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Br J Ophthalmol 88:1069-1073 doi:10.1136/bjo.2003.037044
  • Clinical science
    • Extended reports

Retinoblastoma patients with high risk ocular pathological features: who needs adjuvant therapy?

Table 3

 Treatment and outcome of patients according to risk factors detected on histopathological examination

Feature Adjuvant treatment Events
Isolated choroidal and isolated scleral invasion includes patients with less than post-laminar optic nerve involvement. Isolated post-laminar optic nerve disease includes patients with no scleral invasion or focal choroidal invasion. Isolated anterior chamber invasion included no concomitant choroidal, scleral, or post-laminar optic nerve disease.
Isolated choroidal invasion (n = 55) None Orbital relapse = 1; orbital and systemic relapse = 2
Isolated post-laminar optic nerve (n = 25) Chemotherapy = 4; none = 21 None
Post-laminar optic nerve with major choroidal invasion (n = 6) Chemotherapy = 2 None
None = 4 Orbital and systemic relapse = 1; orbital relapse = 1
Post-laminar optic nerve invasion with scleral invasion (n = 5) Chemotherapy = 5 CNS relapse = 1; CNS and systemic relapse = 2
Cut end invasion (n = 10) Chemotherapy and orbital radiotherapy = 10 None
Isolated scleral invasion (n = 5) None = 2 Orbital relapse = 1
Chemotherapy = 3 Systemic relapse = 1
Isolated anterior chamber invasion (n = 2) None None

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