Important
It is possible that the main title of the report Pleuropulmonary Blastoma is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.

Synonyms

• PPB
• pneumoblastoma
• mesenchymal cystic hamartoma
• cystic mesenchymal hamartoma
• pulmonary rhabdomyosarcoma
• rhabdomyosarcoma in lung cyst

Disorder Subdivisions

• None

General Discussion

Pleuropulmonary blastoma (PPB) is a rare childhood cancer occurring in the chest, specifically in the lungs or in the coverings of the lungs called "pleura". PPB occurs almost exclusively in children under the age of approximately 7-8 years and rarely in older children, in teenagers and more rarely in adults. Three subtypes of PPB exist and are called type I, type II, and type III PPB. Type I PPB takes the form of cysts in the lungs (air-filled pockets) and occurs in the youngest children with PPB (from birth to about 2 years of age). Type II PPB has cysts and solid tumor. Type III PPB is entirely solid tumor. Types II and III PPB tend to occur after age 2 years. Children with type I PPB can have the disease come back. If type I PPB comes back, it usually happens within about 4 years of the original diagnosis, and it is usually type II or III when it recurs. Children with type I PPB have a better outlook ("prognosis") than children with types II and III PPB; most type I PPB patients are cured (more than 80%). Treatment for type I consists of surgery and possibly chemotherapy; for Types II and III PPB surgery, chemotherapy and possibly radiation therapy is recommended. At present, about 50-60% of types II and III children are cured.

What kind of cancer is PPB? PPB is a childhood cancer in the family of cancers called "soft tissue cancers", which are scientifically called "sarcomas". PPB is, therefore, a "soft tissue sarcoma". PPB is related to, or in the broad family of, cancers such as cancers of muscle, cartilage, and connective tissues. Physicians classify diseases this way in order to compare features and to compare treatments. Often treatments that are effective for one member of a family of cancers are effective for other members of that family.

PPB occurs in the lungs so PPB can be called a "lung cancer". But PPB has no connection whatsoever with lung cancers in adults that are often related to tobacco use.

Can PPB spread to other parts of the body? Like many cancers, PPB can spread through the blood to other areas of the body. When a cancer spreads to another part of the body it is called a "metastasis" of the cancer. Types II and III PPB can metastasize. The most common location for a PPB metastasis is the brain. It can also spread to the bones, the liver, and remaining parts of the lung. It is not known why PPB has this pattern of spread to brain, liver, or bones. PPB can also spread by growing directly into tissues next to the lung like the diaphragm.

PPB family cancer syndrome: In about 25% of children with PPB, there are other childhood cancers or abnormalities in the PPB patient or in their families. This is called the PPB family cancer syndrome. This can include lung cysts, kidney cysts, thyroid tumors (sometimes malignant), and various other cancers. It is not known what causes the abnormalities in these children and families, but research is underway to discover the presumed genetic basis for this tendency to childhood cancers or other abnormalities. It should be emphasized that many children and adults in these families have no medical problems.

Resources

Rare Cancer Alliance
1649 North Pacana Way
Green Valley, AZ 85614
USA
Tel: 5206255495
Fax: 6155264921
Email: sharon.lane@rare-cancer.org
Internet: http://www.rare-cancer.org

International Pleuropulmonary Blastoma Registry
345 Smith Avenue North
Mail Stop 70-301
Children's Hospitals & Clinic
St. Paul, MN 55102
USA
Tel: 6512206772
Fax: 6512206005
Email: info@ppbregistry.org
Internet: http://www.ppbregistry.org

Cancer.Net
1900 Duke Street
Suite 200
Alexandria, VA 22314
Tel: (703)299-0150
Fax: (703)684-8618
Tel: (888)651-3038
Email: contactus@plwc.org
Internet: http://www.cancer.net/patient

PPB Research Program at Washington University School of Medicine
Washington University School of Medicine
Box 8118
660 S. Euclid Ave.
St. Louis, MO 63110
Tel: (314)454-8854
Fax: (314)454-5001
Email: hill@path.wustl.edu
Internet: http://ppbstudy.wustl.edu/