Oncology, Pediatrics, Perinatology and Child Health
256
Scopus Publications
Scopus Publications
Robot-assisted versus conventional minimally invasive surgery in the treatment of paediatric neuroblastoma: a single-centre retrospective study Stefano Avanzini, Serena Reali, Federico Palo, Massimo Conte, Stefania Sorrentino, Filippo Spreafico, Girolamo Mattioli Pediatric Surgery International, 2026 Neuroblastoma is the most common extracranial solid tumour in childhood. Although minimally invasive surgery (MIS) is increasingly used in selected patients with neuroblastic tumours, comparative data between robot-assisted and conventional MIS are lacking. A single-centre retrospective study was conducted on 84 patients who underwent minimally invasive resection of neuroblastic tumours between 2008 and 2025. Patients were divided into conventional MIS and robot-assisted surgery groups. Demographic data, tumour characteristics and surgical and oncological outcomes were compared. The robot-assisted group included a higher number of patients with Image-Defined Risk Factor (IDRF) ≥ 1 (57% vs. 8%). Robotic surgery was therefore preferentially employed in more complex cases, resulting in higher conversion rate and longer operative time. Despite the higher prevalence of patients with IDRF ≥ 1 in the robotic group, intraoperative and postoperative complication rates were comparable between groups. Notably, conversions were not performed for emergency reasons but were based on intraoperative decision-making. Robot-assisted surgery may safely expand selection criteria to selected patients with positive IDRFs, while maintaining oncological principles and without increasing intra and postoperative morbidity.
Navigating ethical challenges in the FORTEe randomised controlled trial: a multi-centre staff survey on exercise intervention for children and adolescents undergoing cancer treatment Francesca Alt, Elias Dreismickenbecker, Francesca Lanfranconi, Adriana Balduzzi, Eila Watson, Hayley Marriott, Joachim Wiskemann, Nikolai Bauer, Rodolf Mongondry, Martin Kaj Fridh, Alejandro Lucia, Carmen Fiuza-Luces, Ronja Beller, Filippo Spreafico, Barbara Konda, Milica Stefanović, Heidi Diel, Mareike Kühn, Lena Wypyrsczyk, Norbert W. Paul, Marie A. Neu, Jörg Faber, , Alba Solera-Sanchez, Tommaso Pietro Moriggi, Linda Peli, Eleonora Corti, Emanuele Villa, Olivia Pérol, Eva Santa Cruz-Ramos, Miriam Götte, William Zardo, Marco Chisari, Domen Ravnik, Meta Rovan, Martin Bjørn Hansen, Hanne Bækgaard Larsen BMC Medical Ethics, 2026 BACKGROUND: The FORTEe randomised controlled trial (NCT05289739) investigates an exercise intervention for children and adolescents undergoing cancer treatment. Conducting research with this vulnerable population poses unique ethical challenges, including participant burden, child autonomy, and parental decision-making. This study explored the ethical experiences of healthcare professionals (HCPs) involved in the trial. METHODS: A multicentre survey was conducted across ten clinical sites in Europe using a structured, browser-based questionnaire comprising both closed and open-ended questions. Domains included burden and benefits assessment, informed consent, child autonomy, parental influence and moral distress. Quantitative responses were analysed descriptively, while qualitative data underwent content analysis. RESULTS: Seventy-nine HCPs participated, including exercise professionals (n = 30), physicians (n = 19), nurses (n = 8), psychologists (n = 5), social workers (n = 3), one social scientist, one medical ethicist and 12 individuals in other roles. A large majority of respondents (86.1%) agreed or strongly agreed that the overall burden-benefit balance of trial participation was appropriate, while 11.4% were unsure and 2.5% disagreed. Open-text responses described perceived challenges related to questionnaire burden, logistical demands, and emotional discomfort associated with control-group allocation. Informed consent procedures were generally perceived as appropriate. However, some respondents reported situations in which parental influence appeared to outweigh children’s expressed preferences, and difficulties were noted in assessing children’s evolving decision-making capacity. Among HCPs who described prognosis-related events (n = 45), 68.9% described experiences they associated with moral distress, particularly in relation to communication and decisions regarding continuation of participation. CONCLUSION: The trial's ethical climate was largely perceived as positive, though emotional and logistical burdens were noted. Reports of emotional discomfort and moral distress among staff highlight the ethical tensions between research integrity and individual well-being. Furthermore, divergent views on children’s capacity to give consent suggest the need for clearer guidance on paediatric autonomy and shared decision-making. IMPLICATIONS: Ethically sound paediatric research must address real-world burdens and emotional dynamics beyond procedural compliance. Findings from the FORTEe trial staff survey highlight the importance of flexible, child-centred approaches, sustainable access to beneficial interventions, and institutional structures that promote ethical reflection. TRIAL REGISTRATION: Registered on ClinicalTrials.gov (NCT05289739, 21 March 2022) and in the German Clinical Trials Register (DRKS00027978, 28 January 2022).
The mainz resilience assessment in childhood cancer (MRAcc): development of a novel age-specific patient-reported outcome measure to assess resilience in childhood cancer patients Marie A. Neu, Franziska Ortmüller, Abigale L. Robinson, Elias Dreismickenbecker, Henrike Otto, Lena Wypyrsczyk, Mareike Kühn, Michèle Wessa, Oliver Tüscher, Joerg Faber, , Tobias Christian Baader, Adriana Balduzzi, Nikolai Bauer, Hanne Bækgaard Larsen, Ronja Beller, Wilhelm Bloch, Carmen Fiuza-Luces, Martin Kaj Fridh, Miriam Götte, Martin Bjørn Hansen, Barbara Heißerer, Florian Javelle, Nina Karguth, Lidija Kitanovski, Barbara Konda, Francesca Lanfranconi, Alejandro Lucia, Hayley Marriott, Rodolf Mongondry, Tommaso Pietro Moriggi, Norbert W. Paul, Linda Peli, Olivia Pérol, Katie Rizvi, Domen Ravnik, Eva Santa Cruz Ramos, Meta Rovan, Alba Solera-Sanchez, Filippo Spreafico, Milica Stefanović, Eila Watson, Joachim Wiskemann, Peter Wright, William Zardo BMC Cancer, 2026 BACKGROUND: During intensive cancer treatment, children, adolescents and young adults are exposed to numerous toxicities and psychosocial stressors that can cause psychosocial distress and impair mental health. The maintenance or rapid recovery of mental health during and after exposure to significant stressors has been defined as resilience. To date, resilience research has focused primarily on cross-sectional assessment of specific, trait-like resilience factors and concepts in long-term survivors of childhood cancer, typically omitting the influence of context-specific biopsychosocial stressors and resilience dynamics throughout treatment. Little is known about outcome-based resilience and mental health resources in childhood cancer patients undergoing cancer treatment. In addition, specific instruments for age-appropriate assessment of resilience in childhood cancer patients are lacking. To address this gap, within the EU Horizon 2020-funded FORTEe project, we developed a novel self-report instrument for longitudinal assessment of resilience in children, adolescents, and young adults with cancer, featuring age-appropriate items tailored to their specific contexts. METHODS: An interdisciplinary team of psychologists, psychiatrists and pediatric oncologists developed an age-appropriate self-report instrument to assess resilience longitudinally in children, adolescents, and young adults undergoing cancer treatment. Following current resilience research frameworks, resilience is defined as the ratio of changes in mental health problems to stressor exposure. Accordingly, the measure comprises two domains: mental health problems (anxiety, depression, distress, fatigue) and stressor exposure (daily hassles, cancer-related stressors), with stressors rated for both frequency and intensity. RESULTS: The Mainz Resilience Assessment in Childhood Cancer (MRAcc) consists of three age-specific versions (children 5–11 years, adolescents 12–17 years, young adults 18–21 years), each including the sections: 'Emotions & Distress', 'Fatigue', and 'Situations & Experienced Stress'. It is available in German and English and uses either five-point-Likert scales or visual analogue scales presented as thermometers. CONCLUSION: The MRAcc is a novel instrument designed to provide age-appropriate measurement of resilience in children, adolescents and young adults with cancer. It reflects the unique stressors and psychological challenges of this population and allows for longitudinal assessment throughout treatment and follow-up. Future validation studies are required to establish its psychometric properties and evaluate its utility in resilience research and clinical practice.
