Advancement in the treatment, genetic understanding, and diagnostic approaches for retinoblastoma

Manashri Yashwant Mokal, S. Shaikh
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Abstract

The most common intraocular tumor in children is retinoblastoma. In developed countries, there has been an impressive rise in the survival rate and visual outcome of patients with retinoblastoma. This is clarified by developments in retinoblastoma treatment and early detection of tumors. The primary therapy remedy for intraocular retinoblastoma is now chemotherapy along with adjuvant consolidative treatment, instead of external beam radiation. Likewise, prophylactic chemotherapy is now allowed to treat potential micro metastases in enucleated eyes based on the identification of high-risk histopathological factors. Extra ocular retinoblastoma still has a poor future outcome; chances of survival have been reported to be between 50% and 70%. Retinoblastoma patients' overall survival is still struggling in developing countries, mostly because of delayed presentation and greater risk of extra ocular illness while compared to with the developed world, where intraocular disease contributes to majority of cases. To enhance the survival rate for those with retinoblastoma in developing countries, greater priority must be given to early detection of tumors. We provide a summary of the latest clinical management of retinoblastoma in this article.
视网膜母细胞瘤的治疗、基因理解和诊断方法取得进展
儿童最常见的眼内肿瘤是视网膜母细胞瘤。在发达国家,视网膜母细胞瘤患者的存活率和视力均有显著提高。这得益于视网膜母细胞瘤治疗的发展和肿瘤的早期发现。目前,眼内视网膜母细胞瘤的主要治疗方法是化疗和辅助巩固治疗,而不是体外放射治疗。同样,根据高危组织病理学因素的鉴定,预防性化疗现在也可用于治疗去核眼内潜在的微转移瘤。眼外视网膜母细胞瘤的预后仍然较差;据报道,其存活率在 50%至 70%之间。在发展中国家,视网膜母细胞瘤患者的总体存活率仍然很低,这主要是因为与发达国家相比,发展中国家的患者发病时间较晚,眼外疾病的风险较大,而发达国家的大多数病例都发生在眼内。为了提高发展中国家视网膜母细胞瘤患者的生存率,必须更加重视肿瘤的早期发现。本文总结了视网膜母细胞瘤的最新临床治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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