Raras
Buscar doenças, sintomas, genes...
Nefroblastoma
ORPHA:654CID-10 · C64CID-11 · 2C90.YDOENÇA RARA

Tumor pediátrico embrionário do rim que também pode ser observado raramente em adultos. O pico de incidência do tumor de Wilms ocorre entre o segundo e o quinto ano de vida. Microscopicamente, é composto por uma mistura de elementos celulares (blastemal, estromal e epitelial). Os locais mais comuns de metástase incluem os linfonodos regionais, pulmões e fígado.

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Introdução

O que você precisa saber de cara

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Tumor pediátrico embrionário do rim que também pode ser observado raramente em adultos. O pico de incidência do tumor de Wilms ocorre entre o segundo e o quinto ano de vida. Microscopicamente, é composto por uma mistura de elementos celulares (blastemal, estromal e epitelial). Os locais mais comuns de metástase incluem os linfonodos regionais, pulmões e fígado.

Pesquisas ativas
3 ensaios
254 total registrados no ClinicalTrials.gov
Publicações científicas
2.725 artigos
Último publicado: 2026 May 1

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Europe
Início
Childhood
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: C64
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫘
Rins
6 sintomas
🫃
Digestivo
3 sintomas
🫁
Pulmão
2 sintomas
🩸
Sangue
2 sintomas
📏
Crescimento
1 sintomas
🦴
Ossos e articulações
1 sintomas

+ 13 sintomas em outras categorias

Características mais comuns

90%prev.
Neoplasia
Muito frequente (99-80%)
90%prev.
Massa abdominal
Muito frequente (99-80%)
90%prev.
Nefroblastoma
Muito frequente (99-80%)
55%prev.
Duplicação da pelve renal
Frequente (79-30%)
55%prev.
Hematúria macroscópica
Frequente (79-30%)
55%prev.
Dor abdominal
Frequente (79-30%)
28sintomas
Muito frequente (3)
Frequente (3)
Ocasional (20)
Muito raro (1)
Sem dados (1)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 28 características clínicas mais associadas, ordenadas por frequência.

NeoplasiaNeoplasm
Muito frequente (99-80%)90%
Massa abdominalAbdominal mass
Muito frequente (99-80%)90%
NefroblastomaNephroblastoma
Muito frequente (99-80%)90%
Duplicação da pelve renalDuplication of renal pelvis
Frequente (79-30%)55%
Hematúria macroscópicaMacroscopic hematuria
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico2.725PubMed
Últimos 10 anos200publicações
Pico202594 papers
Linha do tempo
2026Hoje · 2026🧪 1980Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

10 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Not applicable.

CTR9RNA polymerase-associated protein CTR9 homologDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Component of the PAF1 complex (PAF1C) which has multiple functions during transcription by RNA polymerase II and is implicated in regulation of development and maintenance of embryonic stem cell pluripotency. PAF1C associates with RNA polymerase II through interaction with POLR2A CTD non-phosphorylated and 'Ser-2'- and 'Ser-5'-phosphorylated forms and is involved in transcriptional elongation, acting both independently and synergistically with TCEA1 and in cooperation with the DSIF complex and H

LOCALIZAÇÃO

Nucleus speckle

VIAS BIOLÓGICAS (5)
Formation of RNA Pol II elongation complex RNA Polymerase II Transcription ElongationRNA Polymerase II Pre-transcription EventsDengue virus activates/modulates innate and adaptive immune responsesE3 ubiquitin ligases ubiquitinate target proteins
EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
56.0 TPM
Fibroblastos
49.6 TPM
Testículo
42.9 TPM
Cervix Endocervix
36.2 TPM
Útero
32.7 TPM
OUTRAS DOENÇAS (2)
complex neurodevelopmental disorderkidney Wilms tumor
HGNC:16850UniProt:Q6PD62
H19Role in the phenotype ofDesconhecido
LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
Loss of function of TP53 in cancer due to loss of tetramerization ability
OUTRAS DOENÇAS (6)
isolated hemihyperplasiakidney Wilms tumorsilver-Russell syndrome due to an imprinting defect of 11p15Beckwith-Wiedemann syndrome due to 11p15 microdeletion
HGNC:4713
BRCA2Breast cancer type 2 susceptibility proteinCandidate gene tested inTolerante
FUNÇÃO