Characteristics and outcome of patients with second and subsequent relapse of Wilms tumour - A report from the SIOP Renal Tumour Study Group Alissa Groenendijk, Annelies M.C. Mavinkurve-Groothuis, Harm van Tinteren, Ronald R. de Krijger, Reem Al-Saadi, Kathy Pritchard-Jones, Gema L. Ramírez-Villar, Gordan Vujanic, Patrick Melchior, Jan Godzinski, Jens-Peter Schenk, Norbert Graf, Heidi Segers, Hélène Sudour-Bonnange, Arnauld C. Verschuur, Jarno Drost, Daniela Perotti, Christa Koenig, Filippo Spreafico, Jesper Brok, Marry M. van den Heuvel-Eibrink Ejc Paediatric Oncology, 2026 Background: Second or subsequent relapses of Wilms tumour (WT) are rarely reported. We assessed the characteristics, treatments, and outcome of such patients through a retrospective international cohort study of patients treated according to recent SIOP-RTSG protocols. Methods: Patients with a second or subsequent relapse enrolled in SIOP WT 2001 and the UK-IMPORT study, and registered in the SIOP-RTSG database between 2001 and 2021 were included. Risk groups were defined per the SIOP-RTSG-2016 UMBRELLA protocol (AA-BB (second relapse after initial standard risk (AA) relapse), BB-CC (initial high risk (BB) relapse), and CC-CC (initial very high risk (CC) relapse). Five-year event-free survival (EFS) and overall survival (OS) rates were estimated using Kaplan-Meier and competing risk methods; survival between relapse risk groups was compared with log-rank testing. Findings: Among 572 patients with first relapse, 114 (20%) patients experienced a subsequent relapse. The estimated 5-year EFS and OS after second relapse were 17.7% (95% Confidence Interval (CI): 11.1–28.0%) and 22.4% (95% CI: 15.3–32.9%). In group AA-BB (n = 39) 5-year EFS and OS were 39.0% (95% CI: 25.0–60.7%) and 41.0% (95% CI: 26.8–62.8%). In group BB-CC (n = 32), 5-year EFS was 14.8% (95% CI: 6.05–36.3%) and 5-year OS was 21.9% (95% CI: 10.9–44.0%). All CC-CC patients (n = 35) either died within 3 years of the second relapse or lacked adequate follow-up. Group AA-BB had predominantly been treated with ICE/CyCE regimens, and group BB-CC patients mainly with VIT/TOTEM regimens. Conclusion: A second relapse WT remains curable in a proportion of AA-BB patients. In contrast, survival rates for BB-CC patients are minimal and dismal for CC-CC patients, who should be allocated to a relevant early-phase trial if feasible.
Characteristics and outcome of congenital mesoblastic nephroma: A report of 376 patients registered in the SIOP 93-01, SIOP WT 2001, UK-IMPORT, and AIEOP protocols Paola Quarello, Rana Dandis, Tanzina Chowdhury, Arnauld Verschuur, Jesper Brok, Gordan Vujanic, Christian Vokuhl, Paola Collini, Aurore Coulomb, Annalisa Serra, Davide Biasoni, Paula Flores, Leo Kager, Heidi Segers, Karolina Malić Tudor, Marta Maria Burman, Nuno Jorge dos Reis Farinha, Patrik Romerius, Jan Godzinski, Martine van Grotel, Gema Lucia Ramirez-Villar, Beatriz De Camargo, Rhoikos Furtwängler, Reem Al-Saadi, Harm Van Tinteren, Norbert Graf, Filippo Spreafico, Marry van den Heuvel-Eibrink Plos One, 2026 Background Congenital mesoblastic nephroma (CMN) is the most common renal neoplasm diagnosed in the very first months of life. Complete nephrectomy only is the gold standard treatment. Objectives and methods This retrospective study aimed to explore the characteristics and outcome of CMN patients registered in the SIOP 93–01, SIOP WT 2001, UK-IMPORT, and AIEOP studies (1993–2019). Results A total of 376 CMN cases were identified, with a median age at diagnosis of 28 days. Stage information was available for 337 patients: 92/337 (27.4%) were diagnosed with stage I, 177/337 (52.6%) with stage II, and 67/337 (20%) with stage III. Among 272 patients with available histological data, 113/272 (41.5%) had classic, 105/272 (38.6%) cellular, and 54/272 (19.9%) mixed subtype. Treatment details were available for 314 patients; 248 (79%) underwent initial surgery, and 66 (21%) received preoperative chemotherapy. Among the latter group, 60% of patients showed a measurable reduction in tumor volume, indicating a favorable response to chemotherapy. The 5-year event-free survival rate was 93.8%, and the overall survival rate was 96.9%. The cumulative 5-year incidence of relapse was 5.3%, with a median time to recurrence of 4 months. Of the 16 relapse cases, 8 were in the cellular subtype, 5 in the mixed subtype, and 3 in the classical subtype. Conclusions This study confirms that CMN patients have an excellent outcome, with complete surgical resection being curative in the majority of cases. Chemosensitivity is observed in a significant proportion, suggesting that neoadjuvant chemotherapy may be a viable option in selected cases. While age at diagnosis, histological subtype, and survival outcomes are consistent with previous reports, we highlight that recurrences, though infrequent, tend to occur early and are not restricted to the cellular subtype. Further prospective studies and molecular investigations are required to refine clinical management strategies and update treatment recommendations.
Residual Absolute Volume of Blastema as a Predictor of Clinical Outcomes in Patients With Wilms Tumor: A Report From the SIOP WT 2001 Study Rhoikos Furtwängler, Rana Dandis, Harm van Tinteren, Nils Welter, Christian Vokuhl, Gordan Vujanic, Aurore Coulomb-L’Hermine, Jan Godzinski, Jens-Peter Schenk, Hervé Brisse, Manfred Gessler, Leo Kager, Patrick Melchior, Steven W. Warmann, Arnauld Verschuur, Beatriz de Camargo, Gema Ramirez-Villar, Filippo Spreafico, Jesper Brok, Tanzina Chowdhury, Marry M. van den Heuvel-Eibrink, Norbert Graf Journal of Clinical Oncology, 2026 PURPOSE The International Society of Paediatric Oncology–Renal Tumour Study Group (SIOP-RTSG) classifies blastemal-type Wilms tumor (WT) after preoperative chemotherapy as high-risk (HRWT). It remains unresolved whether residual absolute volume of blastema (AVB) functions as an independent prognostic factor across WT subtypes. MATERIALS AND METHODS AVB was calculated from preoperative tumor volume, necrosis percentage, and viable blastema using prospectively collected data from 3,459 patients with unilateral WT treated in the SIOP WT 2001 study between 2001 and 2018. Martingale residual plots defined AVB thresholds discriminating survival in localized HRWT, intermediate-/low-risk WT (IRWT/LRWT), and metastatic WT (stage IV). Complete AVB data were available for 1,802 patients (51.2%); 298 (16.5%) had stage IV disease. Of 1,504 patients with localized WT, 265 (17.6%) had HRWT, 1,203 (79.9%) had IRWT, and 36 (2.4%) had LRWT. RESULTS Multivariable Cox regression adjusted for age, sex, and local stage confirmed significantly worse survival for patients exceeding these AVB thresholds: (1) IRWT (≥20 mL): Hazard ratio for event-free survival (EFS) 2.93 (95% CI, 2.08 to 4.12) and overall survival (OS) 2.76 (95% CI, 1.32 to 5.77); (2) HRWT (≥100 mL): EFS 2.89 (95% CI, 1.59 to 5.26) and OS 3.25 (95% CI, 1.45 to 7.27); and (3) stage IV (≥10 mL): EFS 5.78 (95% CI, 3.65 to 9.17) and OS 4.59 (95% CI, 2.57 to 8.17). Patients above these thresholds had significantly lower 2-year EFS ( P < .0001). In stage II to III IRWT patients with AVB ≥20 mL, those treated with doxorubicin had superior EFS versus those without (87.6%, 95% CI, 81.5 to 94.1 v 69.2%, 95% CI, 59.8 to 80.1; P = .0064). CONCLUSION AVB after preoperative chemotherapy is a strong, independent predictor of both EFS and OS in WT across risk groups. An AVB of ≥20 mL identifies a clinically relevant subset of patients with IRWT who may benefit from intensified therapy with doxorubicin. These findings support the use of AVB as a stratification criterion in future SIOP-RTSG protocols.
