raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:654

Nephroblastoma

Synonyms: Renal embryonic tumor · Wilms tumor

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Childhood
Status
active

A rare malignant renal tumor, typically affecting the pediatric population, characterized by an abnormal proliferation of cells that resemble the kidney cells of an embryo (metanephroma), leading to the term embryonal tumor.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNephroblastomaRenal embryonic tumor · Wilms tumor
frNéphroblastomeTumeur de Wilms · Tumeur embryonnaire rénale
deNephroblastomNierentumor, embryonaler · Wilms Tumor
esNefroblastomaTumor de Wilms · Tumor renal embrionario
itNefroblastomaTumore di Wilms · Tumore embrionale del rene
nlNefroblastoomEmbryonale niertumor · Wilmstumor
ptNefroblastomaTumor de Wilms
plNerczak zarodkowyGuz Wilmsa · Nerczak płodowy
csNefroblastomEmbryonální smíšený nádor ledviny · Wilmsův tumor
ukНефробластомаЕмбріональна пухлина нирки · Пухлина Вільмса
zh肾母细胞瘤肾脏畸胎瘤
trNefroblastomWilms tümörü · Renal embriyonik tümör

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM194070BTNTvalidated
OMIM194071BTNTvalidated
OMIM194090BTNTvalidated
OMIM601363BTNTvalidated
OMIM601583BTNTvalidated
OMIM616806BTNTvalidated
ICD-10C64NTBTindexvalidated
ICD-112C90.YNTBTindexvalidated
MONDO0019004Evalidated
MeSHD009396Evalidated
UMLSC0027708Evalidated
GARD7892Evalidated
MedDRA10029145Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

12 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GPC3Biomarker tested inAssessedHGNC:4451ENSG00000147257300037Xq26.2glypican 312085187[PMID]_25366870[PMID]
BRCA2Candidate gene tested inNot yet assessedHGNC:1101ENSG0000013961860018513q13.1BRCA2 DNA repair associated15689453[PMID]
TRIP13Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:12307ENSG000000715396045075p15.33thyroid hormone receptor interactor 1328553959[PMID]
CTR9Disease-causing germline mutation(s) inAssessedHGNC:16850ENSG0000019873060936611p15.4CTR9 component of Paf1/RNA polymerase II complex39293508[PMID]_25099282[PMID]
TRIM28Disease-causing germline mutation(s) inAssessedHGNC:16384ENSG0000013072660174219q13.43tripartite motif containing 2829912901[PMID]
TRIM28Disease-causing somatic mutation(s) inAssessedHGNC:16384ENSG0000013072660174219q13.43tripartite motif containing 2829912901[PMID]
WT1Disease-causing somatic mutation(s) inAssessedHGNC:12796ENSG0000018493760710211p13WT1 transcription factor
DIS3L2Major susceptibility factor inAssessedHGNC:28648ENSG000001445356141842q37.1DIS3 like 3'-5' exoribonuclease 2
POU6F2Major susceptibility factor inAssessedHGNC:21694ENSG000001065366090627p14.1POU class 6 homeobox 2
RESTMajor susceptibility factor inAssessedHGNC:9966ENSG000000840936005714q12RE1 silencing transcription factor26551668[PMID]
WT1Major susceptibility factor inAssessedHGNC:12796ENSG0000018493760710211p13WT1 transcription factor
H19Role in the phenotype ofAssessedHGNC:4713ENSG0000013060010328011p15.5H19 imprinted maternally expressed transcript
5

Prevalence and incidence

27 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 1 000 0000.14 / 100 000EuropeValue and classValidated22357215[PMID]_RARECARE surveillance of rare cancers in Europe[OTHER]
Point prevalence1-9 / 100 000—EuropeClass onlyValidated22033323[PMID]_RARECARE surveillance of rare cancers in Europe[OTHER]
Lifetime Prevalence1-9 / 100 0003.65 / 100 000EuropeValue and classValidated22033323[PMID]_RARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.144 / 100 000United KingdomValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Prevalence at birth1-5 / 10 00010 / 100 000EuropeValue and classValidated[EXPERT]
Annual incidence<1 / 1 000 0000.072 / 100 000BulgariaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence<1 / 1 000 0000.006 / 100 000Czech RepublicValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence<1 / 1 000 0000.089 / 100 000GermanyValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence<1 / 1 000 0000.043 / 100 000IcelandValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence<1 / 1 000 0000.065 / 100 000LatviaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence<1 / 1 000 0000.066 / 100 000PortugalValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.121 / 100 000AustriaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.195 / 100 000BelgiumValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.155 / 100 000CroatiaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.139 / 100 000EstoniaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.158 / 100 000FinlandValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.17 / 100 000IrelandValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.111 / 100 000ItalyValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.12 / 100 000LithuaniaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.157 / 100 000MaltaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.131 / 100 000NorwayValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.111 / 100 000PolandValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.162 / 100 000SlovakiaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.144 / 100 000SloveniaValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.113 / 100 000SpainValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.135 / 100 000SwitzerlandValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]
Annual incidence1-9 / 1 000 0000.176 / 100 000NetherlandsValue and classValidatedRARECARE surveillance of rare cancers in Europe[OTHER]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

27 annotations · validated 2024-06-21
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031500Abdominal mass
HP:0002664Neoplasm
HP:0002667Nephroblastoma
Frequent (79-30%)
HP:0002027Abdominal pain
HP:0005580Duplication of renal pelvis
HP:0012587Macroscopic hematuria
Occasional (29-5%)
HP:0031105Abnormal uterus morphology
HP:0001903Anemia
HP:0000526Aniridia
HP:0000028Cryptorchidism
HP:0000086Ectopic kidney
HP:0001945Fever
HP:0001528Hemihypertrophy
HP:0000085Horseshoe kidney
HP:0003072Hypercalcemia
HP:0000822Hypertension
HP:0000047Hypospadias
HP:0002716Lymphadenopathy
HP:0033834Malaise
HP:0002907Microscopic hematuria
HP:0002896Neoplasm of the liver
HP:0100526Neoplasm of the lung
HP:0001901Polycythemia
HP:0008330Reduced von Willebrand factor activity
HP:0012871Varicocele
HP:0001824Weight loss
Very rare (<4-1%)
HP:0002094Dyspnea

Run the differential on the 3 obligate / very frequent terms

Annotation source: 28723033[PMID]_27512767[PMID]_26835318[PMID]

7

Sources for this card