Involved in double-strand break repair and/or homologous recombination. Binds RAD51 and potentiates recombinational DNA repair by promoting assembly of RAD51 onto single-stranded DNA (ssDNA). Acts by targeting RAD51 to ssDNA over double-stranded DNA, enabling RAD51 to displace replication protein-A (RPA) from ssDNA and stabilizing RAD51-ssDNA filaments by blocking ATP hydrolysis. Part of a PALB2-scaffolded HR complex containing RAD51C and which is thought to play a role in DNA repair by HR. May

LOCALIZAÇÃO

NucleusCytoplasm, cytoskeleton, microtubule organizing center, centrosome

VIAS BIOLÓGICAS (3)
Presynaptic phase of homologous DNA pairing and strand exchangeHDR through MMEJ (alt-NHEJ)Meiotic recombination
MECANISMO DE DOENÇA

Breast cancer

A common malignancy originating from breast epithelial tissue. Breast neoplasms can be distinguished by their histologic pattern. Invasive ductal carcinoma is by far the most common type. Breast cancer is etiologically and genetically heterogeneous. Important genetic factors have been indicated by familial occurrence and bilateral involvement. Mutations at more than one locus can be involved in different families or even in the same case.

OUTRAS DOENÇAS (17)
Wilms tumor 1Fanconi anemia complementation group D1breast-ovarian cancer, familial, susceptibility to, 2BRCA2-related cancer predisposition
HGNC:1101UniProt:P51587
TRIM28Transcription intermediary factor 1-betaDisease-causing somatic mutation(s) inAltamente restrito
FUNÇÃO

Nuclear corepressor for KRAB domain-containing zinc finger proteins (KRAB-ZFPs). Mediates gene silencing by recruiting CHD3, a subunit of the nucleosome remodeling and deacetylation (NuRD) complex, and SETDB1 (which specifically methylates histone H3 at 'Lys-9' (H3K9me)) to the promoter regions of KRAB target genes. Enhances transcriptional repression by coordinating the increase in H3K9me, the decrease in histone H3 'Lys-9 and 'Lys-14' acetylation (H3K9ac and H3K14ac, respectively) and the disp

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (4)
HCMV Early EventsGeneric Transcription PathwayRegulation of endogenous retroelements by KRAB-ZFP proteinsSUMOylation of transcription cofactors
MECANISMO DE DOENÇA

Wilms tumor 7

A pediatric malignancy of kidney, and the most common childhood abdominal malignancy. It is caused by the uncontrolled multiplication of renal stem, stromal, and epithelial cells.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
351.7 TPM
Ovário
311.1 TPM
Útero
271.9 TPM
Fallopian Tube
234.2 TPM
Linfócitos
218.8 TPM
OUTRAS DOENÇAS (1)
kidney Wilms tumor
HGNC:16384UniProt:Q13263
POU6F2POU domain, class 6, transcription factor 2Major susceptibility factor inRestrito
FUNÇÃO

Probable transcription factor likely to be involved in early steps in the differentiation of amacrine and ganglion cells. Recognizes and binds to the DNA sequence 5'-ATGCAAAT-3'. Isoform 1 does not bind DNA

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Hereditary susceptibility to Wilms tumor 5

Pediatric malignancy of kidney and one of the most common solid cancers in childhood.

EXPRESSÃO TECIDUAL(Baixa expressão)
Brain Frontal Cortex BA9
1.9 TPM
Córtex cerebral
1.4 TPM
Testículo
0.7 TPM
Brain Anterior cingulate cortex BA24
0.6 TPM
Bladder
0.4 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (2)
kidney Wilms tumorWilms tumor 5
HGNC:21694UniProt:P78424
TRIP13Pachytene checkpoint protein 2 homologDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Plays a key role in chromosome recombination and chromosome structure development during meiosis. Required at early steps in meiotic recombination that leads to non-crossovers pathways. Also needed for efficient completion of homologous synapsis by influencing crossover distribution along the chromosomes affecting both crossovers and non-crossovers pathways. Also required for development of higher-order chromosome structures and is needed for synaptonemal-complex formation. In males, required fo

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Mosaic variegated aneuploidy syndrome 3

