Document Detail


Clinical phenotypes and Wilms tumor.
MedLine Citation:
PMID:  8383278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Wilms tumor can occur in association with a number of recognizable patterns of malformation, as first described by Miller et al. in 1964. This paper represents a synthesis of the current state of knowledge regarding recognizable phenotypes associated with Wilms tumor. Specific disorders discussed include the Beckwith-Wiedemann syndrome, which has been localized to 11p15.5; isolated hemihypertrophy; sporadic aniridia, which is almost always associated with del(11p13); genital anomalies, particularly male pseudohermaphroditism and the Denys-Drash syndrome; and more weakly associated or uncommon conditions, such as neurofibromatosis and Perlman syndrome, respectively. Wilms tumor (WT) surveillance for specific high risk phenotypes should include a rational schedule of abdominal ultrasound examinations, taking into account the epidemiology of WT associated with specific disorders. Physical examination, with emphasis on abdominal palpation, and urinalysis should also be performed on a rational schedule. The schedule of examinations needs to be arrived at with input from clinical geneticists, oncologists, epidemiologists and pathologists with WT expertise. Lastly, care-takers of high risk individuals should be taught abdominal palpation, to be performed daily at home.
Authors:
C L Clericuzio
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Medical and pediatric oncology     Volume:  21     ISSN:  0098-1532     ISO Abbreviation:  Med. Pediatr. Oncol.     Publication Date:  1993  
Date Detail:
Created Date:  1993-04-05     Completed Date:  1993-04-05     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7506654     Medline TA:  Med Pediatr Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  182-7     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque 87131.
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MeSH Terms
Descriptor/Qualifier:
Aniridia / genetics
Child
Humans
Kidney Neoplasms / genetics*,  pathology
Phenotype
Urogenital Abnormalities
Wilms Tumor / genetics*,  pathology
Comments/Corrections
Comment In:
Med Pediatr Oncol. 1994;23(4):390   [PMID:  8093189 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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