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Rous Sarcoma Virus (RSV) and Cancer01:03

Rous Sarcoma Virus (RSV) and Cancer

Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
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Rous Sarcoma Virus (RSV) and Cancer01:03

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RSV is a retrovirus that contains two copies of a plus-strand  RNA genome. Its genome consists of four main open...

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Genitourinary rhabdomyosarcoma: lessons from a developing-world series.

Richard Wood1, John Lazarus, Alan Davidson

  • 1Red Cross Children's Hospital, Paediatric Surgery, Rondebosch 7701, South Africa.

Journal of Pediatric Surgery
|November 21, 2012
PubMed
Summary

Pediatric genitourinary rhabdomyosarcoma in developing nations presents with more advanced disease. Improved surgical and oncological care since 1992 has significantly boosted survival rates for these children.

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Area of Science:

  • Pediatric Oncology
  • Surgical Oncology
  • Global Health

Background:

  • Genitourinary rhabdomyosarcoma (GU-RMS) is a rare pediatric malignancy.
  • Data from developing countries, particularly Africa, is limited.
  • Understanding disease presentation and outcomes is crucial for improving care.

Purpose of the Study:

  • To retrospectively review a large cohort of pediatric patients with GU-RMS from a developing country.
  • To analyze clinical presentation, demographics, and oncological management.
  • To compare outcomes before and after 1992.

Main Methods:

  • Retrospective review of 49 pediatric patients treated between 1961 and 2008.
  • Analysis included clinical presentation, demographics, surgical records, histology, and management.
  • Patients were grouped into pre-1992 and post-1992 treatment cohorts.

Main Results:

  • Median age at presentation was 3.5 years.
  • Most patients (59%) had locally advanced disease (Intergroup Rhabdomyosarcoma Study group 3).
  • Tumors >10 cm and positive lymph nodes were common (41% and 33%, respectively).
  • Overall survival was 65% (30/46).
  • Survival improved significantly for patients treated post-1992 (80% vs. 56%, P=.04).

Conclusions:

  • Pediatric GU-RMS in this African series presents with more advanced, bulky, and node-positive disease compared to developed nations.
  • Improvements in surgical and oncological care over the past two decades have enhanced survival for children with locally advanced GU-RMS.