Pediatric and young adult renal cell carcinoma

Satyajit Ray1, Robert Jones2, Kathy Pritchard-Jones3

  • 1Department of Paediatric Oncology, Royal Hospital for Children, Glasgow, Scotland, UK.

Pediatric Blood & Cancer
|September 2, 2020
PubMed

Insights

Pediatric renal cell carcinoma (RCC) differs from adult disease, with surgery being key for localized cases. Current treatments lack efficacy for metastatic disease, though sunitinib shows promise.

Area of Science:

  • Oncology
  • Pediatric Nephrology
  • Cancer Research

Background:

  • Renal cell carcinoma (RCC) is uncommon in children but prevalent in adults.
  • Pediatric RCC exhibits distinct clinical, histopathological, and therapeutic features compared to adult RCC.
  • Existing literature lacks comprehensive reviews on pediatric RCC management and outcomes.

Purpose of the Study:

  • To provide an overview of pediatric renal cell carcinoma (RCC).
  • To summarize current understanding of pediatric RCC characteristics, treatment, and outcomes.
  • To explore the emerging role of precision medicine in pediatric RCC.

Main Methods:

  • Systematic review of databases from inception to February 2020.
  • Identification and analysis of 32 publications involving 350 patients under 27 years old.
  • Synthesis of data on clinical presentation, histopathology, treatment modalities, and outcomes.

Main Results:

  • Surgery is the primary curative treatment for localized pediatric RCC.
  • Conventional radiotherapy and chemotherapy show limited efficacy in pediatric RCC.
  • Pediatric metastatic RCC has a poor prognosis, with limited evidence supporting adjuvant therapies like sunitinib.

Conclusions:

  • Pediatric RCC requires tailored management strategies distinct from adult protocols.
  • Further research, including prospective studies, is needed to optimize adjuvant therapies.
  • Precision medicine approaches hold potential for improving outcomes in pediatric RCC.

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