Yıl: 2020 Cilt: 50 Sayı: 1 Sayfa Aralığı: 18 - 24 Metin Dili: İngilizce DOI: 10.3906/sag-1902-106 İndeks Tarihi: 27-04-2020

Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey

Öz:
Background/aim: Non-Wilms renal tumors (NWRTs) are rarely encountered in children. The aim of this study is to determine thetreatment strategies, prognosis, outcomes, and survival of children with NWRTs at Erciyes University in Kayseri, Turkey.Materials and methods: Medical records of all patients (n = 20) treated for NWRTs over a 23-year period (1995–2018) were reviewedretrospectively.Results: There was male predominance (female/male: 7/13); the median age at diagnosis was 3.2 years old (0.1–13.5 years old). Themajor histological groups included mesoblastic nephroma (MBN), (n: 5, 25%), malignant rhabdoid tumor (MRT), (n: 5, 25%), renalcell carcinoma, (n: 3, 15%), inflammatory myofibroblastic tumor (n: 2, 10%), multilocular cystic renal tumors (n: 2, 10%), metanephricadenoma (n: 1, 5%), renal neuroblastoma (n: 1, 5%), and bilateral renal Ewing sarcoma/primitive neuroectodermal tumor (ES/PNET)(n: 1, 5%). All of the patients with NWRTs had radical nephrectomy except the child with bilateral renal ES/PNET. Six children diedbecause of progressive disease; the mortality rate was 30% (n: 6).Conclusion: We have made the first report of bilateral renal involvement of ES/PNET in the English medical literature. Physiciansdealing with pediatric renal masses should be alert to the high mortality rate in children with MRT, MBN, and ES/PNET and theyshould design substantial management plans for NWRTs.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Akyüz C, Yalçin B, Yildiz I, Hazar V, Yörük A et al. Treatment of Wilms tumor: a report from the Turkish Pediatric Oncology Group (TPOG). Pediatric Hematology and Oncology 2010 (27): 161-178. doi: 0.3109/08880010903447375
  • 2. Broecker B. Non-Wilms’ renal tumors in children. Urologic Clinics of North America 2000 (27): 463-469.
  • 3. Ahmed HU, Arya M, Levitt G, Duffy PG, Mushtaq I et al. Part I: Primary malignant non-Wilms’ renal tumours in children. Lancet Oncology 2007 (8): 730-737. doi: 10.1016/S1470- 2045(07)70241-3
  • 4. Ahmed HU, Arya M, Levitt G, Duffy PG, Sebire NJ et al. Part II: Treatment of primary malignant non-Wilms’ renal tumours in children. Lancet Oncology 2007 (8): 842-848. doi: 10.1016/ S1470-2045(07)70276-0
  • 5. Zhuge Y, Cheung MC, Yang R, Perez EA, Koniaris LG et al. Pediatric non-Wilms renal tumors: subtypes, survival, and prognostic indicators. Journal of Surgical Research 2010 (163): 257-263. doi: 10.1016/j.jss.2010.03.061
  • 6. Saula PW, Hadley GP. Pediatric non-Wilms’ renal tumors: a third world experience. World Journal of Surgery 2012 (36): 565-572. doi: 10.1007/s00268-011-1410-2
  • 7. Warmann SW, Nourkami N, Frühwald M, Leuschner I, Schenk JP et al. Primary lung metastases in pediatric malignant non- Wilms renal tumors: data from SIOP 93-01/GPOH and SIOP 2001/GPOH. Klinische Pädiatrie 2012 (224): 148-152. doi: 10.1055/s-0032-1304600
  • 8. Bozlu G, Çıtak EÇ. Evaluation of renal tumors in children. Turkish Journal of Urology 2018 (44): 268-273. doi: 10.5152/ tud.2018.70120
  • 9. Dogan MS, Doganay S, Koc G, Gorken SB, Unal E et al. Inflammatory myofibroblastic tumor of the kidney and bilateral lung nodules in a child mimicking Wilms tumor with lung metastases. Journal of Pediatric Hematology/Oncology 2015 (37): e390-393. doi: 10.1097/MPH.0000000000000353
  • 10. Karpate A, Menon S, Basak R, Yuvaraja TB, Tongaonkar HB et al. Ewing sarcoma/primitive neuroectodermal tumor of the kidney: clinicopathologic analysis of 34 cases. Annals of Diagnostic Pathology 2012 (16): 267-274. doi: 10.1016/j. anndiagpath.2011.07.011
  • 11. Soyaltın E, Alaygut D, Alparslan C, Özdemir T, Çamlar SA et al. A rare cause of neonatal hypertension: congenital mesoblastic nephroma. Turkish Journal of Pediatrics 2018 (60): 198-200. doi: 10.24953/turkjped.2018.02.014
  • 12. Apaydin E, Ozluk Y, Yuksel S, Erginel B, Tugcu D et al. The value of mitotic count and Ki67 proliferation index in congenital mesoblastic nephroma. Fetal and Pediatric Pathology 2016 (35): 376-384.
