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Epidemiologic and Clinical Outcomes of Pediatric Renal Tumors in Korea: A Retrospective Analysis of The Korean Pediatric Hematology and Oncology Group (KPHOG) Data.


ABSTRACT:

Purpose

Renal tumors account for approximately 7% of all childhood cancers. These include Wilms tumor (WT), clear cell sarcoma of the kidney (CCSK), malignant rhabdoid tumor of the kidney (MRTK), renal cell carcinoma (RCC), congenital mesoblastic nephroma (CMN) and other rare tumors. We investigated the epidemiology of pediatric renal tumors in Korea.

Materials and methods

From January 2001 to December 2015, data of pediatric patients (0-18 years) newly-diagnosed with renal tumors at 26 hospitals were retrospectively analyzed.

Results

Among 439 patients (male, 240), the most common tumor was WT (n=342, 77.9%), followed by RCC (n=36, 8.2%), CCSK (n=24, 5.5%), MRTK (n=16, 3.6%), CMN (n=12, 2.7%), and others (n=9, 2.1%). Median age at diagnosis was 27.1 months (range 0-225.5) and median follow-up duration was 88.5 months (range 0-211.6). Overall, 32 patients died, of whom 17, 11, 1, and 3 died of relapse, progressive disease, second malignant neoplasm, and treatment-related mortality. Five-year overall survival and event free survival were 97.2% and 84.8% in WT, 90.6% and 82.1% in RCC, 81.1% and 63.6% in CCSK, 60.3% and 56.2% in MRTK, and 100% and 91.7% in CMN, respectively (p < 0.001).

Conclusion

The pediatric renal tumor types in Korea are similar to those previously reported in other countries. WT accounted for a large proportion and survival was excellent. Non-Wilms renal tumors included a variety of tumors and showed inferior outcome, especially MRTK. Further efforts are necessary to optimize the treatment and analyze the genetic characteristics of pediatric renal tumors in Korea.

SUBMITTER: Koh KN 

PROVIDER: S-EPMC9873342 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Epidemiologic and Clinical Outcomes of Pediatric Renal Tumors in Korea: A Retrospective Analysis of The Korean Pediatric Hematology and Oncology Group (KPHOG) Data.

Koh Kyung-Nam KN   Han Jung Woo JW   Choi Hyoung Soo HS   Kang Hyoung Jin HJ   Lee Ji Won JW   Yoo Keon Hee KH   Sung Ki Woong KW   Koo Hong Hoe HH   Hong Kyung Taek KT   Choi Jung Yoon JY   Kang Sung Han SH   Kim Hyery H   Im Ho Joon HJ   Hahn Seung Min SM   Lyu Chuhl Joo CJ   Baek Hee-Jo HJ   Kook Hoon H   Park Kyung Mi KM   Yang Eu Jeen EJ   Lim Young Tak YT   Kim Seongkoo S   Lee Jae Wook JW   Chung Nack-Gyun NG   Cho Bin B   Park Meerim M   Park Hyeon Jin HJ   Park Byung-Kiu BK   Lee Jun Ah JA   Park Jun Eun JE   Kim Soon Ki SK   Kim Ji Yoon JY   Kim Hyo Sun HS   Ma Youngeun Y   Park Kyung Duk KD   Park Sang Kyu SK   Park Eun Sil ES   Shim Ye Jee YJ   Yoo Eun Sun ES   Ryu Kyung Ha KH   Yoo Jae Won JW   Lim Yeon Jung YJ   Yoon Hoi Soo HS   Lee Mee Jeong MJ   Lee Jae Min JM   Jeon In-Sang IS   Jung Hye Lim HL   Chueh Hee Won HW   Won Seunghyun S  

Cancer research and treatment 20220811 1


<h4>Purpose</h4>Renal tumors account for approximately 7% of all childhood cancers. These include Wilms tumor (WT), clear cell sarcoma of the kidney (CCSK), malignant rhabdoid tumor of the kidney (MRTK), renal cell carcinoma (RCC), congenital mesoblastic nephroma (CMN) and other rare tumors. We investigated the epidemiology of pediatric renal tumors in Korea.<h4>Materials and methods</h4>From January 2001 to December 2015, data of pediatric patients (0-18 years) newly-diagnosed with renal tumors  ...[more]

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