Skip to main content

Retinoblastoma: Metastatic Disease

  • Chapter
  • First Online:
Clinical Ophthalmic Oncology

Abstract

Patients with extraocular retinoblastoma have historically had a poor prognosis, but recently significant improvements in survival have been reported. In this chapter, we will review data indicating that the majority of patients with regional extraocular disease can be successfully treated with conventional chemotherapy and external beam radiation therapy and that patients with distant metastatic disease appear to benefit from the addition of high-dose chemotherapy with stem cell rescue.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Abramson DH, Andracchi S. Orbital avitene granuloma formation after enucleation for intraocular retinoblastoma. Am J Ophthalmol. 1997;123:567–9.

    Article  PubMed  CAS  Google Scholar 

  2. Hungerford J, Kingston J, Plowman N. Orbital recurrence of retinoblastoma. Ophthalmic Pediatr Genet. 1987;8:63–8.

    Article  CAS  Google Scholar 

  3. Goble RR, McKenzie J, Kingston JE, et al. Orbital recurrence of retinoblastoma successfully treated by combined therapy. Br J Ophthalmol. 1990;74:97–8.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  4. Doz F, Khelfaoui F, Mosseri V, et al. The role of chemotherapy in orbital involvement of retinoblastoma: the experience of a single institution with 33 patients. Cancer. 1994;74:722–32.

    Article  PubMed  CAS  Google Scholar 

  5. Chantada G, Fandino A, Casak S, et al. Treatment of overt extraocular retinoblastoma. Med Pediatr Oncol. 2003;40:158–61.

    Article  PubMed  Google Scholar 

  6. Chantada GL, Dunkel IJ, de Dávila MTG, et al. Retinoblastoma patients with high risk ocular pathological features: who needs adjuvant therapy? Br J Ophthalmol. 2004;88:1069–73.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  7. Antoneli CBG, Steinhorst F, Ribeiro KCB, et al. Extraocular retinoblastoma: a 13-year experience. Cancer. 2003;98:1292–8.

    Article  PubMed  Google Scholar 

  8. Chantada G, Doz F, Antoneli CBG, et al. A proposal for an international retinoblastoma staging system. Pediatr Blood Cancer. 2006;47:801–5.

    Article  PubMed  Google Scholar 

  9. Grabowski EF, Abramson DH. Intraocular and extraocular retinoblastoma. Hematol Oncol Clin North Am. 1987;1:721–35.

    PubMed  CAS  Google Scholar 

  10. Pratt CB, Fontanesi J, Chenaille P, et al. Chemotherapy for extraocular retinoblastoma. Pediatr Hematol Oncol. 1994;11:301–9.

    Article  PubMed  CAS  Google Scholar 

  11. Kingston JE, Hungerford JL, Plowman PN. Chemotherapy in metastatic retinoblastoma. Ophthalmic Paediatr Genet. 1987;8:69–72.

    Article  PubMed  CAS  Google Scholar 

  12. Zelter M, Damel A, Gonzalez G, et al. A prospective study on the treatment of retinoblastoma in 72 patients. Cancer. 1991;68:1685–90.

    Article  PubMed  CAS  Google Scholar 

  13. Schvartzman E, Chantada G, Fandino A, et al. Results of a stage-based protocol for the treatment of retinoblastoma. J Clin Oncol. 1996;14:1532–6.

    PubMed  CAS  Google Scholar 

  14. Saleh RA, Gross S, Cassano W, et al. Metastatic retinoblastoma successfully treated with immunomagnetic purged autologous bone marrow transplantation. Cancer. 1988;62:2301–3.

    Article  PubMed  CAS  Google Scholar 

  15. Saarinen UM, Sariola H, Hovi L. Recurrent disseminated retinoblastoma treated by high-dose chemotherapy, total body irradiation, and autologous bone marrow rescue. Am J Pediatr Hematol Oncol. 1991;13:315–9.

    Article  PubMed  CAS  Google Scholar 

  16. Namouni F, Doz F, Tanguy ML, et al. High-dose chemotherapy with carboplatin, etoposide and cyclophosphamide followed by a haematopoietic stem cell rescue in patients with high-risk retinoblastoma: a SFOP and SFGM study. Eur J Cancer. 1997;33:2368–75.

    Article  PubMed  CAS  Google Scholar 

  17. Dunkel IJ, Khakoo Y, Kernan NA, et al. Intensive multimodality therapy for patients with stage 4a metastatic retinoblastoma. Pediatr Blood Cancer. 2010;55:55–9.

    PubMed  Google Scholar 

  18. Kremens B, Wieland R, Reinhard H, et al. High-dose chemotherapy with autologous stem cell rescue in children with retinoblastoma. Bone Marrow Transplant. 2003;31:281–4.

    Article  PubMed  CAS  Google Scholar 

  19. Rodriguez-Galindo C, Wilson MW, Haik BG, et al. Treatment of metastatic retinoblastoma. Ophthalmology. 2003;110:1237–40.

    Article  PubMed  Google Scholar 

  20. Jubran RF, Erdreich-Epstein A, Buturini A, et al. Approaches to treatment for extraocular retinoblastoma. Children’s Hospital Los Angeles experience. J Pediatr Hematol Oncol. 2004;26:31–4.

    Article  PubMed  Google Scholar 

  21. Matsubara H, Makimoto A, Higa T, et al. A multidisciplinary treatment strategy that includes high-dose chemotherapy for metastatic retinoblastoma without CNS involvement. Bone Marrow Transplant. 2005;35:763–6.

    Article  PubMed  CAS  Google Scholar 

  22. Palma J, Sasso DF, Dufort G, et al. Successful treatment of metastatic retinoblastoma with high-dose chemotherapy and autologous stem cell rescue in South America. Bone Marrow Transplant. 2012;47:522–7.

    Article  PubMed  CAS  Google Scholar 

  23. Dunkel IJ, Chan HS, Jubran R, et al. High-dose chemotherapy with autologous hematopoietic stem cell rescue for stage 4b retinoblastoma. Pediatr Blood Cancer. 2010;55:149–52.

    PubMed  Google Scholar 

  24. http://www.cancer.gov/clinicaltrials/search/view?cdrid=573987&version=HealthProfessional.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ira J. Dunkel MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Dunkel, I.J., Chantada, G.L. (2015). Retinoblastoma: Metastatic Disease. In: Singh, A., Murphree, A., Damato, B. (eds) Clinical Ophthalmic Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43451-2_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-43451-2_18

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43450-5

  • Online ISBN: 978-3-662-43451-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics