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超选择动脉内注射氨甲蝶呤作为晚期单侧多灶性 Vb 期视网膜母细胞瘤的主要治疗方法。

Supraselective injection of intraarterial melphalan as the primary treatment for late presentation unilateral multifocal stage Vb retinoblastoma.

机构信息

Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.

出版信息

Retina. 2010 Apr;30(4 Suppl):S63-5. doi: 10.1097/IAE.0b013e3181cbda0f.

DOI:10.1097/IAE.0b013e3181cbda0f
PMID:20224464
Abstract

PURPOSE

The purpose of this study was to report a case of a 7-year-old girl with unilateral, multifocal Reese Ellsworth Stage Vb retinoblastoma who was successfully treated using intraarterial chemotherapy infusion as the primary therapy.

METHODS

This is an interventional case report. A 7-year-old girl presented with advanced unilateral retinoblastoma. The patient received intraarterial melphalan infusion therapy as the primary treatment.

RESULTS

Complete tumor resolution was seen at 1 month after intraarterial melphalan infusion.

CONCLUSION

This case of advanced retinoblastoma in a 7-year-old girl was successfully treated with intraarterial melphalan infusion alone. Treatment resulted in complete resolution of the tumor 1 month after treatment. In comparison with systemic chemotherapy, intraarterial melphalan infusion therapy may be a less toxic and more effective primary treatment option in the future management of advanced retinoblastoma.

摘要

目的

本研究旨在报告一例 7 岁单侧、多灶 Reese-Ellsworth 第 Vb 期视网膜母细胞瘤患儿,该患儿成功接受了以动脉内化疗灌注作为主要治疗方法。

方法

这是一个介入性病例报告。一名 7 岁女孩因晚期单侧视网膜母细胞瘤就诊。该患者接受了动脉内注射美法仑灌注治疗作为主要治疗。

结果

动脉内注射美法仑灌注治疗后 1 个月,肿瘤完全消退。

结论

本例 7 岁晚期视网膜母细胞瘤患儿成功单独接受动脉内美法仑灌注治疗。治疗后 1 个月肿瘤完全消退。与全身化疗相比,动脉内美法仑灌注治疗可能是未来治疗晚期视网膜母细胞瘤更有效、毒性更小的主要治疗选择。

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