Correlation Between Histopathology and Prognosis in Wilms` Tumor: Result of a Retrospective Study of l0 Patients.
- Author:
Seung Jae PARK
1
;
Choon Gon KIM
Author Information
1. Chosun University, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Wilm`s tumor;
prognosis
- MeSH:
Anaplasia;
Classification;
Humans;
Prognosis*;
Retrospective Studies*;
Survival Rate;
Urology
- From:Korean Journal of Urology
1987;28(6):769-774
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A histologic analysis of 10 cases of Wilms` tumor in the department of Urology, Chosun University Hospital during 11 years periods from January, l975 to December, l985 has been carried out. A classification based on the tumor differentiation and degree of tubular formation are described. A comparison of the histologic findings with the survival was undertaken and it was found that the histologic classification was significantly correlated with survivals. The results were as follows : I. Low grade tumors(grade I) with predominance of differentiated tubules were associated with a better cure rate than high grade tumors(grade IH) composed mainly of undifferentiated spindle elements : 2 year or more survival rate was lOOf6 for grade I but O% for grade III. 2. Cure rate was lower for the low degree of tubular formation than for the high degree of tubular formation : 2-year cure rates were O%, O%, 33.3%, lOO% for group O, +,++ and +++ respectively. 3. 6 patients with the focal or diffuse anaplasia and sarcomatous stroma had a bad prognosis. giving a survival rate of 0%.