A form of mosaic variegated aneuploidy syndrome, a severe disorder characterized by mosaic aneuploidies, predominantly trisomies and monosomies, involving multiple different chromosomes and tissues. Affected individuals typically present with severe intrauterine growth retardation and microcephaly. Eye anomalies, mild dysmorphism, variable developmental delay, and a broad spectrum of additional congenital abnormalities and medical conditions may also occur. The risk of malignancy is high, with rhabdomyosarcoma, Wilms tumor and leukemia reported in several cases. MVA3 inheritance is autosomal recessive.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
52.3 TPM
Linfócitos
24.4 TPM
Fibroblastos
17.5 TPM
Esôfago - Mucosa
5.9 TPM
Pituitária
3.0 TPM
OUTRAS DOENÇAS (4)
mosaic variegated aneuploidy syndrome 3oocyte maturation defect 9mosaic variegated aneuploidy syndromekidney Wilms tumor
HGNC:12307UniProt:Q15645
RESTRE1-silencing transcription factorMajor susceptibility factor inAltamente restrito
FUNÇÃO

Transcriptional repressor which binds neuron-restrictive silencer element (NRSE) and represses neuronal gene transcription in non-neuronal cells (PubMed:11741002, PubMed:11779185, PubMed:12399542, PubMed:26551668, PubMed:7697725, PubMed:7871435, PubMed:8568247). Restricts the expression of neuronal genes by associating with two distinct corepressors, SIN3A and RCOR1, which in turn recruit histone deacetylase to the promoters of REST-regulated genes (PubMed:10449787, PubMed:10734093). Mediates re

LOCALIZAÇÃO

NucleusCytoplasm

VIAS BIOLÓGICAS (5)
Regulation of PTEN gene transcriptionPotential therapeutics for SARSHDACs deacetylate histonesNGF-stimulated transcriptionRegulation of NPAS4 gene transcription
MECANISMO DE DOENÇA

Wilms tumor 6

A pediatric malignancy of kidney, and the most common childhood abdominal malignancy. It is caused by the uncontrolled multiplication of renal stem, stromal, and epithelial cells.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
18.7 TPM
Testículo
16.2 TPM
Linfócitos
15.0 TPM
Nervo tibial
14.5 TPM
Ovário
13.4 TPM
OUTRAS DOENÇAS (5)
fibromatosis, gingival, 5autosomal dominant nonsyndromic hearing loss 27hereditary gingival fibromatosiskidney Wilms tumor
HGNC:9966UniProt:Q13127
WT1Wilms tumor proteinMajor susceptibility factor inAltamente restrito
FUNÇÃO

Transcription factor that plays an important role in cellular development and cell survival (PubMed:7862533). Recognizes and binds to the DNA sequence 5'-GCG(T/G)GGGCG-3' (PubMed:17716689, PubMed:25258363, PubMed:7862533). Regulates the expression of numerous target genes, including EPO. Plays an essential role for development of the urogenital system. It has a tumor suppressor as well as an oncogenic role in tumor formation. Function may be isoform-specific: isoforms lacking the KTS motif may a

LOCALIZAÇÃO

NucleusNucleus, nucleolusCytoplasmNucleus speckleNucleus, nucleoplasm

VIAS BIOLÓGICAS (3)
Nephron developmentNegative Regulation of CDH1 Gene TranscriptionTranscriptional regulation of testis differentiation
MECANISMO DE DOENÇA

Frasier syndrome

Characterized by a slowly progressing nephropathy leading to renal failure in adolescence or early adulthood, male pseudohermaphroditism, and no Wilms tumor. As for histological findings of the kidneys, focal glomerular sclerosis is often observed. There is phenotypic overlap with Denys-Drash syndrome. Inheritance is autosomal dominant.

EXPRESSÃO TECIDUAL(Tecido-específico)
Útero
109.7 TPM
Fallopian Tube
75.2 TPM
Ovário
65.2 TPM
Testículo
40.5 TPM
Adipose Visceral Omentum
30.0 TPM
OUTRAS DOENÇAS (12)
Wilms tumor 1nephrotic syndrome, type 4Meacham syndromemalignant mesothelioma
HGNC:12796UniProt:P19544
DIS3L2DIS3-like exonuclease 2Major susceptibility factor inAltamente restrito
FUNÇÃO

3'-5'-exoribonuclease that specifically recognizes RNAs polyuridylated at their 3' end and mediates their degradation. Component of an exosome-independent RNA degradation pathway that mediates degradation of both mRNAs and miRNAs that have been polyuridylated by a terminal uridylyltransferase, such as ZCCHC11/TUT4. Mediates degradation of cytoplasmic mRNAs that have been deadenylated and subsequently uridylated at their 3'. Mediates degradation of uridylated pre-let-7 miRNAs, contributing to the

