TY - CHAP M1 - Book, Section TI - Chapter 443. Cancer Genetics and Biology A1 - Malkin, David A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - Cancer is the most common cause of disease-related death in children beyond the newborn period. The unique biological features, the cell of origin, and the response to therapy of childhood cancers make them intriguing models with which to study and understand the process of human carcinogenesis. Tumors of childhood commonly reflect the embryonic precursor of the cell types in which they arise. The majority occur sporadically, and their etiology remains unclear. Obvious environmental influences to cancer initiation are not generally apparent. Some cancers, such as neuroblastoma, appear to arise even before birth, whereas a significant number of others present with a striking family history of cancer or coincide with congenital abnormalities, suggesting an important role for inherited causal genetic factors. Disorders such as xeroderma pigmentosum,1 which places children at increased risk for developing skin cancers, or Beckwith-Wiedemann syndrome,2 which is commonly complicated by the development of embryonal tumors, including Wilms tumor of the kidney, rhabdomyosarcoma, or hepatoblastoma, are examples of inherited disorders that confer an increased risk developing cancer. Cancer predisposition syndromes in which nonmalignant phenotypic features are not observed include hereditary retinoblastoma,3 Li-Fraumeni syndrome,4 and familial polyposis,5 while others such as von Hippel Lindau disease6 are associated with the coincident presentation of both benign and malignant neoplasms. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/18 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7041362 ER -