scholarly journals Outcome of Wilms tumor patients with bone metastasis enrolled on National Wilms Tumor Studies 1-5: A report from the Children's Oncology Group

2018 ◽  
Vol 66 (1) ◽  
pp. e27430 ◽  
Author(s):  
Douglas S. M. Iaboni ◽  
Yueh-Yun Chi ◽  
Yeonil Kim ◽  
Jeffrey S. Dome ◽  
Conrad V. Fernandez
2021 ◽  
Vol 19 (8) ◽  
pp. 978-985
Author(s):  
Jeffrey S. Dome ◽  
Elizabeth A. Mullen ◽  
David B. Dix ◽  
Eric J. Gratias ◽  
Peter F. Ehrlich ◽  
...  

Refinements in surgery, radiation therapy, and chemotherapy since the mid-20th century have resulted in a survival rate exceeding 90% for patients with Wilms tumor (WT). Although this figure is remarkable, a significant proportion of patients continue to have event-free survival (EFS) estimates of <75%, and nearly 25% of survivors experience severe chronic medical conditions. The first-generation Children’s Oncology Group (COG) renal tumor trials (AREN ‘0’), which opened to enrollment in 2006, focused on augmenting treatment regimens for WT subgroups with predicted EFS <75% to 80%, including those with the adverse prognostic marker of combined loss of heterozygosity (LOH) at chromosomes 1p/16q, pulmonary metastasis with incomplete lung nodule response after 6 weeks of chemotherapy, bilateral disease, and anaplastic histology. Conversely, therapy was reduced for patient subgroups with good outcomes and potential for long-term toxicity, such as those with lung metastasis with complete lung nodule response after 6 weeks of chemotherapy. This article summarizes the key findings of the first-generation COG renal tumor studies and their implications for clinical practice.


2006 ◽  
Vol 17 (5) ◽  
pp. 687-693 ◽  
Author(s):  
Stephanie Saddlemire ◽  
Andrew F. Olshan ◽  
Julie L. Daniels ◽  
Norman E. Breslow ◽  
Greta R. Bunin ◽  
...  

2011 ◽  
Vol 33 (7) ◽  
pp. 521-523 ◽  
Author(s):  
Conrad V. Fernandez ◽  
Ning Li ◽  
Elizabeth A. Mullen ◽  
Paul E. Grundy ◽  
Elizabeth J. Perman ◽  
...  

1993 ◽  
Vol 11 (1) ◽  
pp. 91-95 ◽  
Author(s):  
D M Green ◽  
N E Breslow ◽  
J B Beckwith ◽  
J Takashima ◽  
P Kelalis ◽  
...  

PURPOSE Retrospective analyses were performed to determine the effect of tumor weight and therapy modifications on outcome in patients less than 2 years of age with stage I favorable-histology Wilms' tumors. PATIENTS AND METHODS The 4-year relapse-free and overall survival percentages for patients randomized to different treatment regimens in National Wilms' Tumor Studies (NWTS)-1, -2, and -3 were calculated and compared. RESULTS The 4-year relapse-free survival percentages of patients whose specimen weight was less than 550 g were found to be 89.1% on NWTS-1, 96.0% on NWTS-2, and 93.2% on NWTS-3. There was no evidence that the relapse-free survival of these patients had improved over time (P value for trend = .99). The 4-year relapse-free survival percentage for similar age and stage patients whose specimen weight was 550 g or greater was significantly poorer than that of patients with smaller tumors (P = .02). CONCLUSION Changes in the NWTS treatment regimens over a period of more than 20 years have not improved on the excellent prognosis of patients who are less than 2 years of age at diagnosis and who have a stage I, favorable-histology Wilms' tumor with specimen weight less than 550 g. These data could be used as the basis for a future trial in which a subgroup of such patients is treated with nephrectomy only.


2009 ◽  
Vol 15 (5) ◽  
pp. 1770-1778 ◽  
Author(s):  
Chiang-Ching Huang ◽  
Samantha Gadd ◽  
Norman Breslow ◽  
Colleen Cutcliffe ◽  
Simone T. Sredni ◽  
...  

2007 ◽  
Vol 48 (5) ◽  
pp. 500-503 ◽  
Author(s):  
M.H. Maas ◽  
K. Cransberg ◽  
M. van Grotel ◽  
R. Pieters ◽  
M.M. van den Heuvel-Eibrink

1995 ◽  
Vol 24 (5) ◽  
pp. 305-309 ◽  
Author(s):  
Jane M. Olson ◽  
Anne Hamilton ◽  
Norman E. Breslow

2014 ◽  
Vol 111 ◽  
pp. S107
Author(s):  
M. Ramos Albiac ◽  
D. Mosquera ◽  
M. Hermida-López ◽  
J. Giralt

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