LOCALIZAÇÃO

CytoplasmCytoplasm, P-body

VIAS BIOLÓGICAS (1)
Z-decay: degradation of maternal mRNAs by zygotically expressed factors
MECANISMO DE DOENÇA

Perlman syndrome

An autosomal recessive congenital overgrowth syndrome. Affected children are large at birth, are hypotonic, and show organomegaly, characteristic facial dysmorphisms (inverted V-shaped upper lip, prominent forehead, deep-set eyes, broad and flat nasal bridge, and low-set ears), renal anomalies (nephromegaly and hydronephrosis), frequent neurodevelopmental delay, and high neonatal mortality. Perlman syndrome is associated with a high risk of Wilms tumor. Histologic examination of the kidneys in affected children shows frequent nephroblastomatosis, which is a precursor lesion for Wilms tumor.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
19.9 TPM
Tireoide
15.8 TPM
Ovário
14.1 TPM
Cervix Ectocervix
13.6 TPM
Cervix Endocervix
13.5 TPM
OUTRAS DOENÇAS (2)
Perlman syndromekidney Wilms tumor
HGNC:28648UniProt:Q8IYB7
GPC3Glypican-3Biomarker tested inAltamente restrito
FUNÇÃO

Cell surface proteoglycan (PubMed:14610063). Negatively regulates the hedgehog signaling pathway when attached via the GPI-anchor to the cell surface by competing with the hedgehog receptor PTC1 for binding to hedgehog proteins (By similarity). Binding to the hedgehog protein SHH triggers internalization of the complex by endocytosis and its subsequent lysosomal degradation (By similarity). Positively regulates the canonical Wnt signaling pathway by binding to the Wnt receptor Frizzled and stimu

LOCALIZAÇÃO

Cell membrane

VIAS BIOLÓGICAS (2)
Post-translational protein phosphorylationRegulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
MECANISMO DE DOENÇA

Simpson-Golabi-Behmel syndrome 1

A condition characterized by pre- and postnatal overgrowth (gigantism), facial dysmorphism and a variety of inconstant visceral and skeletal malformations. Characteristic dysmorphic features include macrocephaly with coarse, distinctive facies with a large protruding jaw, broad nasal bridge and cleft palate. Cardiac defects are frequent.

EXPRESSÃO TECIDUAL(Ubíquo)
Pulmão
201.3 TPM
Tecido adiposo
146.7 TPM
Nervo tibial
141.8 TPM
Mama
95.2 TPM
Rim - Medula
86.6 TPM
OUTRAS DOENÇAS (4)
Wilms tumor 1Simpson-Golabi-Behmel syndrome type 1kidney Wilms tumorSimpson-Golabi-Behmel syndrome
HGNC:4451UniProt:P51654

Variantes genéticas (ClinVar)

2,172 variantes patogênicas registradas no ClinVar.

🧬 GPC3: NM_004484.4(GPC3):c.141dup (p.Gly48fs) ()
🧬 GPC3: NM_004484.4(GPC3):c.38_39del (p.Ala13fs) ()
🧬 GPC3: NM_004484.4(GPC3):c.1367del (p.Glu456fs) ()
🧬 GPC3: GRCh37/hg19 Xq23-28(chrX:113417246-155233731)x1 ()
🧬 GPC3: GRCh37/hg19 Xq26.1-26.3(chrX:128882432-134384406)x3 ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 14 variantes classificadas pelo ClinVar.

14
Patogênica (100.0%)
VARIANTES MAIS SIGNIFICATIVAS
AMER1: NM_152424.4(AMER1):c.1801C>T (p.Arg601Ter) [Likely pathogenic]
WT1: NM_024426.6(WT1):c.1032C>G (p.Tyr344Ter) [Pathogenic]
BRCA2: NM_000059.4(BRCA2):c.1556G>A (p.Ser519Asn) [Conflicting classifications of pathogenicity]
TRIM28: NM_005762.3(TRIM28):c.2101C>T (p.Gln701Ter) [Pathogenic]
DIS3L2: NM_152383.5(DIS3L2):c.2381_2382del (p.Arg794fs) [Likely pathogenic]

Vias biológicas (Reactome)

49 vias biológicas associadas aos genes desta condição.

