Abstract
Carefully designed, controlled clinical trials conducted by the National Wilms Tumor Study (NWTS) committee have refined the indications for adjuvant chemotherapy and radiotherapy in the management of Wilms tumor (WT) patients. Fewer patients now require radiotherapy and those that do, need a smaller dose than was historically given. At the same time, treatment outcome has improved. Reduction in therapy duration, intensity, and dose holds the promise of fewer late effects of decreased severity. Despite the reduced requirement for radiotherapy, the radiation oncologist remains an essential member of the management team. The purpose of this chapter is to review the clinical science that the radiation oncologist will require in the current management of patients with WT.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Antman KH, Ruxer RL, Aisner J, Vawter G (1984) Mesothelioma following Wilms’ tumor in childhood. Cancer 54: 367–369
Beckwith JB (1969) Macroglossia, omphalocele, adrenal cytomegaly, gigantism and hyperplastic visceromegaly. In: Bergsma D, McKusick VA, Hall JG, Scott CI (eds) Birth defects. Original article series, vol 5. Stratton Intercontinental, New York, pp 188–196
Beckwith JB, Palmer NF (1978) Histopathology and prognosis of Wilms tumor. Cancer 41: 1937–1948
Bhisitkul DM, Morgan ER, Vozar MA, Langman CB (1990) Renal functional reserve in long term survivors of unilateral Wilms’ tumor. J Pediatr 118: 698–702
Bishop HC, Tefft M, Evans AE, D’Angio GJ (1977) Survival in bilateral Wilms’ tumor — review of 30 national Wilms’ tumor study cases. J Pediatr Surg 12: 631–638
Blute ML, Kelalis PP, Offord KP, Breslow N, Beckwith JB, D’Angio GJ (1987) Bilateral Wilms’ tumor. J Urol 138: 968–973
Bonadio JF, Storer B, Norkool P, Farewell VT, Beckwith JB, D’Angio GJ (1985) Anaplastic Wilms’ tumor: Clinical and pathologic studies. J Clin Oncol 3: 513–520
Bonaiti-Pellie C, Chompret A, Tournade MF, Zucker JM, Sommelet D, Brunat M (1991) Genetics and epidemiology of Wilms’ tumor: the French Wilms’ Tumor Study. Med Pediatr Oncol 19: 339
Breslow NE, Palmer NF, Hill LR, Buring J, D’Angio GJ (1978) Wilms’ tumor: Prognostic factor for patients without metastases at diagnosis. Cancer 41: 1577–1589
Breslow NE, Churchill G, Beckwith JB, Fernbach DJ, Otherson HB, Tefft M, D’Angio G (1985) Prognosis of Wilms’ tumor with nonmetastatic disease disease at diagnosis-results of the second National Wilms’ Tumor Study. J Clin Oncol 3: 521–531
Breslow NE, Churchill G, Nesmith B, Thomas PM, Beckwith JB, Othersen HB, D’Angio GJ (1986) Clinicopathologic features and prognosis for Wilms’ tumor patients with metastases at diagnosis. Cancer 58: 2501–2511
Breslow NE, Norkool PA, Olshan A, Evans A, D’Angio GJ (1988) Second malignant neoplasms in survivors of Wilms’ tumor: a report from the National Wilms’ Tumor Study. J Natl Cancer Inst 80: 592–595
Breslow NE, Sharpies K, Beckwith JB, Takashima J, Kelalis PP, Green DM, D’Angio GJ (1991) Prognostic factor in nonmetastatic, favorable histology Wilms’ tumor. Cancer 68: 2345–2353
Burgers JMV, Tournade MF, Bey P et al. (1986) Abdominal recurrence in Wilms’ tumors: a report from the SIOP Wilms’ tumors trial and studies. Radiother Oncol 5: 175–182
Byrne J, Mulvihill JJ, Connelly RR et al. (1988) Reproductive problems and birth defects in survivors of Wilms’ tumor and their relatives. Med Pediatr Oncol 16: 233–40
Cassady JR, Tefft M, Filler RM, Jaffe N, Hellman S (1973) Consideration in the radiation therapy of Wilms’ tumor. Cancer 32: 598–608
Coppes MJ, deKraker J, van Dijken PJ et al. (1989) Bilateral Wilms’ tumor: long-term survival and some epidemiological features. J Clin Oncol 7: 310–315
