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[Renal function after nephrectomy for Wilms' tumor]

C Chevallier1, A Hadj-Aïssa, M Brunat-Mentigny

  • 1Unité de néphrologie pédiatrique, hôpital Edouard-Herriot, Lyon, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|July 1, 1997
PubMed
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Children with Wilms tumour treated with nephrectomy and non-nephrotoxic chemotherapy show good long-term renal function. Routine renal function tests may be limited to patients with microalbuminuria or hypertension.

Area of Science:

  • Pediatric Oncology
  • Nephrology
  • Renal Physiology

Context:

  • Wilms tumour is a common pediatric kidney cancer.
  • Successful treatment often involves nephrectomy and chemotherapy.
  • Assessing long-term renal function post-treatment is crucial for patient outcomes.

Purpose:

  • To evaluate the long-term renal function in children treated for Wilms tumour.
  • To compare renal function between Wilms tumour survivors and controls who underwent unilateral nephrectomy.
  • To identify factors influencing renal outcomes after Wilms tumour treatment.

Summary:

  • Thirty children with Wilms tumour underwent unilateral nephrectomy and chemotherapy (SIOP 6 and SIOP 9 protocols).
  • Glomerular filtration rate (GFR) and renal plasma flow (RPF) were measured and compared to five controls.

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  • No significant differences in GFR, RPF, or filtration fraction were found between patients and controls. Electrolyte reabsorption was normal, and no patients had hypertension, though 14 had elevated urinary albumin-to-creatinine ratios.

    • Impact:

    • Children treated for Wilms tumour with nephrectomy and non-nephrotoxic drugs exhibit favorable long-term renal outcomes.
    • Findings suggest that systematic renal monitoring can be focused on children with microalbuminuria or elevated blood pressure.
    • This research aids in optimizing follow-up care for Wilms tumour survivors, potentially reducing unnecessary investigations.