Formation of RNA Pol II elongation complex RNA Polymerase II Pre-transcription Events RNA Polymerase II Transcription Elongation E3 ubiquitin ligases ubiquitinate target proteins Dengue virus activates/modulates innate and adaptive immune responses Regulation of RUNX1 Expression and Activity HDR through MMEJ (alt-NHEJ) HDR through Homologous Recombination (HRR) Resolution of D-loop Structures through Synthesis-Dependent Strand Annealing (SDSA) Resolution of D-loop Structures through Holliday Junction Intermediates Homologous DNA Pairing and Strand Exchange Presynaptic phase of homologous DNA pairing and strand exchange Meiotic recombination Defective homologous recombination repair (HRR) due to BRCA1 loss of function Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA1 binding function Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA2/RAD51/RAD51C binding function Impaired BRCA2 translocation to the nucleus Impaired BRCA2 binding to RAD51 Impaired BRCA2 binding to PALB2 Impaired BRCA2 binding to SEM1 (DSS1) Generic Transcription Pathway SUMOylation of transcription cofactors HCMV Early Events Regulation of endogenous retroelements by KRAB-ZFP proteins HDACs deacetylate histones Regulation of PTEN gene transcription NGF-stimulated transcription Potential therapeutics for SARS Regulation of NPAS4 gene transcription Transcriptional regulation of testis differentiation Negative Regulation of CDH1 Gene Transcription Nephron development Z-decay: degradation of maternal mRNAs by zygotically expressed factors Glycosaminoglycan-protein linkage region biosynthesis HS-GAG biosynthesis HS-GAG degradation Defective B4GALT7 causes EDS, progeroid type Defective B3GAT3 causes JDSSDHD Defective EXT2 causes exostoses 2 Defective EXT1 causes exostoses 1, TRPS2 and CHDS Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs) Defective B3GALT6 causes EDSP2 and SEMDJL1 Post-translational protein phosphorylation Attachment and Entry Retinoid metabolism and transport Respiratory syncytial virus (RSV) attachment and entry RSV-host interactions Dengue Virus-Host Interactions Dengue Virus Attachment and Entry

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Publicações mais relevantes

Timeline de publicações
717 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 717

#1

International Society of Paediatric Surgical Oncology (IPSO) Minimally Invasive Surgery (MIS) Guidelines.

Ecancermedicalscience2026

Paediatric oncology surgeons play a crucial role in diagnosing, staging, and treating malignant solid tumors. In recent years, many solid tumour protocols have advocated for a more tailored surgical approach to both the primary tumour site and metastatic disease. The integration of Minimally Invasive Surgery (MIS) into paediatric oncology practice has gained popularity over the past few decades. While the benefits of MIS are well established in non-oncologic surgery, its role in paediatric solid tumours is still evolving and, in many cases, lacks high-quality evidence. These IPSO-MIS guidelines guidelines aim to provide practical surgical recommendations for diverse clinical scenarios, addressing the needs of both High-Income Countries (HICs) and Low- and Middle-Income Countries (LMICs). The contributing authors represent both settings, ensuring a comprehensive and inclusive perspective. We hope that these guidelines will contribute to improving outcomes for children with cancer worldwide. Israel Fernandez-Pineda, IPSO Education Committee Chair Abdelhafeez H Abdelhafeez, IPSO Education Committee Member.

#2

Differential immune infiltrates in histomorphologic Wilms tumor regions identify prognostic macrophages.

Molecular therapy. Oncology2026 Mar 19

Wilms tumor (WT) is characterized by a unique ternary histology, including blastemal, epithelial, and mesenchymal elements. Although overall survival is high, relapse and metastasis affect not only high-risk but also intermediate-risk (IR) patients. We here analyzed immune cell infiltrates in relation to histomorphological tumor regions of patients treated with neo-adjuvant chemotherapy and evaluated their role for disease prognosis. We included 46 chemotherapy-treated WTs resected between 2002 and 2020, which affected 27 females and 19 males at a median age of 35.58 months. Tumor samples were re-evaluated resulting in 13 mixed, 12 regressive, 8 blastemal, 7 mesenchymal, and 6 epithelial subtypes. HALO was used for automated quantification of the immunohistochemical stainings. Immune markers abundance was highly dependent on the histomorphological region. We observed significantly lower amounts of CD4, CD8, and CD206 positive immune cells in the blastemal region, as compared to the mesenchymal region. Moreover, abundance of CD206, CD86, and CD68 positive immune cells in the mesenchymal and blastemal regions showed a significant association with prognosis and timing of relapse. In conclusion, WT displays region-specific differences in immune cell infiltration. Evaluating CD206, CD86, and CD68 expression in mesenchymal and blastemal regions might be valuable for improving IR patient stratification.