Corey SJ, Anderson JW, Vawter GF, Lack EE, Sallan SE (1991) Improved survival for children with anaplastic Wilms’ tumor. Cancer 68: 970–974
Corn B, Goldwein JW, Norkool P, D’Angio GJ (1991) The outcome of babies treated according to the third National Wilms’ Tumor Study. Med Pediatr Oncol 19: 412
Crist WM, Kun LE (1991a) Common solid tumors of childhood. N Engl J Med 324: 461–471
Crist WM, Kun LE (1991b) Common solid tumors of childhood. N Engl J Med 324: 1295
D’Angio GJ, Evans AE, Breslow N et al. (1976) The treatment of Wilms’ tumor. Cancer 38: 633–646
D’Angio GJ, Evans A, Breslow N et al. (1981) The treatment of Wilms’ tumor: results of the second National Wilms’ Tumor Study. Cancer 47: 2302–2311
D’Angio GJ, Breslow N, Beckwith JB et al. (1989a) Treatment of Wilms’ tumor: results of the third National Wilms’ Tumor Study. Cancer 64: 349–360
D’Angio GJ, Bekwith JB, Breslow N, Finklestein J, Green, DM, Kelalis P (1989b) Wilms’ tumor (nephroblastoma, renal embryoma). In: Pizzo PA, Poplack DG (eds) Pediatric oncology. JB Lippincott, Philadelphia, 583
de Kraker J, Lemerle J, Voute PA, Zucker JM, Tournade MF, Caril M (1990) Wilms’ tumor with pulmonary metastases at diagnosis: the significance of primary chemotherapy. J Clin Oncol 8: 1187–1190
Douglass EC, Look AT, Webber B, Parham D, Wiliams JA, Green AA, Roberson PK (1986) Hyperdiploidy and chromosomal rearrangements define the anaplastic variant of Wilms’ tumor. J Clin Oncol 4: 975–981
Drash A, Sherman F, Hartmann WH, Blizzard RM (1970) A syndrome of pseudohermaphorditism, Wilms’ tumor, hypertension, and degenerative renal disease. J Pediatr 76: 585–593
Evans AE, Norkool P, Evans I, Breslow N, D’Angio GJ (1991) Late effects of treatment for Wilms’ tumor. Cancer 67: 331–336
Feusner JH, Beckwith JB, D’Angio GJ (1990) Clear cell sarcoma of the kidney: accuracy of imaging methods for detecting bone metastases. Reports from the National Wilms’ Tumor study. Med Pediatr Oncol 18: 225–227
Gibson AAM, Busuttil AA, Young DG, Flatman GE (1977) Glomerulosclerosis following irradiation and cytoxic therapy for nephroblastoma. Br J Urol 49: 199–201
Glass BJ, Davidson AJ, Fernbach SK (1991) Clear cell sarcoma of the kidney: CT, sonographic, and pathologic correlation. Radiology 180: 715–717
Green DM, Fine WE, Li FP (1982) Offspring of patients treated for unilateral Wilms’ tumor in childhood. Cancer 49: 2285–2288
Green DM, Finklestein JZ, Tefft ME, Norkool P (1989) Diffuse interstitial pneumonitis after pulmonary irradiation for metastatic Wilms’ tumor. Cancer 63: 450–453
Green DM, Fernbach DJ, Norkool P, Kollia G, D’Angio GJ (1991a) The treatment of Wilms’ tumor patients with pulmonary metastases detected only with computed tomography: a report form the National Wilms’ Tumor Study. J Clin Oncol 9: 1776–1781
Green DM, Breslow NE, Li Y, Grundy PE, Shochat SJ, Takashima J, D’Angio GJ (1991b) The role of surgical excision in the management of relapsed Wilms’ tumor patients with pulmonary metastases. J Pediatr Surg 26: 728–733
Greenberg ML, Thorner P, Weitzman S et al. (1990) Pre-operative biopsy and chemotherapy for Wilm tumor. Proc ASCO 9: 292
Grundy P, Koufos A, Morgan K, Li FP, Meadows AT, Cavenee WK (1988) Familiar predisposition to Wilms’ tumor does not map to the short arm of chromosomes 11. Nature 336: 374–376
Grundy P, Breslow N, Green DM, Sharpless K, Evans A, D’Angio GJ (1989) Prognostic factors for children with recurrent Wilms’ tumor: results from the second and third National Wilms’ Tumor Study. J Clin Oncol 7: 638–647
Heaston DK, Libshitz HI, Chan RC (1979) Skeletal effects of megavoltage irradiation in survivors of Wilms’ tumor. AJR 133: 389–395