Tumor Microenvironment and Immune Response Against Wilms Tumor: Evasion Mechanisms and Implications for Immunotherapeutic Approaches Claudia Cantoni, Valerio Gaetano Vellone, Barbara Cafferata, Gabriele Gaggero, Martina Serra, Filippo Spreafico, Cristina Bottino, Grazia Maria Spaggiari Cancers, 2026 Wilms tumor (WT) is the most common malignant renal tumor in childhood and represents one of the major success stories of pediatric oncology, with very good survival achieved through risk-adapted multimodal therapy. Nevertheless, a subset of patients—particularly those with diffuse anaplasia, blastemal-type tumors persisting after chemotherapy, or relapsed disease—continues to experience poor outcomes and significant long-term treatment-related morbidity. These challenges highlight the need for novel therapeutic strategies beyond conventional cytotoxic approaches. Growing evidence indicates that WT is characterized by a complex and distinctive tumor microenvironment (TME) shaped by its developmental origin and triphasic histology. Immune cell infiltration, inflammatory mediators, and immune checkpoint pathways interact differently with blastemal, epithelial, and stromal tumor components, generating heterogeneous immune surveillance and escape mechanisms. In particular, tumor-associated macrophages (TAMs), functionally impaired natural killer (NK) cells, and immunosuppressive stromal elements play a central role in shaping an immune milieu that may limit the efficacy of immune-based therapies. Although immunotherapy has changed the management of several adult malignancies and some pediatric cancers, its translation to WT has so far been limited, with modest results in unselected patient populations. Recent immunogenomic and proteogenomic studies, however, suggest the existence of biologically distinct WT subsets with different immune features and potential susceptibility to targeted immunotherapeutic approaches. This narrative review integrates pathological, immunological, and clinical perspectives to summarize current knowledge on the WT immune microenvironment, mechanisms of tumor immune evasion, and emerging immunotherapeutic strategies. By providing a unified framework, it aims at supporting a multidisciplinary approach for the rational development of future immune-based and combination therapies tailored to specific WT subgroups.
Composite Wilms Tumor and Renal Cell Carcinoma Gordan M. Vujanić, Vera A. Paulson, Laura Galluzzo, Paola Collini, Nilda Gonzalez Roibon, Filippo Spreafico, Anna Mitrofanova, Jeremy Pryce, Michael McDermott, Maureen O’Sullivan, Dicle Orhan, Neil Sebire, Maria Tretiakova American Journal of Surgical Pathology, 2026 We report the largest series of 18 cases of an uncommon composite renal tumor comprised of Wilms tumor (WT) and renal cell carcinoma (RCC). The tumors were identified by rereviewing WT with “unusual” epithelial components. The age at presentation ranged from 3 months to 11 years (median: 3.7 y), with 13/18 (72%) patients under the age of 5 years, and only 3/18 (17%) older than 10 years of age. There was a striking (2:1) female predominance. All tumors presented as a renal mass that measured from 5 to 18 cm (median 9.3 cm) on gross examination. Histologically, the ratio between WT and RCC components varied from 99%:1% to 5%:95%, respectively. There was a marked prevalence of anaplastic WT (39% vs. ~10% in large cohorts of WTs), and papillary RCC (89% vs. ~20% in large pediatric RCC series). The papillary RCC component included subtypes not previously described in children (biphasic squamoid alveolar RCC and sarcomatoid RCC). Most tumors were stage III (10/18, 56%), which is significantly higher than in large cohorts of WT (~20%). The most common reason for local stage III diagnosis was lymph node metastases with PRCC component (6/11, 55%). Five patients were treated with primary nephrectomy, and 13 with preoperative chemotherapy for WT. Postoperative treatment was tailored according to WT and/or RCC histology and stage. Twelve patients (12/18, 67%) relapsed between 7 months and 12 years after diagnosis (7/12, 58%, within 1 y; there were 2 very late relapses at 5.5 y and 12 y after the diagnosis). In 7/12 (58%) cases, the site of relapses was the lung. Histology of the relapse was available in 10 cases, including 4 cases with both WT and PRCC components, 3 cases with WT component only, 2 cases with RCC component only, and 1 case with WT relapse in the contralateral kidney and PRCC in the lung. Thirteen patients were alive at the last follow-up, including 6 patients who had event-free survival (median follow-up 1.9 y, range 0.4 to 3.1 y) and 7 patients who relapsed but survived (median follow-up 6 y, range 2 to 18 y). All 5 deaths were related to progressing relapsed disease. Immunohistochemical studies allowed RCC subtyping and showed statistically significant differential expression between the WT versus RCC components. In the WT component, we found a higher expression of WT1 ( P =0.007), CD57 ( P =0.002), and SALL4 ( P =0.04), whereas CK7 ( P =0.004) and P504 ( P =0.002) were higher in RCC. Co-expression of WT1 and CD56 was identified in both components in 61% cases, suggesting a close relationship between RCC and WT components. p53 overexpression was present in 5/12 (42%) tested WT and 4 RCC (33%). Molecular studies confirmed the clonal relationship of all paired samples with sufficient neoplastic content for comparison. Recurrent genomic alterations included mutations in TP53 (6/8, 75%) as well as genes involved in the PI3K/mTOR pathway (5/8, 63%) and cell cycle regulation (3/8, 38%). In addition, all tumors with sufficient neoplastic content were negative for microsatellite instability with a low tumor mutation burden. Our study described the characteristics of composite renal tumors combining WT and RCC, highlighting several unusual and specific features. Its behavior appeared to be more aggressive than that of WT or RCC alone, and we propose that it should be recognized as a separate entity, which may require different treatment from WT or RCC alone.
A Finite Element Framework to Study Trauma Risk During Daily Physical Activities on Patients With an Implanted Port-a-Cath Vittorio Lissoni, Giulia Luraghi, Federica Campagna, Maura Massimino, Carlo Morosi, Filippo Spreafico, Jose Felix Rodriguez Matas Journal of Medical Devices, 2026 A Port-a-cath is an implantable device placed under the skin to draw blood or deliver treatments such as intravenous fluids, medications, or transfusions. Patients often worry about accidentally hitting the device or nearby tissues, as it slightly protrudes from the skin. This concern can limit participation in daily activities, including sports, affecting quality of life. In this study, we propose a framework to investigate the risk of accidental tissue trauma by simulating a ball impact in the area surrounding an implanted Port-a-cath using finite element analysis. The simulation revealed increased stress in tissues surrounding the device (approximately five times higher in both the skin and the muscle when the device is implanted), suggesting a potential risk for muscle injury upon impact. These findings highlight the need for awareness regarding external forces acting on the Port-a-cath region during physical activity. To our knowledge, this is the first study using biomechanical modeling to explore trauma risk associated with Port-a-cath impacts. This study represents the first attempt to elucidate this risk in the literature. Overall, this study contributes to improving patient safety and quality of life by providing a quantitative understanding of the mechanical risks associated with implanted Port-a-caths.
Second Generation of AHOPCA (Asociación de Hemato-Oncología Pediátrica de Centro América) Treatment Guidelines for Wilms Tumor: A Report of Outcomes Thelma Velasquez‐Herrera, Patricia Valverde, Soad Fuentes, Armando Peña, Roberta Ortiz, Patricia Calderon, Margarita Montero, Giovanna Gattuso, Jessica Blanco, Magda Arreola, Israel Fernandez‐Pineda, Monika Metzger, Sandra Luna‐Fineman, Judith Wilimas, Filippo Spreafico Pediatric Blood and Cancer, 2026 Background The AHOPCA (Asociación de Hemato‐Oncología Pediátrica de Centro América) Wilms tumor (WT) treatment guidelines, adapted from NWTS‐4 and ‐5 and recommending upfront nephrectomy (UN), were modified to include 4–6 weeks of preoperative chemotherapy (POC) in frail patients with advanced disease. We aim to describe the outcomes of this implemented approach. Procedure A retrospective analysis of prospectively collected data from newly diagnosed patients with unilateral WT between 2012 and 2018. Results Of 353 eligible patients, 247 (70%) received POC. The POC group had higher initial tumor volume (median 590 mL vs. 308 mL, p < 0.0001) and more Stage IV disease (30% vs. 3%, p < 0.0001) compared to the UN group. During POC, there were 4 deaths, 14 abandonments, and 11 progressive diseases. After response assessment, 62% showed partial tumor response with a median tumor volume reduction to 257 mL. A total of 218 (88.2%) patients underwent nephrectomy. Tumor rupture/spillage occurred in 17.9% of the UN and 18.8% of the POC group; local Stage III was found in 55% of the UN and 68.3% of the POC group. Anaplasia (focal and diffuse) was present in 13.6% (17% UN and 11.9% POC). The 5‐year abandonment‐sensitive event‐free survival (asEFS) and abandonment‐sensitive overall survival (asOS) rates were 69% ± 2.5% and 75% ± 2.4%, respectively. The asEFS rates were 75% ± 4.3% for UN and 66% ± 3.0% for POC ( p = 0.07). Conclusions Many AHOPCA patients presented with unresectable advanced disease, requiring the use of POC. POC effectively reduced tumor volume and facilitated safe surgery in fragile patients. Adopting the standard SIOP WT neoadjuvant approach could enhance staging and risk stratification in AHOPCA.