#3

Understanding the Burden of Care for Children With Pediatric Solid Tumors.

Pediatric blood &amp; cancer2026 Mar 15

A new solid tumor diagnosis imposes substantial burdens on children and their families. Prior studies have quantified burden using direct medical costs but often exclude indirect costs, logistical stress, and life disruptions. In this study, we quantify burden of care by assessing healthcare utilization and estimating the associated logistical burden during the first year following diagnosis. We conducted a retrospective chart review of 166 children (2012-2022) treated within 1 year of an extracranial solid tumor diagnosis at a single institution. We collected data on treatment modalities, healthcare utilization, estimated travel, and job opportunity costs. Altogether, 166 children (55% male, 63% White) with median age at diagnosis 2.2 (IQR 1.1-4.8) years were included. The most common diagnoses were neuroblastoma (41%), retinoblastoma (25%), and nephroblastoma (17%). Sixty-four children (39%) received ≥3 treatment modalities and 75% required tumor resection surgery. Children cumulatively spent a median of 9 days receiving medical care (5-18) at 1 month, 22 (12-35) days at 3 months, 35 (21-68) days at 6 months, and 54 (30-106) days at 1 year. Families traveled a median one-way distance of 79 (35-136) miles. Estimated annual travel costs were $2,079 ($1129-$4267) and lost wages were $15,277 ($7477-$27,101), ∼21% of median household income. Advanced-stage disease was associated with significantly more days spent receiving medical care, longer travel, and greater lost wages. We characterize the substantial medical and financial burdens on families of children with solid tumors. Decentralized care delivery, multidisciplinary care models, and policy-level approaches such as expanded insurance coverage may reduce logistical and financial burdens.

#4

Cognitive and Psychosocial Outcome in Children and Adolescents Treated for Extracranial Malignant Solid Tumors and Lymphomas in the RISK-N Study.

Pediatric blood &amp; cancer2026 Mar

Recent studies show evidence of cognitive and psychosocial impairments and reduced quality of life (QoL) in adult survivors of childhood extracranial solid tumors and lymphomas, but limited research has addressed these issues in pediatric populations. The French RISK-N prospective study (2014-2021) evaluated 278 survivors of extracranial solid tumors or lymphomas (47% female, mean age at diagnosis and assessment: 6.2 and 11.7 years). Patients with pre-existing neurological conditions were excluded. Sociodemographic, disease-related, and treatment data were collected. Cognitive performance was assessed using Wechsler Intelligence Scales for Children (WISC-IV, WISC-V). Psychosocial outcomes included parent and/or patient-reported executive functions (Behavior Rating Inventory of Executive Function), behavior (Conner's Parent Rating Scale), QoL (Pediatric Quality of Life Inventory), fatigue (Multidimensional Fatigue Scale), and depression (Children's Depression Inventory). Information on schooling and educational/rehabilitative interventions was also recorded. Diagnoses included lymphoma (25%), nephroblastoma (19%), neuroblastoma (19%), osteosarcoma (7%), other sarcomas (18%), and other tumors (12%). Mean Full Scale Intellectual Quotient [M(SD) = 99.44(15.62)] was as expected in the general population [M(SD) = 100(15)], but the WISC-IV Perceptual Reasoning Index was slightly lower [M(SD) = 95.4(15.0), <1.5 SD 14%]. Parent- and self-reports indicated greater executive dysfunction, inattention, fatigue, and reduced QoL. In multivariable regression models, poorer cognitive outcomes were associated with lower parental education and developmental/learning delays before diagnosis. Objective cognitive deficits were uncommon among pediatric cancer survivors, contrasting with a relatively high level of subjective cognitive and psychosocial complaints, highlighting the need for systematic screening and tailored clinical interventions.

#5

Relapsed rhabdoid tumours and other non-nephroblastoma childhood and adolescent kidney tumours: perspectives from the HARMONICA collaboration.

Nature reviews. Urology2026 Jan 02

Paediatric kidney tumours are generally associated with a favourable survival rate. Most children are diagnosed with Wilms tumour, which has a 90% long-term survival rate with conventional front-line and salvage therapies. However, treatments and outcomes of children with relapsed non-Wilms tumours, such as malignant rhabdoid tumour of the kidney, renal-cell carcinoma (including renal medullary carcinoma), clear-cell sarcoma of the kidney, anaplastic sarcoma of the kidney and congenital mesoblastic nephroma are not well defined. Several of these non-Wilms tumours include unfavourable prognostic subtypes. Currently available data on non-Wilms tumours support advancing studies that pivot from conventional strategies towards disease-specific, biologically driven novel treatments to improve outcomes for each of these rare childhood kidney tumours.

