Zusammenfassung
Das papilläre Nierenzellkarzinom beim Kind ist eine seltene Erkrankung und sollte als eigenständige Entität betrachtet werden, da sie sich hinsichtlich Symptomatik, Verlauf und Prognose vom Erwachsenentyp unterscheidet. Es wird die klinische und diagnostische Problematik bei Diagnosestellung, Prognose und Therapie dieser im jugendlichen Alter sehr seltenen Erkrankung anhand der Literatur diskutiert.
Abstract
Renal cell carcinoma (RCC) is a very rare pediatric disease and should be treated as an entity of its own because of differences in symptoms, therapy, and prognosis from the adult form of the disease. Our objective is to discuss the difficulties in clinical diagnosis, prognosis, and therapy of this very rare disease in children and to provide a review of the current literature.
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Literatur
Al-Saleem T, Wessner Ll, Scheithauer BW et al. (1998) Malignant tumors of the kidney, brain, and soft tissues in children and young adults with the tuberous sclerosis complex. Cancer 83: 2208–2216
Beland MD, Mayo-Smith WW, Dupuy DE et al. (2007) Diagnostic yield of 58 consecutive imaging-guided biopsies of solid renal masses: should we biopsy all that are indeterminate? Am J Roentgenol 188: 792–797
Carcao MD, Taylor GP, Greenberg Ml et al. (1998) Renal-cell carcinoma in children: a different disorder from its adult counterpart? Med Pediatr Oncol 31: 153–158
Charles AK, Vujanic GM, Berry PJ (1998) Renal tumours of childhood. Histopathology 32: 293–309
Escudier B (2006) Metastatic renal cell carcinoma and its treatments. Ann Urol (Paris) 40(Suppl 3): 82–85
Estrada CR, Suthar AM, Eaton S et al. (2005) Renal cell carcinoma: Children’s Hospital Boston experience. Urology 66: 1296–1300
Garcia JA, Rini BI (2007) Recent progress in the management of advanced renal cell carcinoma. CA Cancer J Clin 57: 112–125
Geller JI, Dome JS (2004) Local lymph node involvement does not predict poor outcome in pediatric renal cell carcinoma. Cancer 101:1575–1583
Hartman DS, Davis CJ Jr, Madewell JE et al. (1982) Primary malignant renal tumors in the second decade of life: Wilms tumor versus renal cell carcinoma. J Urol 127: 888–891
Indolfi P, Terenziani M, Casale F et al. (2003) Renal cell carcinoma in children: a clinicopathologic study. J Clin Oncol 21:530–535
Ljungberg B, Hanbury B, Kuscyk MA et al. (2007) Guidelines On Renal Cell Carcinoma. Eur Urol 51(6): 1502–1510
Lowe LH, Isuani BH, Heller RM et al. (2000) Pediatric renal masses: Wilms tumor and beyond. Radiographics 20: 1585–1603
Mchugh K (2007) Renal and adrenal tumours in children. Cancer Imag 7: 41–51
Medeiros LJ, Palmedo G, Krigman HR et al. (1999) Oncocytoid renal cell carcinoma after neuroblastoma: a report of four cases of a distinct clinicopathologic entity. Am J Surg Pathol 23: 772–780
Nelson JB, Oyasu R, Dalton DP (1994) The clinical and pathological manifestations of renal tumors in von Hippel-Lindau disease. J Urol 152: 2221–2226
Pastore G, Znaor A, Spreafico F et al. (2006) Malignant renal tumours incidence and survival in European children (1978–1997): report from the Automated Childhood Cancer Information System project. Eur J Cancer 42: 2103–2114
Rathmell WK, Martz CA, Rini BI (2007) Renal cell carcinoma. Curr Opin Oncol 19: 234–240
Renshaw AA, Granter SR, Fletcher JA et al. (1999) Renal cell carcinomas in children and young adults: increased incidence of papillary architecture and unique subtypes. Am J Surg Pathol 23: 795–802
Selle B, Furtwangler R, Graf N et al. (2006) Population-based study of renal cell carcinoma in children in Germany, 1980–2005: more frequently localized tumors and underlying disorders compared with adult counterparts. Cancer 107: 2906–2914
Teratani T, Domoto T, Kuriki K et al. (2007) Detection of transcript for brain-type fatty Acid-binding protein in tumor and urine of patients with renal cell carcinoma. Urology 69: 236–240
Vujanic GM, Kelsey A, Mitchell C et al. (2003) The role of biopsy in the diagnosis of renal tumors of childhood: Results of the UKCCSG Wilms tumor study 3. Med Pediatr Oncol 40: 18–22
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Fischer, N., Bastian, P., Ellinger, J. et al. Das Nierenzellkarzinom beim Kind. Urologe 47, 620–623 (2008). https://doi.org/10.1007/s00120-007-1620-2
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DOI: https://doi.org/10.1007/s00120-007-1620-2