Stage at Diagnosis and International Survival Variation in Childhood Tumors in the BENCHISTA Study Laura Botta, Fabio Didonè, Angela Lopez-Cortes, Adela Cañete Nieto, Emmanuel Desandes, Lisa L. Hjalgrim, Zsuzsanna Jakab, Charles A. Stiller, Bernward Zeller, Simon Bailey, Nathalie Gaspar, Filippo Spreafico, Sandra J. Strauss, Gemma Gatta, Kathy Pritchard-Jones, , Joanne Aitken, Leisa O'Neil, Danny Youlden, Monika Hackl, Ruth Ladenstein, Elizabeth Van Eycken, Nancy Van Damme, Beatriz De Camargo, Marceli de Oliveira Santos, Carlos A. Lima, Walmiro Ramos, Lucrecia Aline Cabral Formigosa, Luciana Ferreira dos Santos, Claudina Agnese Casale, Gil Patrus Pena, Juliana Nativio, Cyntia Asturian Laporte, Cristiana Santos de Menezes Miranda, Cristiane Bastos Daniel, Raimunda Nonata de Paulo, Donaldo B. Veneziano, Angela Pontes de Aquino, Paulo Cesar Fernandes de Souza, Rebeca Valentim Leite, Zdravka Valerianova, Dobrin Konstantinov, Sumit Gupta, Jason D. Pole, Jan Stary, Jaroslav Sterba, Lisa L. Hjalgrim, Jeanette Falck Winther, Keiu Paapsi, Brigitte Lacour, Emmanuel Desandes, Jacqueline Clavel, Claire Poulalhon, Meike Ressing, Claudia Truenbach, Claudia Spix, Eleni T. Petridou, Evdoxia Bouka, Zsusanna Jakab, Miklos Garami, Rocco Galasso, Giuseppe Sampietro, Patrizia Piga, Marcella Sessa, Milena M. Maule, Carlotta Sacerdote, Paola Ballotari, Luigino Dal Maso, Antonina Torrisi, Rosalia Ragusa, Luca Boni, Magda Rognomi, Rosalba Amodio, Francesco Cuccaro, Danila Bruno, Antonio G Russo, Federico Gervasi, Maria L. Gambino, Elisabetta Borciani, Maria L. Michiara, Luciana Mangone, Gianbattista Spagnoli, Stefano Ferretti, Fabio Falcini, Eugenia Spata, Sonia Manasse, Paolo Coccia, Fabrizio Stracci, Daniela Piras, Pasquala Pinna, Francesca Bella, Adele Caldarella, Teresa Intrieri, Tiziana Scuderi, William Mantovani, Manuel Zorzi, Stefano Guzzinati, Deidre Murray, Tomohiro Matsuda, Kayo Nakata, Miriam J. Azzopardi, Tom Borge Johannesen, Aina H. Dahlen, Bernward Zeller, Jerzy Kowalczyk, Anna Raciborska, Ana M. Ferreira, Gabriela Caldas, Mihaela Bucurenci, Daniela Coza, Vesna Zadnik, Arantza Lopez de Munain, Fernando Alemda-Vich, Noura Jeghalef-El Karoui, Montse Puigdemonte, Maria Jose Sanchez, Nuria Aragones, David Parra-Blazquez, Maria Dolores Chirlaque, Marcela Guevara, Elena Pardo, Rafael Peris-Bonet, Adela Canete Nieto, Maria Carulla, Päivi Lähteenmäki, Claudia E. Kuehni, Shelagh M. Redmond, Otto Visser, Henrike Karim-Kos, Sarah Stevens, Lucy Irvine, Charles Stiller, Anna Gavin, Deidre Fitzpatrick, Damien Bennett, David S. Morrison, Karen Smith, Dyfed Wyn Huws, Stephanie Smits, Angela Polanco, Giles Greene, Riccardo Capocaccia, Andrea Di Cataldo, Meric Klein JAMA Network Open, 2026
Pediatric palliative care in patients with brain tumors: Timing, activation, and management of acute events Olga Nigro, Marta Podda, Elisabetta Schiavello, Veronica Biassoni, Roberto Luksch, Monica Terenziani, Andrea Ferrari, Filippo Spreafico, Michela Casanova, Cristina Meazza, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Giovanna Gattuso, Giovanna Sironi, Valeria Colombo, Igor Catalano, Federico Pellegatta, Francesco Barretta, Sabina Vennarini, Giuseppe Forzini, Maura Massimino Tumori, 2025
Get strong to fight childhood cancer - an exercise intervention for children and adolescents undergoing anti-cancer treatment (FORTEe): Rationale and design of a randomized controlled exercise trial Marie Astrid Neu, Elias Dreismickenbecker, Francesca Lanfranconi, Sandra Stössel, Adriana Balduzzi, Peter Wright, Stan Windsor, Joachim Wiskemann, Inaam El-Rajab, Alejandro Lucia, Carmen Fiuza-Luces, Rodolf Mongondry, Martin Kaj Fridh, Filippo Spreafico, Barbara Konda, Lidija Kitanovski, Barbara Heißerer, Marco Polak, Tobias Baader, Wilhelm Bloch, Miriam Götte, , Katie Rizvi, , Christian Ruckes, Norbert W. Paul, Joerg Faber, , Ameli Schwalber, Olivia Pérol, Hanne Bækgaard Larsen, Tommaso Pietro Moriggi, William Zardo, Amandine Bertrand, Lena Wypyrsczyk, Mareike Kühn, Abigale Robinson, Heidi Diel BMC Cancer, 2025
A Rare Case of Pediatric Translocation Renal Cell Carcinoma Following Medulloblastoma Francesca Parisi, Valerio Gaetano Vellone, Gabriele Gaggero, Filippo Spreafico, Paola Collini, Virginia Livellara, Gianluca Piccolo, Marta Molteni, Elena Arkhangelskaya, Maria Beatrice Damasio, Stefano Avanzini, Federico Palo, Stefania Sorrentino Pediatric Blood and Cancer, 2025
Malignant Peripheral Nerve Sheath Tumor in Children and Adolescents: Local Treatment in a Retrospective Single-Center Experience Andrea Ferrari, Luca Bergamaschi, Stefano Chiaravalli, Marco Fiore, Chiara Colombo, Emilia Pecori, Arianna Trovò, Carlo Morosi, Roberto Luksch, Monica Terenziani, Filippo Spreafico, Cristina Meazza, Marta Podda, Veronica Biassoni, Elisabetta Schiavello, Nadia Puma, Giovanna Gattuso, Giovanna Sironi, Olga Nigro, Valeria Colombo, Patrizia Gasparini, Sandro Pasquali, Maura Massimino, Michela Casanova, Sabina Vennarini Pediatric Blood and Cancer, 2025
Pediatric Craniofacial Osteosarcoma: The Milano Experience Cristina Meazza, Francesca Parisi, Francesco Barretta, Giovanna Sironi, Olga Nigro, Carlo Morosi, Roberto Luksch, Marta Podda, Andrea Ferrari, Monica Terenziani, Filippo Spreafico, Michela Casanova, Veronica Biassoni, Elisabetta Schiavello, Antonina Parafioriti, Paola Collini, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Giovanna Gattuso, Valeria Colombo, Sabina Vennarini, Emilia Pecori, Marco Guzzo, Sarah Colombo, Arianna Trovò, Maura Massimino Pediatric Blood and Cancer, 2025
Hallmark discoveries in the biology of non-Wilms tumour childhood kidney cancers Daniela Perotti, Maureen J. O’Sullivan, Amy L. Walz, Jonathan Davick, Reem Al-Saadi, Daniel J. Benedetti, Jack Brzezinski, Sara Ciceri, Nicholas G. Cost, Jeffrey S. Dome, Jarno Drost, Nicholas Evageliou, Rhoikos Furtwängler, Norbert Graf, Mariana Maschietto, Elizabeth A. Mullen, Andrew J. Murphy, Michael V. Ortiz, Justine N. van der Beek, Arnauld Verschuur, Jenny Wegert, Richard Williams, Filippo Spreafico, James I. Geller, Marry M. van den Heuvel-Eibrink, Andrew L. Hong Nature Reviews Urology, 2025
Foreign patients and multicultural challenges in pediatric oncology: The experience of the Istituto Nazionale dei Tumori in Milan Martina Lombardi, Matteo Silva, Monica Giovanetti, Daniele Cabibbe, Roberto Luksch, Monica Terenziani, Michela Casanova, Filippo Spreafico, Cristina Meazza, Marta Podda, Veronica Biassoni, Elisabetta Schiavello, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Giovanna Gattuso, Olga Nigro, Giovanna Sironi, Valeria Colombo, Andrea Ferrari, Maura Massimino, Carlo Alfredo Clerici Pediatric Blood and Cancer, 2024