  • 13. Gupta R, Mathur SR, Singh P, Agarwala S, Gupta SD. Cellular mesoblastic nephroma in an infant: report of the cytologic diagnosis of a rare paediatric renal tumor. Diagnostic Cytopathology 2009 (37): 377-380. doi: 10.1002/dc.21028
  • 14. Van den Heuvel-Eibrink MM, van Tinteren H, Rehorst H, Coulombe A, Patte C et al. Malignant rhabdoid tumours of the kidney (MRTKs), registered on recent SIOP protocols from 1993 to 2005: a report of the SIOP renal tumour study group. Pediatric Blood & Cancer 2011 (56): 733-737. doi: 10.1002/ pbc.22922
  • 15. Tomlinson GE, Breslow NE, Dome J, Guthrie KA, Norkool P et al. Rhabdoid tumor of the kidney in the National Wilms’ Tumor Study: age at diagnosis as a prognostic factor. Journal of Clinical Oncology 2005 (23): 7641-7645. doi: 10.1200/ JCO.2004.00.8110
  • 16. Indolfi P, Spreafico F, Collini P, Cecchetto G, Casale F et al. Metastatic renal cell carcinoma in children and adolescents: a 30-year unsuccessful story. Journal of Pediatric Hematology/Oncology 2012 (34): e277-281. doi: 10.1097/ MPH.0b013e318267fb12
  • 17. Varan A, Akyuz C, Sari N, Buyukpamukçu N, Cağlar M et al. Renal cell carcinoma in children: experience of a single center. Nephron Clinical Practice 2007 (105): c58-61. doi: 10.1159/000097599
  • 18. Perlman EJ. Pediatric renal cell carcinoma. Surgical Pathology Clinics 2010; 3: 641-651. doi: 10.1016/j.path.2010.06.011
  • 19. Cajaiba MM, Dyer LM, Geller JI, Jennings LJ, George D et al. The classification of pediatric and young adult renal cell carcinomas registered on the children’s oncology group (COG) protocol AREN03B2 after focused genetic testing. Cancer 2018 (124): 3381-3389. doi: 10.1002/cncr.31578
  • 20. Pothadiyil AJ, Bhat S, Paul F, Mampatta J, Srinivas M. Inflammatory myofibroblastic tumor of the kidney: a rare renal tumor. Journal of Clinical and Diagnostic Research 2016 (10): ED17-ED18. doi: 10.7860/JCDR/2016/22465.8856
  • 21. Bektas S, Okulu E, Kayigil O, Ertoy Baydar D. Inflammatory myofibroblastic tumor of the perirenal soft tissue misdiagnosed as renal cell carcinoma. Pathology, Research and Practice 2007 (203): 461-465. doi: 10.1016/j.prp.2007.02.002
  • 22. Mehra BR, Thawait AP, Akther MJ, Narang RR. Multicystic nephroma masquerading as Wilms’ tumor: a clinical diagnostic challenge. Saudi Journal of Kidney Diseases and Transplantation 2011 (22): 774-778.
  • 23. Karaosmanoğlu AD, Onur MR, Shirkhoda A, Ozmen M, Hahn PF. Unusual benign solid neoplasms of the kidney: crosssectional imaging findings. Diagnostic and Interventional Radiology Official Journal of the Turkish Society of Radiology 2015 (21): 376-381. doi: 10.5152/dir.2015.14545
  • 24. Deger AN, Capar E, Ucar BI, Deger H, Tayfur M. Adult multicystic nephroma: case report and review of the literature. Journal of Clinical and Diagnostic Research 2015 (9): ED22- 23. doi: 10.7860/JCDR/2015/14038.6365
  • 25. Küpeli S, Baydar DE, Canakli F, Yalçin B, Kösemehmetoğlu K et al. Metanephric adenoma in a 6-year-old child with hemihypertrophy. Journal of Pediatric Hematology/Oncology 2009 (31): 453-455. doi: 10.1097/MPH.0b013e31819e8f72
  • 26. Benson M, Lee S, Bhattacharya R, Vasy V, Zuberi J et al. Metanephric adenoma in the pediatric population: diagnostic challenges and follow-up. Urology 2018 (120): 211-215. doi: 10.1016/j.urology.2018.06.042
  • 27. Fan R. Primary renal neuroblastoma--a clinical pathologic study of 8 cases. American Journal of Surgical Pathology 2012 (36): 94-100. doi: 10.1016/j.urology.2018.06.042
  • 28. Moscheo C, Campari A, Podda MG, Riccipetitoni G, Collini P et al. Peripheral neuroblastic tumor of the kidney: case report and review of literature. Tumori 2018; 104 (6): NP34-NP37. doi: 10.1177/0300891618788475.
  • 29. Ozguven AA, Anak S, Unuvar A, Akcay A, Karakas Z et al. Outcome in neuroblastoma. Indian Journal of Pediatrics 2015 (82): 450-457. doi: 10.1007/s12098-014-1578-1
  • 30. Zöllner S, Dirksen U, Jürgens H, Ranft A. Renal Ewing tumors. Annals of Oncology 2013 (24): 2455-2461. doi: 10.1093/ annonc/mdt215
  • 31. Okur A, Mavili E, Dönmez H, Sacit IT, Deniz K et al. The effectiveness and safety of ultrasound guided renal biopsies. Erciyes Medical Journal 2010 (32): 23-26.
