Skip to main content

Wilms Tumor in Neonates

  • Chapter
  • First Online:
  • 1283 Accesses

Abstract

Wilms tumor (WT) or nephroblastoma is the second commonest neonatal renal tumor accounting for 20% of cases and represents the most important renal malignancy during childhood. This neoplasm develops from the primitive metanephric blastema, the primitive tissue of normal kidney, but it may be formed also by cell of nonrenal tissues. In neonates affected by nephroblastoma, only 16% of these are being diagnosed antenatally, and the rest are identified during investigation for maternal polyhydramnios, hydrops fetalis, or other congenital anomalies. Wilms tumor occurs in males and females equally, and in 1% of cases, there is a family history, and it is associated with various congenital syndromes [1, 2]. A recent AIEOP study reports that infants have a good prognosis than older children affected by WT because of a biological diversity and an earlier diagnosis occurring during screening test administered for the study of genitourinary abnormalities or genetic syndromes associated to early infancy [3].

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Isaacs H Jr. Fetal and neonatal renal tumors. J Pediatr Surg. 2008;43:1587–95.

    Article  Google Scholar 

  2. Powis M. Neonatal renal tumours. Early Hum Dev. 2010;86:607–12.

    Article  Google Scholar 

  3. D’Angelo P, Di Cataldo A, Terenziani M, et al. Factors possibly affecting prognosis in children with Wilms’ tumor diagnosed before 24 months of age: a report from the Associazione Italiana Ematologia Oncologia Pediatrica (AIEOP) Wilms Tumor Working Group. Pediatr Blood Cancer. 2017;64 https://doi.org/10.1002/pbc.26644.

  4. Scott RH, Stiller CA, Walker L, Rahman N. Syndromes and constitutional chromosomal abnormalities associated with Wilms tumour. J Med Genet. 2006;43:705–15.

    Article  CAS  Google Scholar 

  5. Grundy P, Telzerow P, Moksness J, Breslow NE. Clinicopathologic correlates of loss of heterozygosity in Wilm’s tumor: a preliminary analysis. Med Pediatr Oncol. 1996;27:429–33.

    Article  CAS  Google Scholar 

  6. Lamb MG, Aldrink JH, O’Brien SH, Yin H, Arnold MA, Ranalli MA. Renal tumors in children younger than 12 months of age: a 65-year single institution review. J Pediatr Hematol Oncol. 2017;39:103–7.

    Article  Google Scholar 

  7. Vadeyar S, Ramsay M, James D, O’Neill D. Prenatal diagnosis of congenital Wilms’ tumor (nephroblastoma) presenting as fetal hydrops. Ultrasound Obstet Gynecol. 2000;16:80–3.

    Article  CAS  Google Scholar 

  8. Glick RD, Hicks MJ, Nuchtern JG, Wesson DE, Olutoye OO, Cass DL. Renal tumors in infants less than 6 months of age. J Pediatr Surg. 2004;39:522–5.

    Article  Google Scholar 

  9. Davidoff AM. Wilms tumor. Adv Pediatr. 2012;59:247–67.

    Article  Google Scholar 

  10. Perlman EJ. Pediatric renal tumors: practical updates for the pathologist. Pediatr Dev Pathol. 2005;8:320–38.

    Article  Google Scholar 

  11. Popov SD, Sebire NJ, Vujanic GM. Wilms’ tumour—histology and differential diagnosis. In: van den Heuvel-Eibrink MM, editor. Wilms Tumor. Brisbane (AU): Codon Publications Copyright: The Authors; 2016.

    Google Scholar 

  12. Beckwith JB. New developments in the pathology of Wilms tumor. Cancer Investig. 1997;15:153–62.

    Article  CAS  Google Scholar 

  13. Beckwith JB. Precursor lesions of Wilms tumor: clinical and biological implications. Med Pediatr Oncol. 1993;21:158–68.

    Article  CAS  Google Scholar 

  14. Perlman EJ, Faria P, Soares A, et al. Hyperplastic perilobar nephroblastomatosis: long-term survival of 52 patients. Pediatr Blood Cancer. 2006;46:203–21.

    Article  Google Scholar 

  15. Cooke A, Deshpande AV, La Hei ER, Kellie S, Arbuckle S, Cummins G. Ectopic nephrogenic rests in children: the clinicosurgical implications. J Pediatr Surg. 2009;44:e13–6.

    Article  Google Scholar 

  16. Szychot E, Apps J, Pritchard-Jones K. Wilms’ tumor: biology, diagnosis and treatment. Transl Pediatr. 2014;3:12–24.

    PubMed  PubMed Central  Google Scholar 

  17. Dome JS, Perlman EJ, Graf N. Risk stratification for wilms tumor: current approach and future directions. Am Soc Clin Oncol Educ Book. 2014:215–23.

    Google Scholar 

  18. Spreafico F, Biasoni D, Lo Vullo S, et al. Results of the Third AIEOP Cooperative Protocol on Wilms Tumor (TW2003) and Related Considerations. J Urol. 2017;198:1138–45.

    Article  Google Scholar 

  19. Kembhavi SA, Qureshi S, Vora T, et al. Understanding the principles in management of Wilms’ tumour: Can imaging assist in patient selection? Clin Radiol. 2013;68:646–53.

    Article  CAS  Google Scholar 

  20. Lima M, Manzoni G. Pediatric urology: contemporary strategies from fetal life to adolescence. Milan: Springer; 2014.

    Google Scholar 

  21. Reddy R, Kannaiyan L, Srirampur S, Irfan G, Rao S. Neoadjuvant chemotherapy in neonatal Wilms’ tumor. J Dr NTR Univ Health Sci. 2015;4:134–5.

    Article  Google Scholar 

  22. Lakhoo K, Sowerbutts H. Neonatal tumours. Pediatr Surg Int. 2010;26:1159–68.

    Article  Google Scholar 

  23. Thompson PA, Chintagumpala M. Renal and hepatic tumors in the neonatal period. Semin Fetal Neonatal Med. 2012;17:216e221.

    Article  Google Scholar 

  24. Varlet F, Petit T, Leclair MD, Lardy H, Geiss S, Becmeur F, et al. Laparoscopic treatment of renal cancer in children: a multicentric study and review of oncologic and surgical complications. J Pediatr Urol. 2014;10(3):500–5.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea Pession .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Carella, M., Masetti, R., Antonellini, C., Randi, B., Pession, A. (2019). Wilms Tumor in Neonates. In: Lima, M., Reinberg, O. (eds) Neonatal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-93534-8_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-93534-8_37

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93532-4

  • Online ISBN: 978-3-319-93534-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics