, Bergeron C, et al. Outcome of localised blastemal-type Wilms tumour patients treated according to intensified treatment in the SIOP WT 2001 protocol,.
 
7.
a report of the SIOP Renal Tumour Study Group (SIOP-RTSG). Eur J Cancer 2015; 51: 498-506.
 
8.
Doganis D, Zborovskaya A, Trojanowski M, et al. Wilms tumour event-free and overall survival in Southern and Eastern Europe: Pooled analyses of clinical data from four childhood cancer registries (1999-2017). Eur J Cancer 2019; 115: 37-46.
 
9.
Huang J, Zhang Y, Zhen Z, et al. The prognosis of prechemotherapy blastemal predominant histology subtype in Wilms tumour: A retrospective study in China. Pediatr Blood Cancer 2020; 67: 1-8.
 
10.
Kinoshita Y, Suminoe A, Inada H, et al. The prognostic significance of blastemal predominant histology in initially resected Wilms’ tumours: A report from the Study Group for Pediatric Solid Tumours in the Kyushu Area, Japan. J Pediatr Surg 2012; 47: 2205-2209.
 
11.
Koshinaga T, Takimoto T, Okita H, et al. Blastemal predominant type Wilms tumour in Japan: Japan Children’s Cancer Group. Pediatr Int 2019; 61: 351-357.
 
12.
Dome JS, Perlman EJ, Graf N. Risk Stratification for Wilms Tumour: Current Approach and Future Directions. Am Soc Clin Oncol Educ B 2014; 34: 215-223.
 
13.
Graf N, van Tinteren H, Pritchard-Jones K, et al. Is absolute blastema volume after preoperative chemotherapy in nephroblastoma relevant for prognosis. Pediatr Blood Cancer 2011; 57: 741-742.
 
14.
Mambié Meléndez M, Guibelalde Del Castillo M, Nieto Del Rincón N,.
 
15.
et al. Metachronous bilateral Wilms’ tumour. An Esp Pediatr 2002; 56: 247-250.
 
16.
Bruce G, Nzekwu E, Cook AJ, et al. Case report: Diffuse hyperplastic perilobar nephroblastomatosis complicated by a unilateral Wilms tumour: diagnosis, treatment and follow-up. BMC Research Notes 2018; 11: 396.
 
17.
Bergeron C, Iliescu C, Thiesse P, et al. Does nephroblastomatosis influence the natural history and relapse rate in Wilms’ tumour? A single centre experience over 11 years. Eur J Cancer 2001; 37: 385-391.
 
18.
Burk CD, Restaino I, Kaplan BS, et al. Ifosfamide-induced renal tubular dysfunction and rickets in children with Wilms tumour.
 
19.
J Pediatr 1990; 117: 331-335.
 
20.
Bisogno G, de Kraker J, Weirich A, et al. Venoocclusive disease of the liver in children treated for Wilms tumour. Med Pediatr Oncol Suppl 1997; 29: 245-251.
 
21.
Ortega JA, Donaldson SS, Ivy SP, et al. Venoocclusive disease of the liver after chemotherapy with vincristine, actinomycin D, and cyclophosphamide for the treatment of rhabdomyosarcoma. A report of the Intergroup Rhabdomyosarcoma Study Group. Childrens Cancer Group, the Pediatric Oncology Group, and the Pediatric Intergroup Statistical Center. Cancer 1997; 79: 2435-2439. .
 
22.
Kim J, Jung Y. Radiation-induced liver disease: current understanding and future perspectives. Exp Mol Med 2017; 49: e359. .
 
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