Huff V, Compton DA, Chao LY, Strong LC, Geiser CF, Saunders GF (1988) Lack of linkage familial Wilms’ tumour to chromosomal band 11p13. Nature 336; 377–378
Jones B, Breslow NE, Takashima J (1984) Toxic deaths in the second National Wilms’ Tumor Study. J Clin Oncol 2: 1028–1033
Joshi VV, Beckwith JB (1990) Pathologic delineation of the papillionodular type of cystic partially differentiated nephroblastoma. Cancer 66: 1568–1577
Kantor AF, Li FP, Janov AJJ, Tarbell NJ, Sallan SE (1989) Hypertension in long-term survivors of childhood renal cancers. J Clin Oncol 7: 912–915
Kogan SJ, Marans H, Santorineau M, Schneider K, Reda E, Levitt SB (1986) Successful treatment of renal vein and vena caval extension of nephroblastoma by preoperative chemotherapy. J Urol 136: 312–317
Kovalic JJ, Thomas PRM, Beckwith JB, Feusner JH, Norkool PA (1991) Hepatocellular carcinoma as second malignant neoplasms in successfully treated Wilms’ tumor patients. Cancer 67: 342–344
Landman Parker J, Tournade MF, Salloum E et al. (1991) Minimal renal sequelate twenty years after unilateral nephrectomy for Wilms’ tumor (WT) treatment. Med Pediatr Oncol 19: 430
Larsen E, Perez-Atayde A, Green DM, Retik A, Clavell LA, Sallan SE (1990) Surgery only for the treatment of patients with stage I (Cassady) Wilms’ tumor. Cancer 66: 264–266
Lemerle J, Vouted PA, Tournade MF et al. (1983) Effectiveness of preoperative chemotherapy in Wilms’ tumor: results of an International Society of Paediatric Oncology (SIOP) Clinical trial. J Clin Oncol 1: 604–609
Li FP, Gimbrere K, Gelber RD et al. (1987) Outcome of pregnancy in survivors of Wilms’ tumor. JAMA 257: 216–219
Macklis RM, Oltikar A, Salla SE (1991) Wilms’ tumor patients with pulmonary metastases. Int J Radiat Oncol Biol Phys 21: 1187–1193
Malcolm AW, Jaffe N, Folkman J, Cassady RJ (1980) Bilateral Wilms’ tumor. Int J Radiat Oncol Biol Phys 6: 167–174
Marsden HB, Lawler W, Kumar PM (1978) Bone metastasizing renal tumor of childhood. Cancer 42: 1922–1928
Moutou C, Chompret A, Hochez J, Tournade MF, Zucker JM, Lemerle J, Bonaiti-Pellie (1991) Mutation theory of carcinogeneses in Wilms’ tumor. Med Pediatr Oncol 19: 352
Nakayama K, deLorimier AA, O’Neill JA, Norkool P, D’Angio GJ (1986) Intracardiac extension of Wilms’ tumor. Ann Surg 204: 693–697
National Wilms’ Tumor Committee (1991) Wilms’ tumor: status report, 1990. J Clin Oncol 9: 877–887
Oberholzer HF, Falkson G, DeJager LC (1992) Successful management of inferior vena cava and right atrial nephroblastoma tumor thrombus with preoperative chemotherapy. Med Pediatr Oncol 20: 61–63
Oliver JH, Gluck G, Geldhill RB, Chevalier L (1978) Musculoskeletal deformities following treatment of Wilms’ tumour. Can Med Assoc J 119: 459–464
Olshan AF, Breslow NE, Daling JR et al. (1990) Wilms’ tumor and paternal occupation. Cancer Res 50: 3212–3217
Pastore G, Carli M, Lemerle J et al. (1988) Epidemiological features of Wilms’ tumor: results of studies by the International Society of Pediatric Oncology (SIOP). Med Pediatric Oncol 16: 7–11
Perlman M, Goldberg GM, Bar-Ziv J, Danovitch G (1973) Renal hamartomas and nephroblastomatosis with fetal gigantism: a familial syndrome. J Pediatr 83: 414–418
Perrone L, Sinisi AA, Sicuranza R et al. (1988) Prepubertal endocrine follow-up in subjects with Wilms’ tumor. Med Pediatr Oncol 16: 255–258rd
Ping AJ, Reeve AE, Law DJ, Young MR, Boehnke M, Feinberg AP (1989) Genetic linkage of Beckwith Wiedemann syndrome to 11p15. Am J Hum Genet 44: 720–723
Pinkerton CR, Groot-Loonen JJ, Morris-Jones PH, Pritchard J (1991) Response rates in relapsed Wilms’ tumor. Cancer 67: 567–571
Rate WR, Butler MS, Robertson WW, D’Angio GJ (1991) Late orthopedic effects in children with Wilms’ tumor treated with abdominal irradiation. Med Pediatr Oncol 19: 265–268
