Wilms' tumor screening: Difference between revisions

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==Overview==
==Overview==
Children predisposed to wilms tumor should be screened earlier. The frequency of malformations observed in patients with Wilms tumor underlines the need for genetic counseling, molecular and genetic explorations, and follow-up.  
Screening can be very helpful to diagnose wilms tumor in high  risk patients.Screening is done with serial abdominal [[Medical ultrasonography|ultrasonography]].


==Screening==
==Screening==
* Screening can be very helpful to diagnose wilms tumor in high  risk patients.<ref name="pmid8095320">{{cite journal |vauthors=Green DM, Breslow NE, Beckwith JB, Norkool P |title=Screening of children with hemihypertrophy, aniridia, and Beckwith-Wiedemann syndrome in patients with Wilms tumor: a report from the National Wilms Tumor Study |journal=Med. Pediatr. Oncol. |volume=21 |issue=3 |pages=188–92 |date=1993 |pmid=8095320 |doi= |url=}}</ref>
* Screening can be very helpful to diagnose wilms tumor in high  risk patients.<ref name="pmid8095320">{{cite journal |vauthors=Green DM, Breslow NE, Beckwith JB, Norkool P |title=Screening of children with hemihypertrophy, aniridia, and Beckwith-Wiedemann syndrome in patients with Wilms tumor: a report from the National Wilms Tumor Study |journal=Med. Pediatr. Oncol. |volume=21 |issue=3 |pages=188–92 |date=1993 |pmid=8095320 |doi= |url=}}</ref>
* High risk patients include:
* High risk patients include:
** Children with Beckwith-Wiedemann syndrome
** Children with [[Beckwith-Wiedemann syndrome]]
** Children with WAGR syndrome
** Children with [[WAGR syndrome]]
* Screening is done with serial abdominal ultrasonography.<ref name="pmid28674120">{{cite journal |vauthors=Kalish JM, Doros L, Helman LJ, Hennekam RC, Kuiper RP, Maas SM, Maher ER, Nichols KE, Plon SE, Porter CC, Rednam S, Schultz KAP, States LJ, Tomlinson GE, Zelley K, Druley TE |title=Surveillance Recommendations for Children with Overgrowth Syndromes and Predisposition to Wilms Tumors and Hepatoblastoma |journal=Clin. Cancer Res. |volume=23 |issue=13 |pages=e115–e122 |date=July 2017 |pmid=28674120 |doi=10.1158/1078-0432.CCR-17-0710 |url=}}</ref>  
* Screening is done with serial abdominal [[Medical ultrasonography|ultrasonography]].<ref name="pmid28674120">{{cite journal |vauthors=Kalish JM, Doros L, Helman LJ, Hennekam RC, Kuiper RP, Maas SM, Maher ER, Nichols KE, Plon SE, Porter CC, Rednam S, Schultz KAP, States LJ, Tomlinson GE, Zelley K, Druley TE |title=Surveillance Recommendations for Children with Overgrowth Syndromes and Predisposition to Wilms Tumors and Hepatoblastoma |journal=Clin. Cancer Res. |volume=23 |issue=13 |pages=e115–e122 |date=July 2017 |pmid=28674120 |doi=10.1158/1078-0432.CCR-17-0710 |url=}}</ref>  
* Serial abdominal ultrasonography is done as follows:
* Serial abdominal ultrasonography is done as follows:
** Children suffering from beckwith-wiedemann syndrome:
** Children suffering from [[Beckwith-Wiedemann syndrome|beckwith-wiedemann syndrome]]:
*** Ultrasonography every three months until age seven years.
*** Ultrasonography every three months until age seven years.
** Children suffering with WAGR and WT1-related syndromes:
** Children suffering with [[WAGR syndrome|WAGR]] and [[WT1]]-related syndromes:
*** Ultrasonography every three months until age five years
*** Ultrasonography every three months until age five years
** Siblings of an individual with familial Wilms tumor:  
** Siblings of an individual with familial Wilms tumor:  

Revision as of 20:05, 31 May 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]

Overview

Screening can be very helpful to diagnose wilms tumor in high risk patients.Screening is done with serial abdominal ultrasonography.

Screening

  • Screening can be very helpful to diagnose wilms tumor in high risk patients.[1]
  • High risk patients include:
  • Screening is done with serial abdominal ultrasonography.[2]
  • Serial abdominal ultrasonography is done as follows:
    • Children suffering from beckwith-wiedemann syndrome:
      • Ultrasonography every three months until age seven years.
    • Children suffering with WAGR and WT1-related syndromes:
      • Ultrasonography every three months until age five years
    • Siblings of an individual with familial Wilms tumor:
      • Ultrasonography every three months until age eight years.
    • Offspring of survivors of bilateral Wilms tumor:
      • Ultrasonography every three months until age eight years.

References

  1. Green DM, Breslow NE, Beckwith JB, Norkool P (1993). "Screening of children with hemihypertrophy, aniridia, and Beckwith-Wiedemann syndrome in patients with Wilms tumor: a report from the National Wilms Tumor Study". Med. Pediatr. Oncol. 21 (3): 188–92. PMID 8095320.
  2. Kalish JM, Doros L, Helman LJ, Hennekam RC, Kuiper RP, Maas SM, Maher ER, Nichols KE, Plon SE, Porter CC, Rednam S, Schultz K, States LJ, Tomlinson GE, Zelley K, Druley TE (July 2017). "Surveillance Recommendations for Children with Overgrowth Syndromes and Predisposition to Wilms Tumors and Hepatoblastoma". Clin. Cancer Res. 23 (13): e115–e122. doi:10.1158/1078-0432.CCR-17-0710. PMID 28674120. Vancouver style error: initials (help)

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