TY - JOUR
T1 - Pediatric and young adult renal cell carcinoma
AU - Ray, Satyajit
AU - Jones, Robert
AU - Pritchard-Jones, Kathy
AU - Dzhuma, Kristina
AU - van den Heuvel-Eibrink, Marry
AU - Tytgat, Godelieve
AU - van der Beek, Justine
AU - Oades, Grenville
AU - Murphy, Dermot
N1 - Publisher Copyright:
© 2020 Wiley Periodicals LLC
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Renal cell carcinoma (RCC) is rare in children but is the most common renal tumor in adults. Pediatric RCC has different clinical characteristics, histopathology, and treatment compared with adult disease. Databases were reviewed from inception to February 2020, identifying 32 publications pertaining to 350 patients under 27 years. Surgery is the cornerstone for cure in localized RCC. Lymph node dissection remains controversial. Conventional radiotherapy has no curative role in RCC; similarly, conventional chemotherapy has not proven to be effective in large cohorts. Pediatric metastatic RCC has a poor outlook. There are no published prospective studies demonstrating which adjuvant therapy could improve outcome. Sunitinib, a tyrosine kinase inhibitor, is recommended in this group despite limited evidence. This review provides an overview for pediatric RCC, including the evolving role of precision medicine.
AB - Renal cell carcinoma (RCC) is rare in children but is the most common renal tumor in adults. Pediatric RCC has different clinical characteristics, histopathology, and treatment compared with adult disease. Databases were reviewed from inception to February 2020, identifying 32 publications pertaining to 350 patients under 27 years. Surgery is the cornerstone for cure in localized RCC. Lymph node dissection remains controversial. Conventional radiotherapy has no curative role in RCC; similarly, conventional chemotherapy has not proven to be effective in large cohorts. Pediatric metastatic RCC has a poor outlook. There are no published prospective studies demonstrating which adjuvant therapy could improve outcome. Sunitinib, a tyrosine kinase inhibitor, is recommended in this group despite limited evidence. This review provides an overview for pediatric RCC, including the evolving role of precision medicine.
KW - pediatrics
KW - renal cell carcinoma
KW - targeted therapy
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=85089997981&partnerID=8YFLogxK
U2 - 10.1002/pbc.28675
DO - 10.1002/pbc.28675
M3 - Review article
C2 - 32869954
AN - SCOPUS:85089997981
SN - 1545-5009
VL - 67
JO - Pediatric Blood and Cancer
JF - Pediatric Blood and Cancer
IS - 11
M1 - e28675
ER -