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Multidisciplinary Collaborative Therapy for 30 Children with Orbital Rhabdomyosarcoma

  • Ge, Xin (Key Laboratory of Beijing Ophthalmology and Visual Science, Beijing Tongren Eye Center) ;
  • Huang, Dong-Sheng (Department of Pediatrics, Affiliated Beijing Tongren Hospital of Capital Medical University) ;
  • Shi, Ji-Tong (Key Laboratory of Beijing Ophthalmology and Visual Science, Beijing Tongren Eye Center) ;
  • Ma, Jian-Min (Key Laboratory of Beijing Ophthalmology and Visual Science, Beijing Tongren Eye Center)
  • Published : 2013.08.30

Abstract

Objective: To explore clinical experience and propose new ideas for treating children diagnosed with orbital rhabdomyosarcoma (RMS). Methods: We retrospectively analyzed the clinical data for30 patients (16 males and 14 females, with a median age of 6.2 years) with primary orbital RMS who were enrolled in the Department of Eye Oncology and Pediatrics of our hospital from November 2004 to December 2012. International Rhabdomyosarcoma Organization Staging Standards indicated that among the 30 patients, 4 cases were in phase II, 20 were in phase III, and 6 were in phase IV. All patients underwent a multidisciplinary collaborative model of comprehensive treatment (surgery, chemotherapy, external radiotherapy, $^{125}I$ radioactive particle implantation, and autologous peripheral blood stem-cell transplantation). Results: Follow-up was conducted until March 2013, with a median follow-up time of 47.2 months (5 to 95 months), and 7 deaths occurred. The 2-year estimated survival rate reached 86.1%, the ${\geq}3$-year estimated survival rate was 77%, and the 5-year estimated survival rate was 70.6%. Conclusions: The multidisciplinary collaborative model can be a safe and effective approach to the comprehensive treatment of children with orbital RMS. It has clinical significance in improving the tumor remission rate.

Keywords

Orbit;rhabdomyosarcoma;children;chemotherapy;$^{125}I$ particle

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