PMID- 19701757 OWN - NLM STAT- MEDLINE DCOM- 20100202 LR - 20211020 IS - 1437-9813 (Electronic) IS - 0179-0358 (Linking) VI - 25 IP - 11 DP - 2009 Nov TI - Outcome of pediatric renal tumor treated using the Japan Wilms Tumor Study-1 (JWiTS-1) protocol: a report from the JWiTS group. PG - 923-9 LID - 10.1007/s00383-009-2449-0 [doi] AB - PURPOSE: In 1996, the Japan Wilms Tumor Study (JWiTS) group was founded to elucidate the efficacy and safety of the regimen established by the National Wilms Tumor Study (NWTS) group in the USA, and a multicenter cooperative study (JWiTS-1) was started in Japan. This report reviews the results of JWiTS-1. METHODS: A total of 307 patients with malignant renal tumor were enrolled in the JWiTS-1 study between 1996 and 2005. Central pathological diagnosis and follow-up data were available in 210 cases. The protocol regimens were similar to the NWTS-5 regimens. Clinical stage was classified according to the Japanese Staging System. RESULTS: Five-year overall survival (OS) rate was 91.1% for nephroblastoma, 72.9% for clear cell sarcoma of the kidney (CCSK), and 22.2% for rhabdoid tumor of the kidney (RTK). In the nephroblastoma patients, 5-year OS was 90.5% for stage I disease, 92.2% for stage II, 90.9% for stage III, 86.7% for stage IV, and 78.7% for stage V. CONCLUSIONS: The OS of patients in the JWiTS-1 study were comparable with the results of other multicenter studies in the USA and Europe. The outcome for patients with nephroblastoma and CCSK was fair. In contrast, the cure rate for those with RTK was not satisfactory. New treatment strategies are needed for patients with RTK. FAU - Oue, Takaharu AU - Oue T AD - Division of Pediatric Surgery, Department of Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. ooue@pedsurg.med.osaka-u.ac.jp FAU - Fukuzawa, Masahiro AU - Fukuzawa M FAU - Okita, Hajime AU - Okita H FAU - Mugishima, Hideo AU - Mugishima H FAU - Horie, Hiroshi AU - Horie H FAU - Hata, Jun-ichi AU - Hata J FAU - Saito, Masahiro AU - Saito M FAU - Nozaki, Miwako AU - Nozaki M FAU - Chin, Motoaki AU - Chin M FAU - Nakadate, Hisaya AU - Nakadate H FAU - Hinotsu, Shiro AU - Hinotsu S FAU - Koshinaga, Tsugumichi AU - Koshinaga T FAU - Kaneko, Yasuhiko AU - Kaneko Y FAU - Kitano, Yoshihiro AU - Kitano Y FAU - Tanaka, Yukichi AU - Tanaka Y CN - Japan Wilms Tumor Study (JWiTS) Group LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - Germany TA - Pediatr Surg Int JT - Pediatric surgery international JID - 8609169 SB - IM MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Infant MH - Kidney Neoplasms/mortality/*therapy MH - Male MH - Rhabdoid Tumor/mortality/*therapy MH - Sarcoma, Clear Cell/mortality/*therapy MH - Survival Rate MH - Wilms Tumor/mortality/*therapy EDAT- 2009/08/25 09:00 MHDA- 2010/02/03 06:00 CRDT- 2009/08/25 09:00 PHST- 2009/08/25 09:00 [entrez] PHST- 2009/08/25 09:00 [pubmed] PHST- 2010/02/03 06:00 [medline] AID - 10.1007/s00383-009-2449-0 [doi] PST - ppublish SO - Pediatr Surg Int. 2009 Nov;25(11):923-9. doi: 10.1007/s00383-009-2449-0.