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[儿童眼眶横纹肌肉瘤治疗结果评估]

[Evaluation of the results of treatment orbital rhabdomyosarcoma in children].

作者信息

Chipczyńska Barbara, Grałek Mirosława, Hautz Wojciech, Kanigowska Krystyna, Kocyła-Karczmarewicz Beata, Trzebicka Agnieszka, Kepa Beata

机构信息

Kliniki Okulistyki Instytutu "Pomnik-Centrum Zdrowia Dziecka" w Warszawie.

出版信息

Klin Oczna. 2007;109(1-3):18-21.

Abstract

PURPOSE

To estimate the state of the vision organ in the children treated for orbital rhabdomyosarcoma. Rhabdomyosarcoma (RMS) is the most common primary malignant orbital tumor in children. RMS usually manifest clinically as rapidly progressive exophthalmus and displacement of the globe. The diagnosis is based on biopsy, CT and MR images. The treatment includes radiation, chemotherapy, and surgery.

MATERIAL AND METHODS

The retrospective review of data of 14 children between 0 and 11 years old with rhabdomyosarcmoa of orbit. After a biopsy, with precedent CT or MRI, all patients were treated with chemotherapy including or not including radiotherapy.

RESULTS

3 children died, orbital exentaration was necessary because of tumor recurrence in 3 cases, 8 children remained healthy (without recurrent disease).

CONCLUSIONS

Fast diagnosis using CT, MRI and the result of biopsy, have a positive influence on the effect of neoplastic treatment and prognosis.

摘要

目的

评估接受眼眶横纹肌肉瘤治疗的儿童视力器官状况。横纹肌肉瘤(RMS)是儿童最常见的原发性眼眶恶性肿瘤。RMS临床通常表现为迅速进展的眼球突出和眼球移位。诊断基于活检、CT和磁共振成像(MR)图像。治疗包括放疗、化疗和手术。

材料与方法

回顾性分析14例0至11岁眼眶横纹肌肉瘤患儿的数据。活检后,先行CT或磁共振成像检查,所有患者均接受化疗,部分患者接受放疗。

结果

3例患儿死亡,3例因肿瘤复发需行眼眶内容剜除术,8例患儿保持健康(无疾病复发)。

结论

利用CT、磁共振成像及活检结果进行快速诊断,对肿瘤治疗效果及预后有积极影响。

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