PMID- 8383283 OWN - NLM STAT- MEDLINE DCOM- 19930405 LR - 20190904 IS - 0098-1532 (Print) IS - 0098-1532 (Linking) VI - 21 IP - 3 DP - 1993 TI - The use of nuclear morphometry to predict prognosis in pediatric urologic malignancies: a review. PG - 222-9 AB - Wilms tumor, the most common pediatric urologic malignancy, and genitourinary rhabdomyosarcoma, the most common soft tissue sarcoma of childhood, represent two of the most commonly diagnosed pediatric urologic malignancies. The introduction and use of multimodal therapy (surgery, radiation, and chemotherapy) by the National Wilms Tumor Study (NWTS) and the Intergroup Rhabdomyosarcoma Study (IRS) groups have greatly improved the survival among children with these malignancies. Present survival rates for Wilms tumor exceed 85% and for rhabdomyosarcoma survival rates are approaching 80% as well. For Wilms tumor, current treatment trends suggest less intense therapy for those children with favorable histology tumors who are considered at relatively low risk for tumor recurrence. Likewise, the significant morbidity associated with the present therapy regimens for rhabdomyosarcomas has prompted investigators to search for individualized management schemes for children with a high probability of responding. The need for accurate criteria to separate these high and low risk groups becomes imperative. In this review we present our work using nuclear morphometry, as a prognostic indicator, to retrospectively predict response to therapy for children with Wilms tumors and genitourinary rhabdomyosarcomas. FAU - Partin, A W AU - Partin AW AD - Department of Urology, Johns Hopkins Hospital, Baltimore, MD 21205. FAU - Gearhart, J P AU - Gearhart JP FAU - Leonard, M P AU - Leonard MP FAU - Leventhal, B G AU - Leventhal BG FAU - Yoo, J K AU - Yoo JK FAU - Crooks, D AU - Crooks D FAU - Epstein, J I AU - Epstein JI FAU - Beckwith, J B AU - Beckwith JB LA - eng GR - CA-15416/CA/NCI NIH HHS/United States GR - CA-42326/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Med Pediatr Oncol JT - Medical and pediatric oncology JID - 7506654 SB - IM MH - Adolescent MH - Cell Nucleus/*ultrastructure MH - Child MH - Child, Preschool MH - Combined Modality Therapy MH - Follow-Up Studies MH - Forecasting MH - Humans MH - Infant MH - Kidney Neoplasms/surgery/*ultrastructure MH - Prognosis MH - Remission Induction MH - Rhabdomyosarcoma/surgery/*ultrastructure MH - Signal Processing, Computer-Assisted MH - Survival Rate MH - Treatment Outcome MH - Urogenital Neoplasms/surgery/*ultrastructure MH - Wilms Tumor/surgery/*ultrastructure EDAT- 1993/01/01 00:00 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PHST- 1993/01/01 00:00 [pubmed] PHST- 1993/01/01 00:01 [medline] PHST- 1993/01/01 00:00 [entrez] AID - 10.1002/mpo.2950210312 [doi] PST - ppublish SO - Med Pediatr Oncol. 1993;21(3):222-9. doi: 10.1002/mpo.2950210312.