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Pediatr Blood Cancer. 2021 Jun;68:e29025. doi: 10.1002/pbc.29025.

Adrenocortical tumours in children and adolescents: The EXPeRT/PARTNER diagnostic and therapeutic recommendations.

Pediatric blood & cancer

Calogero Virgone, Jelena Roganovic, Peter Vorwerk, Antje Redlich, Dominik T Schneider, Dragana Janic, Ewa Bien, Ricardo López-Almaraz, Jan Godzinski, Gustaf Osterlundh, Teresa Stachowicz-Stencel, Laurence Brugières, Ines B Brecht, Cécile Thomas-Teinturier, Brice Fresneau, Aurore Surun, Andrea Ferrari, Gianni Bisogno, Daniel Orbach

Affiliations

  1. Pediatric Surgery, Department of Women's and Children's Health, University Hospital of Padua, Padua, Italy.
  2. Department of Pediatrics, Clinical Hospital Center Rijeka, University of Rijeka, Rijeka, Croatia.
  3. Pediatric Oncology Department, Otto von Guericke University Children´s Hospital, Magdeburg, Germany.
  4. Clinic of Pediatrics, Dortmund Municipal Hospital, Dortmund, Germany.
  5. Department of Hematology and Oncology, University Children's Hospital, University of Belgrade, Belgrade, Serbia.
  6. Department of Pediatrics, Hematology and Oncology, Medical University, Gdansk, Poland.
  7. Pediatric Hematology and Oncology Unit, Hospital Universitario de Cruces, Barakaldo-Bizkaia, Spain.
  8. Department of Pediatric Surgery, Marciniak Hospital, Wroclaw, Poland.
  9. Department of Pediatric Traumatology and Emergency Medicine, Medical University, Wroclaw, Poland.
  10. Department of Pediatrics, The Queen Silvia Children's Hospital, University of Gothenburg, Gothenburg, Sweden.
  11. Gustave Roussy Cancer Center, Department of Children and Adolescents Oncology, Paris-Saclay University, Villejuif, France.
  12. Pediatric Oncology and Hematology, University Children's Hospital, Tuebingen, Germany.
  13. Assistance Publique Hôpitaux de Paris (APHP), Department of Endocrinology and Diabetes for Children, Bicêtre Paris-Sud, Le Kremlin Bicêtre, Paris, France.
  14. Paris-Saclay University, Paris-Sud University, Paris, France.
  15. SIREDO Oncology Center (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer), Institut Curie, PSL University, Paris, France.
  16. Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
  17. Hematology-Oncology Division, Department of Women's and Children's Health, University Hospital, Padua, Italy.

PMID: 34174161 DOI: 10.1002/pbc.29025

Abstract

Adrenocortical tumours (ACTs) are rare during childhood. A complete surgical resection provides the best chance of cure, but the role and efficacy of the adjuvant therapy are still controversial. Various histologic criteria of malignancy for ACTs adopted in children do not facilitate comparative studies and are not completely shared. Therefore, a sharp demarcation between benign and malignant lesions has not been recognised, making it difficult to identify who potentially needs perioperative therapy. This manuscript presents the internationally harmonised recommendations for the diagnosis and treatment of ACTs in children and adolescents, established by the European Cooperative Study Group for Paediatric Rare Tumours (EXPeRT) group within the EU-funded project PARTNER (Paediatric Rare Tumours Network - European Registry).

© 2021 Wiley Periodicals LLC.

Keywords: EXPeRT; PARTNER; adolescents; adrenocortical tumours; children; diagnosis; guidelines; recommendations; therapy

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