Widening the spectrum of players affected by genetic changes in Wilms tumor relapse Sara Ciceri, Alessia Bertolotti, Annalisa Serra, Giovanna Gattuso, Luna Boschetti, Maria Capasso, Cecilia Cecchi, Stefania Sorrentino, Paola Quarello, Chiara Maura Ciniselli, Paolo Verderio, Loris De Cecco, Giacomo Manenti, Francesca Diomedi Camassei, Paola Collini, Filippo Spreafico, Daniela Perotti Iscience, 2024
Caring for children with cancer evacuated from Ukraine: The patients’ perception Marcello Bolognese, Maura Massimino, Daniele Cabibbe, Marco Zecca, Marta Fornara, Mariangela Armiraglio, Roman Kyzima, Roberto Luksch, Monica Terenziani, Michela Casanova, Filippo Spreafico, Cristina Meazza, Marta Podda, Veronica Biassoni, Elisabetta Schiavello, Stefano Chiaravalli, Nadia Puma, Shushan Hovsepyan, Luca Bergamaschi, Giovanna Gattuso, Olga Nigro, Paolo Grampa, Annarita Adduci, Andrea Ferrari, Carlo Alfredo Clerici Pediatric Blood and Cancer, 2024
Impact of a Regional Pediatric Hematology/Oncology Fellowship Program in Guatemala Daniel C. Moreira, Claudia Garrido, Roy Rosado, Verónica Girón, Tomás Letona, Gerson Morales, Patricia Valverde, Thelma Velásquez, Jeanine Alfaro, Elizabeth Orellana, Miguel Angel Ortega, Paola Salguero, Leeanna Fox Irwin, Allyson Andujar, Pedro A. de Alarcón, Sandra Luna-Fineman, Marilyn Manco-Johnson, Valentino Conter, Marta Verna, Marta Canesi, Maura Massimino, Filippo Spreafico, Andrea Ferrari, Pascale Y. Gassant, Roberto Vásquez, Paola Friedrich, Ricardo Mack, Raul Ribeiro, Monika L. Metzger, Carlos Rodriguez-Galindo, Federico Antillón-Klussmann JCO Global Oncology, 2024
Advances in the clinical management of high-risk Wilms tumors Michael V. Ortiz, Christa Koenig, Amy E. Armstrong, Jesper Brok, Beatriz de Camargo, Annelies M. C. Mavinkurve‐Groothuis, Thelma B. Velasquez Herrera, Rajkumar Venkatramani, Andrew D. Woods, Jeffrey S. Dome, Filippo Spreafico Pediatric Blood and Cancer, 2023
Advances in the clinical management of high-risk Wilms tumors Michael V. Ortiz, Christa Koenig, Amy E. Armstrong, Jesper Brok, Beatriz de Camargo, Annelies M. C. Mavinkurve‐Groothuis, Thelma B. Velasquez Herrera, Rajkumar Venkatramani, Andrew D. Woods, Jeffrey S. Dome, Filippo Spreafico Pediatric Blood and Cancer, 2023
Adolescents and young adults with cancer: Surfing the web to know and manage their disease Annarita Adduci, Paolo Grampa, Francesco Barretta, Giovanna Sironi, Matteo Silva, Roberto Luksch, Monica Terenziani, Michela Casanova, Filippo Spreafico, Cristina Meazza, Marta Podda, Veronica Biassoni, Elisabetta Schiavello, Stefano Chiaravalli, Carlo Alfredo Clerici, Maura Massimino, Andrea Ferrari Ejc Paediatric Oncology, 2023
Relapse after nonmetastatic rhabdomyosarcoma: Salvage rates and prognostic variables Luca Bergamaschi, Stefano Chiaravalli, Virginia Livellara, Giovanna Sironi, Nadia Puma, Olga Nigro, Giovanna Gattuso, Roberto Luksch, Monica Terenziani, Filippo Spreafico, Cristina Meazza, Marta Podda, Veronica Biassoni, Elisabetta Schiavello, Shushan Hovsepyan, Carlo Morosi, Sabina Vennarini, Maura Massimino, Michela Casanova, Andrea Ferrari Pediatric Blood and Cancer, 2023
Secondary osteosarcoma: a challenge indeed Cristina Meazza, Sironi Giovanna, Olga Nigro, Giovanna Gattuso, Barretta Francesco, Marta Podda, Roberto Luksch, Veronica Biassoni, Elisabetta Schiavello, Andrea Ferrari, Filippo Spreafico, Michela Casanova, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Virginia Livellara, Morosi Carlo, Antonina Parafioriti, Primo Daolio, Stefano Bastoni, Sabina Vennarini, Emilia Pecori, Ombretta Alessandro, Paola Collini, Maura Massimino, Monica Terenziani International Journal of Clinical Oncology, 2023
Essential medicines for childhood cancer in Europe: a pan-European, systematic analysis by SIOPE Maria Otth, Eva Brack, Pamela R Kearns, Olga Kozhaeva, Marko Ocokoljic, Reineke A Schoot, Gilles Vassal, Federica Achini, Adriana Balduzzi, Maja Beck Popovic, Auke Beishuizen, Luca Bergamaschi, Andrea Biondi, Franck Bourdeaut, Elena Braicu, Jesper Brok, Laurence Brugières, Amos Burke, Gabriele Calaminus, Michela Casanova, Marie-Louise Choucair, Morgane Cleirec, Selim Corbaciouglu, Maria Genoveva Correa Llano, Teresa De Rojas, Nerea Domínguez Pinilla, Caroline Elmaraghi, Andrea Ferrari, Alexander Fossa, Nathalie Gaspar, Nikolas Herold, Kyriaki Karapiperi, Maarja Karu, Mimi Kjærsgaar, Fabian Knörr, Christa Koenig, Izabela Kranjcec, Malgorzata Krawczyk, Kai Lehmberg, Thomas Lehrnbecher, Maaike Lunesink, Davide Massano, Nuša Matijasic, Hans Merks, Markus Metzler, Anthony Michalski, Milen Minkov, Bruce Morland, Naghmeh Niktoreh, Elena Oltenau, Daniel Orbach, Cormac Owens, Smaragda Papachristidou, Claudia Pasqualini, Maja Pavlovic, Paula Perez Albert, Fiona Poyer, Ivana Radulovic, Dirk Reinhardt, Joana Rebelo, Eva Roser, Ida Russo, Katrin Scheinemann, Christina Schindera, Martin Schrappe, Astrid Sehested, Jalid Sehouli, Filippo Spreafico, Sandra J Strauss, Janine Stutterheim, Karel Svojgr, Vasiliki Tzotzola, Roelof Van Ewijk, Arnauld Verschuur, Ajay Vora, Willi Woessmann, Olga Zajac-Spychala, Michel Zwaan Lancet Oncology, 2022
Palliative sedation in paediatric solid tumour patients: choosing the best drugs Marta Giorgia Podda, Elisabetta Schiavello, Olga Nigro, Carlo Alfredo Clerici, Fabio Simonetti, Roberto Luksch, Monica Terenziani, Andrea Ferrari, Michela Casanova, Filippo Spreafico, Cristina Meazza, Stefano Chiaravalli, Veronica Biassoni, Giovanna Gattuso, Nadia Puma, Luca Bergamaschi, Givanna Sironi, Maura Massimino BMJ Supportive and Palliative Care, 2022
Extraosseous Ewing sarcoma in children and adolescents: A retrospective series from a referral pediatric oncology center Virginia Livellara, Luca Bergamaschi, Nadia Puma, Stefano Chiaravalli, Marta Podda, Michela Casanova, Patrizia Gasparini, Emilia Pecori, Ombretta Alessandro, Olga Nigro, Giovanna Sironi, Giovanna Gattuso, Monica Terenziani, Filippo Spreafico, Cristina Meazza, Veronica Biassoni, Elisabetta Schiavello, Maura Massimino, Roberto Luksch, Andrea Ferrari Pediatric Blood and Cancer, 2022
