دورية أكاديمية

Concomitant Wilms tumor and autosomal dominant polycystic kidney disease.

التفاصيل البيبلوغرافية
العنوان: Concomitant Wilms tumor and autosomal dominant polycystic kidney disease.
المؤلفون: Fleming AM; Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.; Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA., Gehle DB; Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.; Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA., Perrino MR; Division of Cancer Predisposition, Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Graetz DE; Solid Tumor Division, Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Bissler JJ; Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.; Division of Pediatric Nephrology, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, USA., McCarville B; Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Krasin MJ; Department of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Brennan RC; Department of Pediatric Hematology & Oncology, Logan Health, Kalispell, Montana, USA., Zhang J; Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Yang W; Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Sapkota Y; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Hudson MM; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.; Division of Cancer Survivorship, Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Davidoff AM; Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Green DM; Division of Cancer Survivorship, Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Murphy AJ; Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.; Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
المصدر: Pediatric blood & cancer [Pediatr Blood Cancer] 2024 Oct; Vol. 71 (10), pp. e31230. Date of Electronic Publication: 2024 Jul 31.
نوع المنشور: Journal Article; Case Reports
اللغة: English
بيانات الدورية: Publisher: John Wiley Country of Publication: United States NLM ID: 101186624 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-5017 (Electronic) Linking ISSN: 15455009 NLM ISO Abbreviation: Pediatr Blood Cancer Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hoboken, N.J. : John Wiley, c 2004-
مواضيع طبية MeSH: Kidney Neoplasms*/pathology , Kidney Neoplasms*/complications , Polycystic Kidney, Autosomal Dominant*/complications , Polycystic Kidney, Autosomal Dominant*/pathology , Wilms Tumor*/pathology , Wilms Tumor*/complications, Child, Preschool ; Female ; Humans ; Male ; Nephrectomy ; Retrospective Studies
مستخلص: Background: Concomitant Wilms tumor (WT) and autosomal dominant polycystic kidney disease (ADPKD) is exceedingly rare, presenting a diagnostic and technical challenge to pediatric surgical oncologists. The simultaneous workup and management of these disease processes are incompletely described.
Procedure: We performed a retrospective analysis of patients treated at our institution with concomitant diagnoses of WT and ADPKD. We also review the literature on the underlying biology and management principles of these conditions.
Results: We present three diverse cases of concomitant unilateral WT and ADPKD who underwent nephrectomy. One patient had preoperative imaging consistent with ADPKD with confirmatory testing postoperatively, one was found to have contralateral renal cysts intraoperatively with confirmatory imaging post nephrectomy, and one was diagnosed in childhood post nephrectomy. All patients are alive at last follow-up, and the patient with longest follow-up has progressed to end-stage kidney failure requiring transplantation and dialysis in adulthood. All patients underwent germline testing and were found to have no cancer predisposition syndrome or pathogenic or likely pathogenic variants for WT.
Conclusion: Concomitant inheritance of ADPKD and development of WT are extremely rare, and manifestations of ADPKD may not present until late childhood or adulthood. ADPKD is not a known predisposing condition for WT. When ADPKD diagnosis is made by family history, imaging, and/or genetic testing before WT diagnosis and treatment, the need for extensive preoperative characterization of cystic kidney lesions in children and increased risk of post-nephrectomy kidney failure warrant further discussion of surgical approach and perioperative management strategies.
(© 2024 Wiley Periodicals LLC.)
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معلومات مُعتمدة: American Lebanese Syrian Associated Charities; U01-CA195547-1 US National Institutes of Health/National Cancer Institute Cancer Center Support Grant; P30 CA021765 United States CA NCI NIH HHS; U01 CA195547 United States CA NCI NIH HHS; CA21765 US National Institutes of Health/National Cancer Institute Cancer Center Support Grant; U24 CA055727 United States CA NCI NIH HHS
فهرسة مساهمة: Keywords: Wilms tumor; nephroblastoma; polycystic kidney disease
تواريخ الأحداث: Date Created: 20240801 Date Completed: 20240823 Latest Revision: 20240904
رمز التحديث: 20240904
مُعرف محوري في PubMed: PMC11369902
DOI: 10.1002/pbc.31230
PMID: 39085996
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-5017
DOI:10.1002/pbc.31230