APA UNAL E, Yılmaz E, ÖZCAN A, IŞIK B, KARAKÜKCÜ M, TURAN C, akgun h, ÖZTÜRK F, COŞKUN A, Özdemir M, Patıroglu T (2020). Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. , 18 - 24. 10.3906/sag-1902-106
Chicago UNAL Ekrem,Yılmaz Ebru,ÖZCAN Alper,IŞIK Bilgen,KARAKÜKCÜ Musa,TURAN Cüneyt,akgun hulya,ÖZTÜRK Figen,COŞKUN Abdulhakim,Özdemir Mehmet Akif,Patıroglu Türkan Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. (2020): 18 - 24. 10.3906/sag-1902-106
MLA UNAL Ekrem,Yılmaz Ebru,ÖZCAN Alper,IŞIK Bilgen,KARAKÜKCÜ Musa,TURAN Cüneyt,akgun hulya,ÖZTÜRK Figen,COŞKUN Abdulhakim,Özdemir Mehmet Akif,Patıroglu Türkan Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. , 2020, ss.18 - 24. 10.3906/sag-1902-106
AMA UNAL E,Yılmaz E,ÖZCAN A,IŞIK B,KARAKÜKCÜ M,TURAN C,akgun h,ÖZTÜRK F,COŞKUN A,Özdemir M,Patıroglu T Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. . 2020; 18 - 24. 10.3906/sag-1902-106
Vancouver UNAL E,Yılmaz E,ÖZCAN A,IŞIK B,KARAKÜKCÜ M,TURAN C,akgun h,ÖZTÜRK F,COŞKUN A,Özdemir M,Patıroglu T Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. . 2020; 18 - 24. 10.3906/sag-1902-106
IEEE UNAL E,Yılmaz E,ÖZCAN A,IŞIK B,KARAKÜKCÜ M,TURAN C,akgun h,ÖZTÜRK F,COŞKUN A,Özdemir M,Patıroglu T "Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey." , ss.18 - 24, 2020. 10.3906/sag-1902-106
ISNAD UNAL, Ekrem vd. "Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey". (2020), 18-24. https://doi.org/10.3906/sag-1902-106
APA UNAL E, Yılmaz E, ÖZCAN A, IŞIK B, KARAKÜKCÜ M, TURAN C, akgun h, ÖZTÜRK F, COŞKUN A, Özdemir M, Patıroglu T (2020). Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. Turkish Journal of Medical Sciences, 50(1), 18 - 24. 10.3906/sag-1902-106
Chicago UNAL Ekrem,Yılmaz Ebru,ÖZCAN Alper,IŞIK Bilgen,KARAKÜKCÜ Musa,TURAN Cüneyt,akgun hulya,ÖZTÜRK Figen,COŞKUN Abdulhakim,Özdemir Mehmet Akif,Patıroglu Türkan Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. Turkish Journal of Medical Sciences 50, no.1 (2020): 18 - 24. 10.3906/sag-1902-106
MLA UNAL Ekrem,Yılmaz Ebru,ÖZCAN Alper,IŞIK Bilgen,KARAKÜKCÜ Musa,TURAN Cüneyt,akgun hulya,ÖZTÜRK Figen,COŞKUN Abdulhakim,Özdemir Mehmet Akif,Patıroglu Türkan Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. Turkish Journal of Medical Sciences, vol.50, no.1, 2020, ss.18 - 24. 10.3906/sag-1902-106
AMA UNAL E,Yılmaz E,ÖZCAN A,IŞIK B,KARAKÜKCÜ M,TURAN C,akgun h,ÖZTÜRK F,COŞKUN A,Özdemir M,Patıroglu T Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. Turkish Journal of Medical Sciences. 2020; 50(1): 18 - 24. 10.3906/sag-1902-106
Vancouver UNAL E,Yılmaz E,ÖZCAN A,IŞIK B,KARAKÜKCÜ M,TURAN C,akgun h,ÖZTÜRK F,COŞKUN A,Özdemir M,Patıroglu T Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey. Turkish Journal of Medical Sciences. 2020; 50(1): 18 - 24. 10.3906/sag-1902-106
IEEE UNAL E,Yılmaz E,ÖZCAN A,IŞIK B,KARAKÜKCÜ M,TURAN C,akgun h,ÖZTÜRK F,COŞKUN A,Özdemir M,Patıroglu T "Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey." Turkish Journal of Medical Sciences, 50, ss.18 - 24, 2020. 10.3906/sag-1902-106
ISNAD UNAL, Ekrem vd. "Twenty children with non-Wilms renal tumors from a reference center in Central Anatolia, Turkey". Turkish Journal of Medical Sciences 50/1 (2020), 18-24. https://doi.org/10.3906/sag-1902-106