2006
DOI: 10.1007/s12094-006-0093-x
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Survival in extra-orbital metastatic retinoblastoma: treatment results

Abstract: In our experience, metastatic RB has a very high mortality rate in spite of the use of different chemotherapy regimens.

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Cited by 53 publications
(41 citation statements)
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“…Encouraging results have been reported for the treatment of retinoblastoma that is disseminated to the orbit or the preauricular lymph nodes has resulted in disease-free survival rates over 70% [41]. Different chemotherapy combinations have been used to treat overt extraocular retinoblastoma; most regimens include a platinum derivative; an alkylating agent, such as cyclophosphamide or ifosfamide, etoposide, and anthracyclines [22,41,42]. A low intensity regimen using these agents led to 56% survival at 30 months in Mali [13].…”
Section: Treating Patients With Overt Extraocular Diseasementioning
confidence: 99%
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“…Encouraging results have been reported for the treatment of retinoblastoma that is disseminated to the orbit or the preauricular lymph nodes has resulted in disease-free survival rates over 70% [41]. Different chemotherapy combinations have been used to treat overt extraocular retinoblastoma; most regimens include a platinum derivative; an alkylating agent, such as cyclophosphamide or ifosfamide, etoposide, and anthracyclines [22,41,42]. A low intensity regimen using these agents led to 56% survival at 30 months in Mali [13].…”
Section: Treating Patients With Overt Extraocular Diseasementioning
confidence: 99%
“…Results of using conventional chemotherapy and irradiation for distant metastatic disease have been disappointing in developing countries [42,43]. Patients with metastatic disease outside the central nervous system (CNS) may be cured with high-dose chemotherapy and stem cell rescue [8,44]; however, these treatments usually are not available in LICs or most lower MICs.…”
Section: Treating Patients With Overt Extraocular Diseasementioning
confidence: 99%
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“…Highly individualized aggressive treatments involving a combination of radical surgery, chemotherapy and external beam radiation therapy is required for cases with orbital retinoblastoma (International Retinoblastoma Staging System stage III) and extra-orbital metastatic retinoblastoma [15,16]. However, due to poor compliance and the advanced stage of the disease, very high mortality rates occur, in spite of the use of combining treatment regimens [17]. It should be noted that retinoblastoma represents a very rare human malignancy where definitive treatment can be started without any confirmed histopathological diagnosis, as imaging plays an important role in the corrective diagnosis of this condition.…”
Section: Discussionmentioning
confidence: 99%
“…3 Retinoblastoma has a tendency for cranial hemorrhagic metastases. 4 Yet, no case has been seen in literature as cerebellar metastasis of Rb and subspecified to infratentorial localization.…”
Section: Introductionmentioning
confidence: 99%