From Wilms to kidney tumors: which ones require a biopsy?

被引:15
作者
Brisse, Herve J. [1 ,2 ]
de la Monneraye, Yvan [3 ]
Cardoen, Liesbeth [1 ,2 ]
Schleiermacher, Gudrun [2 ,3 ,4 ]
机构
[1] Inst Curie, Dept Imaging, 26 Rue Ulm, F-75005 Paris, France
[2] Paris Sci & Lettres Res Univ, Paris, France
[3] Inst Curie, Oncol Ctr SIREDO Care Innovat Res Canc Children A, Paris, France
[4] Inst Curie, RTOP Translat Res Pediat Oncol, Transfer Dept, INSERM,U830, Paris, France
关键词
Children; Diagnostic imaging; Needle biopsy; Nephroblastoma; Renal neoplasms;
D O I
10.1007/s00247-020-04660-x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Ninety percent of childhood renal tumors are Wilms tumors (nephroblastoma). While the Children's Oncology Group (COG) recommends primary surgery, the International Society of Paediatric Oncology (SIOP) recommends neoadjuvant chemotherapy, which can be initiated without histological confirmation if the presentation is typical for Wilms tumor. This review article describes the clinical, biological and radiologic criteria used by the SIOP community to consider diagnostic biopsy, i.e. when the renal origin is doubtful, when a pseudotumor is suspected or when a non-Wilms histology may be anticipated.
引用
收藏
页码:1049 / 1051
页数:3
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