Table 1. Syndromes and Conditions Associated With Wilms Tumora

Syndrome/ConditionGeneOvergrowth PhenotypeNon-Overgrowth Phenotype
High Risk of Wilms Tumor (>20%)
WAGR syndrome (WAGR spectrum)WT1 deletionX
Denys-Drash syndromeWT1 missense mutationX
Perlman syndromeDIS3L2 mutationX
Fanconi anemia with biallelic mutations in BRCA2 (FANCD1) or PALB2 (FANCN)BRCA2, PALB2 X
Premature chromatid separation/mosaic variegated aneuploidyBiallelic BUB1B or TRIP13 mutationX
Moderate Risk of Wilms Tumor (5%–20%)
Frasier syndromeWT1 intron 9 splice mutationX
Beckwith-Wiedemann syndromeUniparental disomy or H19 epimutationX
Simpson-Golabi-Behmel syndromeGPC3 mutationX
Low Risk of Wilms Tumor (<5%)
Bloom syndromeBiallelic BLM mutationX
DICER1 syndromeDICER1 mutationX
Li-Fraumeni syndromeTP53, CHEK2 X
Isolated hemihypertrophyX
Hyperparathyroidism-jaw tumor syndromeCDC73 (also known as HRPT2) mutationX
MULIBREY nanism syndromeTRIM37 mutationX
PIK3CA-related segmental overgrowth including CLOVES syndromePIK3CA mutationX
9q22.3 microdeletion syndrome 9q22.3X
Sotos syndrome NSD1 X
Familial Wilms tumor FWT1 X
FWT2
Genitourinary anomalies WT1 X
Sporadic aniridia WT1 X
Trisomy 18X

CLOVES = congenital lipomatous overgrowth, vascular malformations, epidermal nevi, and skeletal/spinal abnormalities; MULIBREY = distinctive abnormalities of the (MU)scles, (LI)ver, (BR)ain, and (EY)es; WAGR = Wilms tumor, aniridia, genitourinary abnormalities, and range of developmental delays.

aAdapted from Treger et al.[12]

From: Wilms Tumor and Other Childhood Kidney Tumors Treatment (PDQ®)

Cover of PDQ Cancer Information Summaries
PDQ Cancer Information Summaries [Internet].
Bethesda (MD): National Cancer Institute (US); 2002-.

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