TY - JOUR
T1 - Prognostic Factors for Wilms Tumor Recurrence
T2 - A Review of the Literature
AU - Groenendijk, Alissa
AU - Spreafico, Filippo
AU - de Krijger, Ronald R
AU - Drost, Jarno
AU - Brok, Jesper
AU - Perotti, Daniela
AU - van Tinteren, Harm
AU - Venkatramani, Rajkumar
AU - Godziński, Jan
AU - Rübe, Christian
AU - Geller, James I
AU - Graf, Norbert
AU - van den Heuvel-Eibrink, Marry M
AU - Mavinkurve-Groothuis, Annelies M C
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/6/23
Y1 - 2021/6/23
N2 - In high-income countries, the overall survival of children with Wilms tumors (WT) is ~90%. However, overall, 15% of patients experience tumor recurrence. The adverse prognostic factors currently used for risk stratification (advanced stage, high risk histology, and combined loss of heterozygosity at 1p and 16q in chemotherapy-naïve WTs) are present in only one third of these cases, and the significance of these factors is prone to change with advancing knowledge and improved treatment regimens. Therefore, we present a comprehensive, updated overview of the published prognostic variables for WT recurrence, ranging from patient-, tumor- and treatment-related characteristics to geographic and socioeconomic factors. Improved first-line treatment regimens based on clinicopathological characteristics and advancing knowledge on copy number variations unveil the importance of further investigating the significance of biological markers for WT recurrence in international collaborations.
AB - In high-income countries, the overall survival of children with Wilms tumors (WT) is ~90%. However, overall, 15% of patients experience tumor recurrence. The adverse prognostic factors currently used for risk stratification (advanced stage, high risk histology, and combined loss of heterozygosity at 1p and 16q in chemotherapy-naïve WTs) are present in only one third of these cases, and the significance of these factors is prone to change with advancing knowledge and improved treatment regimens. Therefore, we present a comprehensive, updated overview of the published prognostic variables for WT recurrence, ranging from patient-, tumor- and treatment-related characteristics to geographic and socioeconomic factors. Improved first-line treatment regimens based on clinicopathological characteristics and advancing knowledge on copy number variations unveil the importance of further investigating the significance of biological markers for WT recurrence in international collaborations.
KW - Pediatric
KW - Prognosis
KW - Recurrence
KW - Wilms tumor
UR - http://www.scopus.com/inward/record.url?scp=85108278393&partnerID=8YFLogxK
U2 - 10.3390/cancers13133142
DO - 10.3390/cancers13133142
M3 - Article
C2 - 34201787
SN - 2072-6694
VL - 13
JO - Cancers
JF - Cancers
IS - 13
M1 - 3142
ER -