Rodríguez Iglesias P, Serrano Durbá A, Rodríguez Caraballo L, Balaguer Guill J, Povo Martín I, Domínguez Hinarejos C, Boronat Tormo F. [Nephroblastoma. Long-term experience in the multidisciplinary approach].
Cir Pediatr 2018;
31:46-51. [PMID:
29419959]
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Abstract
OBJECTIVES
Main objective: to perform a descriptive study of patients with nephroblastoma, diagnostic tests, medical and surgical treatment. Secondary objective: to evaluate the rate of relapse and 5-year survival and risk factors for relapse and death.
MATERIALS AND METHODS
Retrospective study of patients with nephroblastoma treated according to the protocol of the SIOP-2001. Demographic variables, comorbidities and associated syndromes were collected. Other data were tumor location, size, extent and stage. The relapse rate and the development of other secondary tumors as well as the long-term survival were also studied.
RESULTS
We collected 33 patients with nephroblastoma. A biopsy was performed in 7 patients (21.2%). The Kaplan-Meir curve for event-free survival (tumor recurrence) was 84% with a 95% CI = [0.73-0.98] and the Kaplan-Meier overall survival curve was 0.93 95% CI [0.85-1]. Recurrence occurred in all patients before the first year.
CONCLUSIONS
Nephroblastoma is a tumor with a favorable prognosis. The unfavorable histology as well as advanced stages are factors of a poor prognosis. The follow-up must be exhaustive during the first year after the diagnosis.
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