Managing Care during the COVID-19 Pandemic: The Point of View and Fears of Pediatric Cancer Patients’ Families Olga Nigro, Giovanna Sironi, Andrea Ferrari, Gabriele Tinè, Gabriele Infante, Francesco Barretta, Matteo Silva, Carlo Alfredo Clerici, Stefano Chiaravalli, Elisabetta Schiavello, Veronica Biassoni, Marta Podda, Cristina Meazza, Filippo Spreafico, Michela Casanova, Monica Terenziani, Roberto Luksch, Maura Massimino Children, 2022
Adolescents with cancer on privacy: Fact-finding survey on the need for confidentiality and space Matteo Silva, Francesco Barretta, Roberto Luksch, Monica Terenziani, Michela Casanova, Filippo Spreafico, Cristina Meazza, Marta Podda, Veronica Biassoni, Elisabetta Schiavello, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Giovanna Gattuso, Giovanna Sironi, Annarita Adduci, Paolo Grampa, Maura Massimino, Andrea Ferrari Tumori, 2021
Prognostic factors for wilms tumor recurrence: A review of the literature Alissa Groenendijk, Filippo Spreafico, Ronald R. de Krijger, Jarno Drost, Jesper Brok, Daniela Perotti, Harm van Tinteren, Rajkumar Venkatramani, Jan Godziński, Christian Rübe, James I. Geller, Norbert Graf, Marry M. van den Heuvel-Eibrink, Annelies M. C. Mavinkurve-Groothuis Cancers, 2021
Medulloblastoma and familial adenomatous polyposis: Good prognosis and good quality of life in the long-term? Maura Massimino, Stefano Signoroni, Luna Boschetti, Luisa Chiapparini, Alessandra Erbetta, Veronica Biassoni, Elisabetta Schiavello, Andrea Ferrari, Filippo Spreafico, Monica Terenziani, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Maria Teresa Ricci, Laura Cattaneo, Giovanna Gattuso, Francesca Romana Buttarelli, Francesca Gianno, Evelina Miele, Geraldina Poggi, Marco Vitellaro Pediatric Blood and Cancer, 2021
Retrospective study of late radiation-induced damages after focal radiotherapy for childhood brain tumors Claudia Cavatorta, Silvia Meroni, Eros Montin, Maria C. Oprandi, Emilia Pecori, Mara Lecchi, Barbara Diletto, Ombretta Alessandro, Denis Peruzzo, Veronica Biassoni, Elisabetta Schiavello, Marco Bologna, Maura Massimino, Geraldina Poggi, Luca Mainardi, Filippo Arrigoni, Filippo Spreafico, Paolo Verderio, Emanuele Pignoli, Lorenza Gandola Plos One, 2021
Adolescents with Terminal Cancer: Making Good Use of Illusions Carlo Alfredo Clerici, Elena Pagani Bagliacca, Laura Veneroni, Marta Podda, Matteo Silva, Patrizia Gasparini, Roberto Luksch, Monica Terenziani, Michela Casanova, Filippo Spreafico, Cristina Meazza, Veronica Biassoni, Elisabetta Schiavello, Stefano Chiaravalli, Tullio Proserpio, Maura Massimino, Andrea Ferrari Journal of Adolescent and Young Adult Oncology, 2020
A collateral effect of the COVID-19 pandemic: Delayed diagnosis in pediatric solid tumors Stefano Chiaravalli, Andrea Ferrari, Giovanna Sironi, Giovanna Gattuso, Luca Bergamaschi, Nadia Puma, Elisabetta Schiavello, Veronica Biassoni, Marta Podda, Cristina Meazza, Filippo Spreafico, Michela Casanova, Monica Terenziani, Roberto Luksch, Maura Massimino Pediatric Blood and Cancer, 2020
SARS-CoV-2 disease and children under treatment for cancer Monica Terenziani, Maura Massimino, Veronica Biassoni, Michela Casanova, Stefano Chiaravalli, Andrea Ferrari, Roberto Luksch, Cristina Meazza, Marta Podda, Elisabetta Schiavello, Filippo Spreafico Pediatric Blood and Cancer, 2020
Cancer treatment in disabled children Cristina Meazza, Elisabetta Schiavello, Veronica Biassoni, Marta Podda, Chiara Barteselli, Francesco Barretta, Giovanna Gattuso, Monica Terenziani, Andrea Ferrari, Filippo Spreafico, Roberto Luksch, Michela Casanova, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Maura Massimino European Journal of Pediatrics, 2020
Secreting germ cell tumors of the central nervous system: A long-term follow-up experience Veronica Biassoni, Elisabetta Schiavello, Lorenza Gandola, Emilia Pecori, Geraldina Poggi, Filippo Spreafico, Monica Terenziani, Cristina Meazza, Marta Podda, Andrea Ferrari, Roberto Luksch, Michela Casanova, Nadia Puma, Stefano Chiaravalli, Luca Bergamaschi, Graziella Cefalo, Fabio Simonetti, Giovanna Gattuso, Ettore Cesare Seregni, Federica Pallotti, Francesca Gianno, Barbara Diletto, Francesco Barretta, Maura Massimino Cancers, 2020
Children with cancer in the time of COVID-19: An 8-week report from the six pediatric onco-hematology centers in Lombardia, Italy Andrea Ferrari, Marco Zecca, Carmelo Rizzari, Fulvio Porta, Massimo Provenzi, Maddalena Marinoni, Richard Fabian Schumacher, Roberto Luksch, Monica Terenziani, Michela Casanova, Filippo Spreafico, Stefano Chiaravalli, Francesca Compagno, Federica Bruni, Chiara Piccolo, Laura Bettini, Mariella D'Angiò, Giulia Maria Ferrari, Andrea Biondi, Maura Massimino, Adriana Balduzzi Pediatric Blood and Cancer, 2020
Characteristics and outcome of children with renal cell carcinoma: A narrative review Justine N. van der Beek, James I. Geller, Ronald R. de Krijger, Norbert Graf, Kathy Pritchard-Jones, Jarno Drost, Arnauld C. Verschuur, Dermot Murphy, Satyajit Ray, Filippo Spreafico, Kristina Dzhuma, Annemieke S. Littooij, Barbara Selle, Godelieve A. M. Tytgat, Marry M. van den Heuvel-Eibrink Cancers, 2020
How young patients with cancer perceive the COVID-19 (coronavirus) epidemic in Milan, Italy: Is there room for other fears? Michela Casanova, Elena Pagani Bagliacca, Matteo Silva, Carlo Patriarca, Laura Veneroni, Carlo Alfredo Clerici, Filippo Spreafico, Roberto Luksch, Monica Terenziani, Cristina Meazza, Marta Podda, Veronica Biassoni, Elisabetta Schiavello, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Giovanna Gattuso, Giovanna Sironi, Maura Massimino, Andrea Ferrari Pediatric Blood and Cancer, 2020
Reduced-dose craniospinal irradiation is feasible for standard-risk adult medulloblastoma patients Maura Massimino, Marie Pierre Sunyach, Francesco Barretta, Lorenza Gandola, Anna Garegnani, Emilia Pecori, Filippo Spreafico, Alice Bonneville-Levard, David Meyronet, Carmine Mottolese, Luna Boschetti, Veronica Biassoni, Elisabetta Schiavello, Carlo Giussani, Giorgio Carrabba, Barbara Diletto, Federica Pallotti, Roberto Stefini, Andrea Ferrari, Monica Terenziani, Michela Casanova, Roberto Luksch, Cristina Meazza, Marta Podda, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Carlo Morosi, Giuseppina Calareso, Felice Giangaspero, Manila Antonelli, Francesca Romana Buttarelli, Didier Frappaz Journal of Neuro Oncology, 2020