Riseborough EJ, Grabias SL, Burton RI, Jaffe N (1976) Skeletal alterations following irradiation for Wilms’ tumor. J Bone Joint Surg [AM] 58: 526–536
Ritchey ML, Kelais PP, Breslow N, Offord KP, Shochat SJ, D’Angio GJ (1988) Intracaval and atrial involvement with nephroblastoma: review of National Wilms’ Tumor Study-3.J Urol 140:1113–1118
Saarinen UM, Wikstrom S, Koskimies O, Sariola H (1991) Percutaneous needle biopsy preceding preoperative chemotherapy in the management of massive renal tumors in children. J Clin Oncol 9: 406–415
Silber JH, Littman PS, Meadows AT (1990) Stature loss following skeletal irradiation for childhood cancer. J Clin Oncol 8: 304–312
Sisler CL, Siegel MJ (1989) Malignant rhabdoid tumor of the kidney: radiological features. Radiology 172: 211–212
Steinfeld AD, Crowley CA, O’Shea PA, Tefft M (1984) Recurrent and metastatic mesoblastic nephroma in infancy. J Clin Oncol 2: 956–960
Thomas PRM, Griffith KD, Fineberg BB, Perez CA, Land VJ (1983) Late effects of treatment for Wilms’ tumor. Int J Radiat Oncol Biol Phys 9: 651–657
Thomas PRM, Tefft M, Farewell VT, Norkool P, Storer B, D’Angio GJ (1984) Abdominal relapses in irradiated second National Wilms’ Tumor Study patients. J Clin Oncol 2: 1098–1101
Thomas PRM, Tefft M, D’Angio GJ, Norkool P (1988) Acute Toxicities associated with radiation in the second National Wilms’ Tumor Study. J Clin Oncol 6: 1694–1698
Thomas PRM, Tefft M, Compaan PJ, Norkool P, Breslow NE, D’Angio GJ (1991a) Results of two radiation therapy randomizations in the third National Wilms’ Tumor Study. Cancer 68: 1703–1707
Thomas PRM, Schochat SJ, Norkool P, Beckwith JB, Breslow NE, D’Angio GJ (1991b) Prognostic implication of hepatic adhesion, invasion, and metastases at diagnosis of Wilms’ tumor. Cancer 68: 2486–2488
Tournade MF, Ludwig R, Voute PA et al. (1991) Preliminary report of the nephroblastoma clinical trial SIOP 9. Med Pediatr Oncol 19: 437
Wallace WHB, Shalet SM, Morris-Jones PH, Swindell R, Gattamaneni HR (1990) Effect of abdominal irradiation on growth in boys treated for a Wilms’ tumor. Med Pediatr Oncol 18: 441–446
Weeks DA, Beckwith JB, Luckey DW (1987) Relapse-associated variables in stage I favorable histology Wilms’ tumor. Cancer 60: 1204–1212
Weeks DA, Beckwith JB, Mierau GW, Luckey DW (1989) Rhabdoid tumor of kidney: a report of 111 cases from the National Wilms’ Tumor Study Pathology Center. Am J Surg Pathol 13: 439–458
Wikstad I, Pettersson BA, Elinder G, Sokucu S, Aperia A (1986) A comparative study of size and function in the remnant kidney in patients nephrectomized in childhood for Wilms’ tumor and hydronephrosis. Acta Pediatr Scand 75: 408–414
Yeger H, Huang A, Flenniken A, Bonetta L, Campbell C, Coppes MJ, Williams BRG (1991) Tumor specific expression of two 11p13 transcripts provide a basis for the histopathologic heterogeneity in Wilms’ tumor. Med Pediatr Oncol 19: 340
Zuppan CW, Beckwith JB, Luckey DW (1988) Anaplasia in unilateral Wilms’ tumor: a report form the National Wilms’ Tumor Study Pathology Center. Hum Pathol 19: 1199–1209
Zuppan CW, Beckwith JB, Weeks DA, Luckey DW, Pringle KC (1991) The effect of preoperative therapy on the histologic features of Wilms’ tumor. Cancer 68: 385–394
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Wharam, M.D. (1994). Wilms Tumor. In: Cassady, J.R. (eds) Radiation Therapy in Pediatric Oncology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84520-8_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-84520-8_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-84522-2
Online ISBN: 978-3-642-84520-8
eBook Packages: Springer Book Archive