Optimization of Combined Treatment of Retinoblastoma
Pochop P.1, Mališ J.2, Řehůřek J.3, Šímová B.2, Šimonová G.4
1Oční klinika dětí a dospělých, 2. LF UK a FN Motol, Praha, přednostka doc. MUDr. D. Dotřelová, CSc. 2Klinika dětské onkologie 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. J. Koutecký, DrSc. 3Dětská oční klinika, DFN Brno, přednosta prof. MUDr. J. Řehůřek, CSc. 4Odd. stereotaktické a radiační neurochirurgie, Nemocnice Na Homolce, primář MUDr. R. Liščák, CSc. |
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Summary:
Eighteen patients suffering of retinoblastoma during three years period (1999-
2001) were treated in two departments of ophthalmology in the Czech Republic.
In four cases, the involvement was bilateral. In six eyes, because of very late stage
of the disease at the time of diagnosis, the initial treatment was the enucleation.
The rest, (sixteen eyes) was treated by chemoreduction (chemotherapy) and
different combinations of local therapeutic methods according to their respective
findings. Nine eyes from this cohort were enucleated in different period of time
after the beginning of the treatment because of the relapse of the disease, its
continuing or complications of the treatment. In the remaining seven eyes there
are no sings of tumor activity. The fractioned radiotherapy was used in the
treatment in one eye only and this eye was enucleated subsequently. So the
maintaining therapy was successful in seven eyes of sixteen involved, or in 43.75%
of cases.
Key words:
retinoblastoma,chemoreduction(chemotherapy), transpupillary thermotherapy,
radiotherapy, tumors of the eye
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