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Clinical case reports
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Cells
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Translational cancer research
2025

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2025

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Translational oncology
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Scientific reports
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Frontiers in oncology
2025

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JAAPA : official journal of the American Academy of Physician Assistants
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Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
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International journal of molecular sciences
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Radiology case reports
2024

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Medicine
2024

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Journal of surgical case reports
2025

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Pediatric hematology and oncology
2024

A review on optimization of Wilms tumour management using radiomics.

BJR open
2024

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PloS one
2024

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Orphanet journal of rare diseases
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Urology case reports
2025

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Pediatric blood &amp; cancer
2024

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Biomedicines
2024

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Revista espanola de medicina nuclear e imagen molecular
2024

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Frontiers in oncology
2024

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Annals of surgical oncology
2024

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Children (Basel, Switzerland)
2024

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Pediatric blood &amp; cancer
2024

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African journal of paediatric surgery : AJPS
2024

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Biochemical and biophysical research communications
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Case reports in oncology
2024

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Cancer biology &amp; therapy
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2024

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Nature reviews. Endocrinology
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2025

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Current cancer drug targets
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2024

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Translational cancer research
2024

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Pathology, research and practice
2024

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Indian journal of pathology &amp; microbiology
2025

CCN3/NOV Serum Levels in Non-alcoholic Fatty Liver Disease (NAFLD) Patients in Comparison with the Healthy Group and its Correlation with TNF-α and IL-6.

Current molecular medicine
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Suspected renal interstitial cell tumor causing polycythemia in two dogs.

The Journal of veterinary medical science
2024

Mechanism of LncRNA FTX regulates nephroblastoma progression through MiR-215-5p/PI3K/AKT axis.

Journal of pediatric urology
2024

Overexpression of aquaporin-1 plays a vital role in proliferation, apoptosis, and pyroptosis of Wilms' tumor cells.

Journal of cancer research and clinical oncology
2024

A Comprehensive Study on the Association between Plasma NOV/CCN3 Levels and Insulin Resistance in Childhood Obesity.

Annals of nutrition &amp; metabolism
2024

Wilms tumour resulting from paternal transmission of a TRIM28 pathogenic variant-A first report.

European journal of human genetics : EJHG
2024

Bilateral Nephroblastomatosis With a Unilateral Wilms Tumor: A Case Report Highlighting Imaging Characteristics.

Global pediatric health
2024

Single-cell transcriptomes of kidneys in a 6-month-old boy with Denys-Drash syndrome reveal stromal cell heterogeneity in the tumor microenvironment.

Clinical kidney journal
2024

CCN3/NOV inhibition attenuates oxidative stress-induced apoptosis of mouse neural stem/progenitor cells by blocking the activation of p38 MAPK: An in vitro study.

Brain research
2024

Multidimensional Transcriptomics Unveils RNF34 as a Prognostic Biomarker and Potential Indicator of Chemotherapy Sensitivity in Wilms' Tumour.

Molecular biotechnology
2024

Characteristics and Clinical Outcomes of Children With Wilms' Tumour: A 15-year Experience in a Single Centre in Nigeria.

Journal of pediatric surgery
2023

A rare case of extrarenal Wilms tumor of the uterine corpus: comprehensive genomic profile and review of the literature.

Pathologica
2024

Robotic-assisted laparoscopic surgery for the treatment of Wilms' tumor in children: single-center experience and medium-term outcomes.

Journal of robotic surgery
2023

Altered Red Blood Cell Fatty Acid and Serum Adipokine Profiles in Subjects with Obesity.

Biomedicines
2023

Cystic partially differentiated nephroblastoma in an 18-month-old girl: a case report.

Annals of medicine and surgery (2012)
2024

Teratoma-associated and so-called pure Wilms tumour of the ovary represent two separate tumour types with distinct molecular features.

Histopathology
2023

Complex Chromosomal Rearrangement Involving Chromosomes 10 and 11, Accompanied by Two Adjacent 11p14.1p13 and 11p13p12 Deletions, Identified in a Patient with WAGR Syndrome.

International journal of molecular sciences
2024

Redo nephron-sparing surgery in stage V pediatric renal tumors - A report from the SIOP/GPOH study group for renal tumors.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
2023

Wilms Tumor in India: A Systematic Review.