Is radiotherapy required in first-line treatment of stage I diffuse anaplastic Wilms tumor? A report of SIOP-RTSG, AIEOP, JWiTS, and UKCCSG Raquel Dávila Fajardo, Marry M. van den Heuvel‐Eibrink, Harm van Tinteren, Filippo Spreafico, Thomas Acha, Christophe Bergeron, Beatriz de Camargo, Foppe Oldenburger, Christian Rübe, Takaharu Oue, Christian Vokuhl, Ronald R. de Krijger, Gordan Vujanic, Neil Sebire, Aurore Coulomb‐L'Hermine, Paola Collini, Lorenza Gandola, Kathy Pritchard‐Jones, Norbert Graf, Geert O. Janssens, Martine van Grotel Pediatric Blood and Cancer, 2020
Genetic and epigenetic analyses guided by high resolution whole-genome SNP array reveals a possible role of CHEK2 in Wilms tumour susceptibility Oncotarget, 2018
Rationale for the treatment of children with CCSK in the UMBRELLA SIOP-RTSG 2016 protocol on behalf of the International Society of Paediatric Oncology–Renal Tumour Study Group (SIOP–RTSG), Saskia L. Gooskens, Norbert Graf, Rhoikos Furtwängler, Filippo Spreafico, Christophe Bergeron, Gema L. Ramírez-Villar, Jan Godzinski, Christian Rübe, Geert O. Janssens, Gordan M. Vujanic, Ivo Leuschner, Aurore Coulomb-L'Hermine, Anne M. Smets, Beatriz de Camargo, Sara Stoneham, Harm van Tinteren, Kathy Pritchard-Jones, Marry M. van den Heuvel-Eibrink Nature Reviews Urology, 2018
Position Paper: Rationale for the treatment of Wilms tumour in the UMBRELLA SIOP-RTSG 2016 protocol on behalf of the International Society of Paediatric Oncology — Renal Tumour Study Group (SIOP–RTSG), Marry M. van den Heuvel-Eibrink, Janna A. Hol, Kathy Pritchard-Jones, Harm van Tinteren, Rhoikos Furtwängler, Arnauld C. Verschuur, Gordan M. Vujanic, Ivo Leuschner, Jesper Brok, Christian Rübe, Anne M. Smets, Geert O. Janssens, Jan Godzinski, Gema L. Ramírez-Villar, Beatriz de Camargo, Heidi Segers, Paola Collini, Manfred Gessler, Christophe Bergeron, Filippo Spreafico, Norbert Graf Nature Reviews Urology, 2017
Primary metastatic osteosarcoma: results of a prospective study in children given chemotherapy and interleukin-2 Cristina Meazza, Graziella Cefalo, Maura Massimino, Primo Daolio, Ugo Pastorino, Paolo Scanagatta, Carlo Morosi, Marta Podda, Andrea Ferrari, Monica Terenziani, Filippo Spreafico, Michela Casanova, Antonina Parafioriti, Paola Collini, Lorenza Gandola, Stefano Bastoni, Veronica Biassoni, Elisabetta Schiavello, Stefano Chiaravalli, Nadia Puma, Luca Bergamaschi, Roberto Luksch Medical Oncology, 2017
Results of the Third AIEOP Cooperative Protocol on Wilms Tumor (TW2003) and Related Considerations Filippo Spreafico, Davide Biasoni, Salvatore Lo Vullo, Lorenza Gandola, Paolo D’Angelo, Monica Terenziani, Maurizio Bianchi, Massimo Provenzi, Paolo Indolfi, Andrea Pession, Marilina Nantron, Andrea Di Cataldo, Carlo Morosi, Daniela Perotti, Serena Catania, Franca Fossati Bellani, Paola Collini, and Journal of Urology, 2017
Searching for happiness Andrea Ferrari, Paola Gaggiotti, Matteo Silva, Laura Veneroni, Chiara Magni, Stefano Signoroni, Michela Casanova, Roberto Luksch, Monica Terenziani, Filippo Spreafico, Cristina Meazza, Carlo Alfredo Clerici, Maura Massimino Journal of Clinical Oncology, 2017
Winners' cup: A national football tournament brings together Adolescent patients with cancer from all over Italy Matteo Silva, Marco Chisari, Stefano Signoroni, Alberto Bassani, Luca Tagliabue, Angelo Ricci, Mirco Daversa, Massimo Achini, Filippo Spreafico, Michele Murelli, Giuseppe Maria Milano, Gianni Bisogno, Luca Coccoli, Massimo Conte, Alberto Garaventa, Paolo Indolfi, Silverio Perrotta, Marco Spinelli, Federico Mercolini, Pietro Soloni, Marta Pierobon, Andrea Di Cataldo, Teresa Perillo, Maurizio Mascarin, Elisa Coassin, Laura Veneroni, Michela Casanova, Maura Massimino, Andrea Ferrari Tumori, 2017
Measuring the efficacy of a project for adolescents and young adults with cancer: A study from the Milan Youth Project Andrea Ferrari, Matteo Silva, Laura Veneroni, Chiara Magni, Carlo Alfredo Clerici, Cristina Meazza, Monica Terenziani, Filippo Spreafico, Stefano Chiaravalli, Michela Casanova, Roberto Luksch, Serena Catania, Elisabetta Schiavello, Veronica Biassoni, Marta Podda, Luca Bergamaschi, Nadia Puma, Alice Indini, Tullio Proserpio, Maura Massimino Pediatric Blood and Cancer, 2016
The clinical phenotype of YWHAE-NUTM2B/E positive pediatric clear cell sarcoma of the kidney Saskia L. Gooskens, Colin Kenny, Antonio Lazaro, Elaine O'Meara, Harm van Tinteren, Filippo Spreafico, Gordan Vujanic, Ivo Leuschner, Aurore Coulomb‐L'Herminé, Daniela Perotti, Beatriz de Camargo, Christophe Bergeron, Tomas Acha García, Mio Tanaka, Rob Pieters, Kathy Pritchard‐Jones, Norbert Graf, Marry M. van den Heuvel‐Eibrink, Maureen J. O'Sullivan Genes Chromosomes and Cancer, 2016
Clouds of oxygen: Adolescents With cancer tell their story in music Andrea Ferrari, Laura Veneroni, Carlo Alfredo Clerici, Michela Casanova, Stefano Chiaravalli, Chiara Magni, Roberto Luksch, Monica Terenziani, Filippo Spreafico, Daniela Polastri, Cristina Meazza, Serena Catania, Elisabetta Schiavello, Veronica Biassoni, Marta Podda, Luca Bergamaschi, Nadia Puma, Carla Moscheo, Giacomo Gotti, Maura Massimino Journal of Clinical Oncology, 2015
Mature and immature teratoma: A report from the second Italian pediatric study Monica Terenziani, Paolo D'Angelo, Alessandro Inserra, Renata Boldrini, Gianni Bisogno, Gian Luca Babbo, Massimo Conte, Patrizia Dall' Igna, Maria Debora De Pasquale, Paolo Indolfi, Luigi Piva, Giovanna Riccipetitoni, Fortunato Siracusa, Filippo Spreafico, Paolo Tamaro, Giovanni Cecchetto Pediatric Blood and Cancer, 2015
Differences in sports participation for children and adolescents with solitary kidney due to renal tumors across Europe. Time for harmonization Minerva Pediatrica, 2015
Results of nimotuzumab and vinorelbine, radiation and re-irradiation for diffuse pontine glioma in childhood Maura Massimino, Veronica Biassoni, Rosalba Miceli, Elisabetta Schiavello, Monika Warmuth-Metz, Piergiorgio Modena, Michela Casanova, Emilia Pecori, Felice Giangaspero, Manila Antonelli, Francesca Romana Buttarelli, Paolo Potepan, Bianca Pollo, Raffaele Nunziata, Filippo Spreafico, Marta Podda, Andrea Anichini, Carlo Alfredo Clerici, Iacopo Sardi, Loris De Cecco, Udo Bode, Ferdinand Bach, Lorenza Gandola Journal of Neuro Oncology, 2014
Evolving of therapeutic strategies for CNS-PNET Maura Massimino, Lorenza Gandola, Veronica Biassoni, Filippo Spreafico, Elisabetta Schiavello, Geraldina Poggi, Emilia Pecori, Marco Vajna De Pava, Piergiorgio Modena, Manila Antonelli, Felice Giangaspero Pediatric Blood and Cancer, 2013
