Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal Function

Patients with Wilms' tumor, a common malignant childhood tumor, have an excellent survival rate. The treatment protocol, which consists of a combination of surgery, chemotherapy, and irradiation, may induce both short- and long-term systemic effects. This paper addresses concerns regarding the...

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Main Authors: Michelle S. McLauchlin, Elizabeth Cairney, Barry deVeber, R. Morrison Hurley, Douglas G. Matsell
Format: Article
Language:English
Published: McGill University 2020-12-01
Series:McGill Journal of Medicine
Subjects:
Online Access:https://mjm.mcgill.ca/article/view/402
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author Michelle S. McLauchlin
Elizabeth Cairney
Barry deVeber
R. Morrison Hurley
Douglas G. Matsell
author_facet Michelle S. McLauchlin
Elizabeth Cairney
Barry deVeber
R. Morrison Hurley
Douglas G. Matsell
author_sort Michelle S. McLauchlin
collection DOAJ
description Patients with Wilms' tumor, a common malignant childhood tumor, have an excellent survival rate. The treatment protocol, which consists of a combination of surgery, chemotherapy, and irradiation, may induce both short- and long-term systemic effects. This paper addresses concerns regarding the effects of treatment on long-term renal function in the survivors of Wilms' tumor. In a retrospective study, the charts of 36 patients treated at the Children's Hospital of Western Ontario were analyzed with respect to the epidemiology and parameters of renal function. It was determined that patients with Stage I disease maintained normal renal function over five years. However, those with Stage III and IV disease exhibited decreased renal function immediately after treatment but regained normal renal function within five years. This investigation clearly establishes the need for future prospective studies of long-term renal function of the remaining kidney in children who have undergone treatment for Wilms' tumor.
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spelling doaj.art-f74f582721e14781a00a96b8ac401b7a2022-12-21T22:12:46ZengMcGill UniversityMcGill Journal of Medicine1715-81252020-12-011110.26443/mjm.v1i1.402617Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal FunctionMichelle S. McLauchlinElizabeth CairneyBarry deVeberR. Morrison HurleyDouglas G. MatsellPatients with Wilms' tumor, a common malignant childhood tumor, have an excellent survival rate. The treatment protocol, which consists of a combination of surgery, chemotherapy, and irradiation, may induce both short- and long-term systemic effects. This paper addresses concerns regarding the effects of treatment on long-term renal function in the survivors of Wilms' tumor. In a retrospective study, the charts of 36 patients treated at the Children's Hospital of Western Ontario were analyzed with respect to the epidemiology and parameters of renal function. It was determined that patients with Stage I disease maintained normal renal function over five years. However, those with Stage III and IV disease exhibited decreased renal function immediately after treatment but regained normal renal function within five years. This investigation clearly establishes the need for future prospective studies of long-term renal function of the remaining kidney in children who have undergone treatment for Wilms' tumor.https://mjm.mcgill.ca/article/view/402wilms' tumorrenal function
spellingShingle Michelle S. McLauchlin
Elizabeth Cairney
Barry deVeber
R. Morrison Hurley
Douglas G. Matsell
Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal Function
McGill Journal of Medicine
wilms' tumor
renal function
title Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal Function
title_full Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal Function
title_fullStr Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal Function
title_full_unstemmed Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal Function
title_short Wilms' Tumor: Long-Term Effect of Multimodal Treatment on Renal Function
title_sort wilms tumor long term effect of multimodal treatment on renal function
topic wilms' tumor
renal function
url https://mjm.mcgill.ca/article/view/402
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AT elizabethcairney wilmstumorlongtermeffectofmultimodaltreatmentonrenalfunction
AT barrydeveber wilmstumorlongtermeffectofmultimodaltreatmentonrenalfunction
AT rmorrisonhurley wilmstumorlongtermeffectofmultimodaltreatmentonrenalfunction
AT douglasgmatsell wilmstumorlongtermeffectofmultimodaltreatmentonrenalfunction