South Asian journal of cancer
2023

Risks of long-term mortality and chronic health conditions experienced by Wilms tumor survivors.

Translational pediatrics
2023

S100A16 cooperates with DEPDC1 to promote the progression and angiogenesis of nephroblastoma through PI3K/Akt/mTOR pathway.

Polish journal of pathology : official journal of the Polish Society of Pathologists
2023

Renal cell carcinoma in the contralateral kidney with TFE3 gene translocation following chemotherapy for childhood nephroblastoma: A case report and literature review.

Clinical case reports
2024

[Renal tumors in children and adolescents].

Radiologie (Heidelberg, Germany)
2023

Identification of m6A-associated genes as prognostic and immune-associated biomarkers in Wilms tumor.

Discover oncology
2023

Management of Macroglossia Secondary to Beckwith-Weidmann Syndrome in a Pediatric Patient: A Case Report.

Cureus
2023

Wilms tumor in horseshoe kidney with extensive vascular thrombosis: A case report.

International journal of surgery case reports
2024

Traumatic rupture of nephroblastoma misdiagnosed as isolated renal rupture in children.

Asian journal of surgery
2024

TRIM28 inactivation in epithelial nephroblastoma is frequent and often associated with predisposing TRIM28 germline variants.

The Journal of pathology
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Simultaneous Occurrence of Multiple Neoplasms in Children with Cancer Predisposition Syndromes: Collaborating with Abnormal Genes.

Genes
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Disseminated adult Wilms tumor in pregnancy: Leveraging multidisciplinary care in a low-resource setting.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
2023

Changing pattern of cancer distribution: experience from a tertiary health institution in Nigeria and review of literature.

Nigerian journal of clinical practice
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Mosaic TP53 Mutation on Tumour Development in Pigs: A Case Study.

Veterinary medicine international
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The rationale for nephron-sparing surgery in unilateral non-syndromic Wilms tumour.

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Recent Improvements in Adult Wilms Tumor Diagnosis and Management: Review of Literature.

Journal of kidney cancer and VHL
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A novel model incorporating chromatin regulatory factors for risk stratification, prognosis prediction, and characterization of the microenvironment in Wilms tumor.

The journal of gene medicine
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Ghana medical journal
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Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. International Society of Paediatric Surgical Oncology (IPSO) Minimally Invasive Surgery (MIS) Guidelines.
    Ecancermedicalscience· 2026· PMID 41877744mais citado
  2. Differential immune infiltrates in histomorphologic Wilms tumor regions identify prognostic macrophages.
    Molecular therapy. Oncology· 2026· PMID 41859009mais citado
  3. Understanding the Burden of Care for Children With Pediatric Solid Tumors.
    Pediatric blood &amp; cancer· 2026· PMID 41834186mais citado
  4. Cognitive and Psychosocial Outcome in Children and Adolescents Treated for Extracranial Malignant Solid Tumors and Lymphomas in the RISK-N Study.
    Pediatric blood &amp; cancer· 2026· PMID 41518041mais citado
  5. Relapsed rhabdoid tumours and other non-nephroblastoma childhood and adolescent kidney tumours: perspectives from the HARMONICA collaboration.
    Nature reviews. Urology· 2026· PMID 41478859mais citado
  6. Genome-Wide Copy-Number Landscape of Germ Cell Tumors With Synchronous Conventional and "Somatic-Type" Malignancy Components.
    Am J Surg Pathol· 2026· PMID 41980879recente
  7. [Wilms' tumor in a horseshoe kidney: organ-sparing treatment].
    Khirurgiia (Mosk)· 2026· PMID 41885495recente
  8. [Paediatric kidney tumours: Update on the challenges of nephroblastoma and other kidney tumours].
    Ann Pathol· 2026· PMID 41881740recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:654(Orphanet)
  2. MONDO:0019004(MONDO)
  3. GARD:7892(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Nefroblastoma
Compêndio · Raras BR

Nefroblastoma

ORPHA:654 · MONDO:0019004
Prevalência
1-9 / 100 000
Herança
Autosomal dominant, Not applicable
CID-10
C64 · Neoplasia maligna do rim, exceto pelve renal
CID-11
Ensaios
3 ativos
Início
Childhood
Prevalência
0.0 (Europe)
MedGen
UMLS
C0027708
EuropePMC
Papers 10a
DiscussaoAtiva

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