Incidence and outcomes of patients with late recurrence of Wilms' tumor M. Malogolowkin, F. Spreafico, J.S. Dome, H. van Tinteren, K. Pritchard‐Jones, M.M. van den Heuvel‐Eibrink, C. Bergeron, J. de Kraker, N. Graf, On behalf of the COG Renal Tumors Committee, the SIOP Renal Tumor Study Group Pediatric Blood and Cancer, 2013
A novel WT1 mutation in familial wilms tumor Fraia Melchionda, Filippo Spreafico, Sara Ciceri, Mario Lima, Paola Collini, Andrea Pession, Maura Massimino, Paolo Radice, Daniela Perotti Pediatric Blood and Cancer, 2013
Tumore di Wilms. I risultati dei protocolli condotti dall'AIEOP Pediatric Reports, 2013
Synchronous bilateral Wilms tumor: A report from the Associazione Italiana Ematologia Oncologia Pediatrica (AIEOP) Paolo Indolfi, Alessandro Jenkner, Monica Terenziani, Alessandro Crocoli, Annalisa Serra, Paola Collini, Davide Biasoni, Lorenza Gandola, Gianni Bisogno, Giovanni Cecchetto, Martina Di Martino, Paolo D'Angelo, Maurizio Bianchi, Massimo Conte, Alessandro Inserra, Andrea Pession, Filippo Spreafico, on behalf of the AIEOP Wilms Tumor Working Group Cancer, 2013
Metastatic renal cell carcinoma in children and adolescents: A 30-year unsuccessful story Paolo Indolfi, Filippo Spreafico, Paola Collini, Giovanni Cecchetto, Fiorina Casale, Monica Terenziani, Amalia Schiavetti, Paolo Pierani, Luigi Piva, Daniela Cuzzubbo, Maria D. De Pasquale, Elvira Pota, Alessandro Inserra, Gianni Bisogno Journal of Pediatric Hematology Oncology, 2012
Primary renal soft tissue sarcoma in children Arianna Tagarelli, Filippo Spreafico, Andrea Ferrari, Rita Alaggio, Giovanni Cecchetto, Paola Collini, Paolo Indolfi, Roberta Burnelli, Laura Morali, Gianni Bisogno Urology, 2012
Genomic profiling by whole-genome single nucleotide polymorphism arrays in Wilms tumor and association with relapse Daniela Perotti, Filippo Spreafico, Federica Torri, Beatrice Gamba, Pio D'Adamo, Sara Pizzamiglio, Monica Terenziani, Serena Catania, Paola Collini, Marilina Nantron, Andrea Pession, Maurizio Bianchi, Paolo Indolfi, Paolo D'Angelo, Franca Fossati‐Bellani, Paolo Verderio, Fabio Macciardi, Paolo Radice, on behalf of the Associazione Italiana Ematologia Oncologia Pediatrica Wilms Tumor Working Group Genes Chromosomes and Cancer, 2012
Long-term results of combined preradiation chemotherapy and age-tailored radiotherapy doses for childhood medulloblastoma Maura Massimino, Graziella Cefalo, Daria Riva, Veronica Biassoni, Filippo Spreafico, Emilia Pecori, Geraldina Poggi, Paola Collini, Bianca Pollo, Laura Valentini, Paolo Potepan, Ettore Seregni, Michela Casanova, Andrea Ferrari, Roberto Luksch, Daniela Polastri, Monica Terenziani, Federica Pallotti, Carlo Alfredo Clerici, Elisabetta Schiavello, Fabio Simonetti, Cristina Meazza, Serena Catania, Marta Podda, Lorenza Gandola Journal of Neuro Oncology, 2012
The youth project at the Istituto Nazionale Tumori in Milan Andrea Ferrari, Carlo Alfredo Clerici, Michela Casanova, Roberto Luksch, Monica Terenziani, Filippo Spreafico, Daniela Polastri, Cristina Meazza, Laura Veneroni, Serena Catania, Elisabetta Schiavello, Veronica Biassoni, Marta Podda, Maura Massimino Tumori, 2012
Clinical and molecular description of a Wilms tumor in a patient with tuberous sclerosis complex Filippo Spreafico, Lucia Dora Notarangelo, Richard Fabian Schumacher, Gianfranco Savoldi, Beatrice Gamba, Monica Terenziani, Paola Collini, Silvia Fasoli, Lucio Giordano, Bercich Luisa, Fulvio Porta, Maura Massimino, Paolo Radice, Daniela Perotti American Journal of Medical Genetics Part A, 2011
Brain Magnetic Resonance Imaging After High-Dose Chemotherapy and Radiotherapy for Childhood Brain Tumors Filippo Spreafico, Lorenza Gandola, Alfonso Marchianò, Fabio Simonetti, Geraldina Poggi, Anna Adduci, Carlo Alfredo Clerici, Roberto Luksch, Veronica Biassoni, Cristina Meazza, Serena Catania, Monica Terenziani, Renato Musumeci, Franca Fossati-Bellani, Maura Massimino International Journal of Radiation Oncology Biology Physics, 2008
Rectal burkitt lymphoma in childhood Francesca Favini, Maura Massimino, Valentina Esposito, Luciano Maestri, Giorgio Fava, Filippo Spreafico Journal of Pediatric Hematology Oncology, 2008
Celiac disease and childhood cancer Stefano Cereda, Graziella Cefalo, Filippo Spreafico, Serena Catania, Cristina Meazza, Marta Podda, Monica Terenziani Journal of Pediatric Hematology Oncology, 2006
Assistance to parents who have lost their child with cancer Carlo Alfredo Clerici, Andrea Ferrari, Maura Massimino, Roberto Luksch, Graziella Cefalo, Monica Terenziani, Michela Casanova, Filippo Spreafico, Daniela Polastri, Cristina Meazza, Marta Podda, Franca Fossati-Bellani Tumori, 2006
Survival of adults treated for medulloblastoma using paediatric protocols Filippo Spreafico, Maura Massimino, Lorenza Gandola, Graziella Cefalo, Elena Mazza, Giuseppe Landonio, Emanuele Pignoli, Geraldina Poggi, Monica Terenziani, Paolo Pedrazzoli, Salvatore Siena, Franca Fossati-Bellani European Journal of Cancer, 2005
Bilateral preaxial polydactyly in a WAGR syndrome patient Siranoush Manoukian, John A. Crolla, Palma M.A. Mammoliti, Maria Adele Testi, Rinaldo Zanini, Maria Luisa Carpanelli, Elena Piozzi, Gabriella Sozzi, Giovanna De Vecchi, Monica Terenziani, Filippo Spreafico, Paola Collini, Paolo Radice, Daniela Perotti American Journal of Medical Genetics, 2005
Adult Wilms' tumor: A monoinstitutional experience and a review of the literature Monica Terenziani, Filippo Spreafico, Paola Collini, Luigi Piva, Daniela Perotti, Marta Podda, Lorenza Gandola, Maura Massimino, Stefano Cereda, Graziella Cefalo, Roberto Luksch, Michela Casanova, Andrea Ferrari, Daniela Polastri, Pinuccia Valagussa, Franca Fossati‐Bellani Cancer, 2004
High response rate to cisplatin/etoposide regimen in childhood low-grade glioma Maura Massimino, Filippo Spreafico, Graziella Cefalo, Riccardo Riccardi, John David Tesoro-Tess, Lorenza Gandola, Daria Riva, Antonio Ruggiero, Laura Valentini, Elena Mazza, Lorenzo Genitori, Concezio Di Rocco, Piera Navarria, Michela Casanova, Andrea Ferrari, Roberto Luksch, Monica Terenziani, Maria Rosa Balestrini, Cesare Colosimo, Franca Fossati-Bellani Journal of Clinical Oncology, 2002
Effects of recombinant human granulocyte-macrophage colony-stimulating factor in an intensive treatment program for children with Ewing's sarcoma Haematologica, 2001