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

PurposeRenal 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...

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Published inCancer research and treatment Vol. 55; no. 1; pp. 279 - 290
Main Authors Koh, Kyung-Nam, Han, Jung Woo, Choi, Hyoung Soo, Kang, Hyoung Jin, Lee, Ji Won, Yoo, Keon Hee, Sung, Ki Woong, Koo, Hong Hoe, Hong, Kyung Taek, Choi, Jung Yoon, Kang, Sung Han, Kim, Hyery, Im, Ho Joon, Hahn, Seung Min, Lyu, Chuhl Joo, Baek, Hee-Jo, Kook, Hoon, Park, Kyung Mi, Yang, Eu Jeen, Lim, Young Tak, Kim, Seongkoo, Lee, Jae Wook, Chung, Nack-Gyun, Cho, Bin, Park, Meerim, Park, Hyeon Jin, Park, Byung-Kiu, Lee, Jun Ah, Park, Jun Eun, Kim, Soon Ki, Kim, Ji Yoon, Kim, Hyo Sun, Ma, Youngeun, Park, Kyung Duk, Park, Sang Kyu, Park, Eun Sil, Shim, Ye Jee, Yoo, Eun Sun, Ryu, Kyung Ha, Yoo, Jae Won, Lim, Yeon Jung, Yoon, Hoi Soo, Lee, Mee Jeong, Lee, Jae Min, Jeon, In-Sang, Jung, Hye Lim, Chueh, Hee Won, Won, Seunghyun
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Cancer Association 01.01.2023
대한암학회
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Online AccessGet full text
ISSN1598-2998
2005-9256
2005-9256
DOI10.4143/crt.2022.073

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Abstract PurposeRenal 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 MethodsFrom January 2001 to December 2015, data of pediatric patients (0–18 years) newly-diagnosed with renal tumors at 26 hospitals were retrospectively analyzed.ResultsAmong 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).ConclusionThe 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.
AbstractList 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.PURPOSERenal 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.From January 2001 to December 2015, data of pediatric patients (0-18 years) newly-diagnosed with renal tumors at 26 hospitals were retrospectively analyzed.MATERIALS AND METHODSFrom January 2001 to December 2015, data of pediatric patients (0-18 years) newly-diagnosed with renal tumors at 26 hospitals were retrospectively analyzed.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).RESULTSAmong 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).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.CONCLUSIONThe 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.
PurposeRenal 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 MethodsFrom January 2001 to December 2015, data of pediatric patients (0–18 years) newly-diagnosed with renal tumors at 26 hospitals were retrospectively analyzed.ResultsAmong 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).ConclusionThe 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. KCI Citation Count: 0
PurposeRenal 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 MethodsFrom January 2001 to December 2015, data of pediatric patients (0–18 years) newly-diagnosed with renal tumors at 26 hospitals were retrospectively analyzed.ResultsAmong 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).ConclusionThe 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.
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. From January 2001 to December 2015, data of pediatric patients (0-18 years) newly-diagnosed with renal tumors at 26 hospitals were retrospectively analyzed. 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). 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.
Author Kim, Soon Ki
Lee, Jun Ah
Park, Kyung Duk
Kim, Hyery
Kim, Hyo Sun
Lyu, Chuhl Joo
Kang, Hyoung Jin
Im, Ho Joon
Kook, Hoon
Choi, Hyoung Soo
Jeon, In-Sang
Lee, Jae Wook
Park, Meerim
Kim, Ji Yoon
Chueh, Hee Won
Hahn, Seung Min
Choi, Jung Yoon
Lee, Mee Jeong
Lee, Ji Won
Yoo, Eun Sun
Kang, Sung Han
Koo, Hong Hoe
Park, Jun Eun
Yoo, Jae Won
Jung, Hye Lim
Hong, Kyung Taek
Ma, Youngeun
Ryu, Kyung Ha
Lee, Jae Min
Sung, Ki Woong
Yang, Eu Jeen
Koh, Kyung-Nam
Park, Sang Kyu
Won, Seunghyun
Yoo, Keon Hee
Park, Byung-Kiu
Park, Eun Sil
Lim, Yeon Jung
Kim, Seongkoo
Cho, Bin
Han, Jung Woo
Park, Kyung Mi
Chung, Nack-Gyun
Yoon, Hoi Soo
Baek, Hee-Jo
Lim, Young Tak
Park, Hyeon Jin
Shim, Ye Jee
AuthorAffiliation 9 Department of Pediatrics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
11 Department of Pediatrics, Korea Cancer Center Hospital, Seoul, Korea
20 Department of Pediatrics, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea
8 Department of Pediatrics, Pusan National University School of Medicine, Yangsan, Korea
5 Seoul National University Cancer Institute, Seoul, Korea
17 Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
10 Center for Pediatric Cancer, Department of Pediatrics, National Cancer Center, Goyang, Korea
15 Department of Pediatrics, Inje University Haeundae Paik Hospital, Busan, Korea
18 Department of Pediatrics, Gyeongsang National University School of Medicine, Jinju, Korea
23 Department of Pediatrics, Dankook University College of Medicine, Cheonan, Korea
1 Division of Pediatric Hematology/Oncology, Department of Pediatrics, Asan M
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– name: 25 Department of Pediatrics, Gachon University Gil Medical Center, Incheon, Korea
– name: 28 Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Korea
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crossref_primary_10_12677_acm_2024_1461769
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Issue 1
Keywords Renal tumors
Child
Epidemiology
Language English
License This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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content type line 23
Kyung-Nam Koh and Jung Woo Han contributed equally to this work.
Present address: Center for Pediatric Cancer, Department of Pediatrics, National Cancer Center, Goyang, Korea
Present address: Department of Pediatrics, Dongnam Institution of Radiological & Medical Sciences, Busan, Korea
Present address: Department of Pediatrics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Present address: Department of Pediatrics, Korea University Medical Center, Seoul, Korea
ORCID 0000-0001-8936-1205
0000-0003-1009-6002
0000-0002-6376-672X
0000-0002-4837-164X
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PublicationTitle Cancer research and treatment
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Snippet PurposeRenal tumors account for approximately 7% of all childhood cancers. These include Wilms tumor (WT), clear cell sarcoma of the kidney (CCSK), malignant...
Renal tumors account for approximately 7% of all childhood cancers. These include Wilms tumor (WT), clear cell sarcoma of the kidney (CCSK), malignant rhabdoid...
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SubjectTerms Carcinoma, Renal Cell - epidemiology
Child
Humans
Kidney Neoplasms - drug therapy
Kidney Neoplasms - therapy
Male
Neoplasm Recurrence, Local
Nephroma, Mesoblastic - congenital
Nephroma, Mesoblastic - metabolism
Nephroma, Mesoblastic - pathology
Original
Republic of Korea - epidemiology
Retrospective Studies
Rhabdoid Tumor - pathology
Sarcoma
Wilms Tumor
의학일반
Title Epidemiologic and Clinical Outcomes of Pediatric Renal Tumors in Korea: A Retrospective Analysis of The Korean Pediatric Hematology and Oncology Group (KPHOG) Data
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