Lessons learned from the developmental origins of childhood renal cancer

Anat Rec (Hoboken). 2020 Oct;303(10):2561-2577. doi: 10.1002/ar.24315. Epub 2019 Nov 18.

Abstract

Despite the rarity of renal tumors in children, many different types of malignant and nonmalignant renal neoplasms have been described. Therefore, the correct diagnosis and clinical management of these patients can represent a challenge. Here we provide a comprehensive review of the commonly diagnosed pediatric renal malignancies, including nephroblastoma (commonly known as Wilms tumor), clear cell sarcoma of the kidney, rhabdoid tumor of the kidney, several subtypes of renal cell tumors (often collectively termed renal cell carcinoma), and congenital mesoblastic nephroma. The epidemiology, pathology, treatments, underlying genetic and molecular mechanisms, and proposed developmental origins are discussed in detail, highlighting differential features and potential improved therapeutic strategies for affected individuals.

Keywords: childhood renal cancer; genetics; kidney malignancy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Carcinoma, Renal Cell / pathology*
  • Child
  • Humans
  • Kidney / pathology*
  • Kidney Neoplasms / pathology*
  • Sarcoma, Clear Cell / pathology*
  • Wilms Tumor / pathology*