Hallmark discoveries in the biology of non-Wilms tumour childhood kidney cancers Journal Article


Authors: Perotti, D.; O’Sullivan, M. J.; Walz, A. L.; Davick, J.; Al-Saadi, R.; Benedetti, D. J.; Brzezinski, J.; Ciceri, S.; Cost, N. G.; Dome, J. S.; Drost, J.; Evageliou, N.; Furtwängler, R.; Graf, N.; Maschietto, M.; Mullen, E. A.; Murphy, A. J.; Ortiz, M. V.; van der Beek, J. N.; Verschuur, A.; Wegert, J.; Williams, R.; Spreafico, F.; Geller, J. I.; van den Heuvel-Eibrink, M. M.; Hong, A. L.
Article Title: Hallmark discoveries in the biology of non-Wilms tumour childhood kidney cancers
Abstract: Approximately 20% of paediatric and adolescent/young adult patients with renal tumours are diagnosed with non-Wilms tumour, a broad heterogeneous group of tumours that includes clear-cell sarcoma of the kidney, congenital mesoblastic nephroma, malignant rhabdoid tumour of the kidney, renal-cell carcinoma, renal medullary carcinoma and other rare histologies. The differential diagnosis of these tumours dates back many decades, when these pathologies were identified initially through clinicopathological observation of entities with outcomes that diverged from Wilms tumour, corroborated with immunohistochemistry and molecular cytogenetics and, subsequently, through next-generation sequencing. These advances enabled near-definitive recognition of different tumours and risk stratification of patients. In parallel, the generation of new renal-tumour models of some of these pathologies including cell lines, organoids, xenografts and genetically engineered mouse models improved our understanding of the development of these tumours and have facilitated the identification of new therapeutic targets. Despite these many achievements, paediatric and adolescent/young adult patients continue to die from such rare cancers at higher rates than patients with Wilms tumour. Thus, international coordinated efforts are needed to answer unresolved questions and improve outcomes. © Springer Nature Limited 2025.
Keywords: immunohistochemistry; adolescent; adult; controlled study; young adult; review; nonhuman; differential diagnosis; cytogenetics; histology; renal cell carcinoma; childhood cancer; kidney tumor; kidney cancer; drug therapy; rhabdoid tumor; nephroblastoma; renal medullary carcinoma; kidney sarcoma; high throughput sequencing; human; congenital mesoblastic nephroma; genetically engineered mouse strain; organoid; neoplastic cell transformation; anterior cervical plate
Journal Title: Nature Reviews Urology
ISSN: 17594812
Publisher: Springer Nature Limited 2025  
Date Published: 2025-01-01
Start Page: 5262
Language: English
DOI: 10.1038/s41585-024-00993-6
PROVIDER: scopus
DOI/URL:
Notes: Review -- Source: Scopus
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