Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma

Purpose: to evaluate the effectiveness of transpupillary thermotherapy (TTT) of small calcified retinoblastomas (SR) having various calcification degrees. Material and methods. The results of treatment of 111 children (92 eyes, 198 tumors) with small calcified retinoblastomas by TTT were analyzed. A...

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Main Authors: S. V. Saakyan, R. A. Tatskov, E. B. Myakoshina, T. L. Ushakova, V. G. Polyakov
Format: Article
Language:Russian
Published: Real Time Ltd 2018-10-01
Series:Российский офтальмологический журнал
Subjects:
Online Access:https://roj.igb.ru/jour/article/view/111
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author S. V. Saakyan
R. A. Tatskov
E. B. Myakoshina
T. L. Ushakova
V. G. Polyakov
author_facet S. V. Saakyan
R. A. Tatskov
E. B. Myakoshina
T. L. Ushakova
V. G. Polyakov
author_sort S. V. Saakyan
collection DOAJ
description Purpose: to evaluate the effectiveness of transpupillary thermotherapy (TTT) of small calcified retinoblastomas (SR) having various calcification degrees. Material and methods. The results of treatment of 111 children (92 eyes, 198 tumors) with small calcified retinoblastomas by TTT were analyzed. All tumor foci were divided into 3 groups: Group 1, with tumor size of 1.0 mm or less with a low degree of calcification in the form of small specks of single grains (69 tumors); group 2, with tumor sizes between 1.1 and 2.0 mm and calcination degrees varying from small singular inclusions to a third of tumor volume (61 tumors), and group 3, with tumor sizes between 2.1 and 3.0 with calcifications claiming from one third to three fourths of tumor volume (68 tumors). Results. TTT proved effective after one application in 82.6 % of Group 1 cases, 70.5 % of Group 2 cases, and in 38.2 % of Group 3 cases. The presence of calcinates in the tumor stroma is no contraindication for TTT. Conclusion. TTT used in combined eye preserving RB treatment destroys in most cases calcified tumor foci, and allows for an extended list of indications to eye preserving treatment, which enables the preservation of the eye not only as a cosmetic but as a functional organ. For citations: Saakyan S.V., Tatskov R.A., Myakoshina E.B., et al. Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma. Russian ophthalmological journal. 2017; 10 (3): 71-77. doi: 10.21516/2072-0076-2017-10-3-71-77 (in Russian).
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spelling doaj.art-d56a03e34573466f9ee13990f3ed6bf02023-03-13T07:54:29ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602018-10-01103717710.21516/2072-0076-2017-10-3-71-77111Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastomaS. V. Saakyan0R. A. Tatskov1E. B. Myakoshina2T. L. Ushakova3V. G. Polyakov4ФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздрава РоссииPurpose: to evaluate the effectiveness of transpupillary thermotherapy (TTT) of small calcified retinoblastomas (SR) having various calcification degrees. Material and methods. The results of treatment of 111 children (92 eyes, 198 tumors) with small calcified retinoblastomas by TTT were analyzed. All tumor foci were divided into 3 groups: Group 1, with tumor size of 1.0 mm or less with a low degree of calcification in the form of small specks of single grains (69 tumors); group 2, with tumor sizes between 1.1 and 2.0 mm and calcination degrees varying from small singular inclusions to a third of tumor volume (61 tumors), and group 3, with tumor sizes between 2.1 and 3.0 with calcifications claiming from one third to three fourths of tumor volume (68 tumors). Results. TTT proved effective after one application in 82.6 % of Group 1 cases, 70.5 % of Group 2 cases, and in 38.2 % of Group 3 cases. The presence of calcinates in the tumor stroma is no contraindication for TTT. Conclusion. TTT used in combined eye preserving RB treatment destroys in most cases calcified tumor foci, and allows for an extended list of indications to eye preserving treatment, which enables the preservation of the eye not only as a cosmetic but as a functional organ. For citations: Saakyan S.V., Tatskov R.A., Myakoshina E.B., et al. Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma. Russian ophthalmological journal. 2017; 10 (3): 71-77. doi: 10.21516/2072-0076-2017-10-3-71-77 (in Russian).https://roj.igb.ru/jour/article/view/111ретинобластоматранспупиллярная термотерапияоптическая когерентная томографияretinoblastomatranspupillary thermotherapyoptical coherence tomography
spellingShingle S. V. Saakyan
R. A. Tatskov
E. B. Myakoshina
T. L. Ushakova
V. G. Polyakov
Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma
Российский офтальмологический журнал
ретинобластома
транспупиллярная термотерапия
оптическая когерентная томография
retinoblastoma
transpupillary thermotherapy
optical coherence tomography
title Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma
title_full Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma
title_fullStr Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma
title_full_unstemmed Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma
title_short Transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma
title_sort transpupillary thermotherapy efficiency in the combined treatment of small calcified retinoblastoma
topic ретинобластома
транспупиллярная термотерапия
оптическая когерентная томография
retinoblastoma
transpupillary thermotherapy
optical coherence tomography
url https://roj.igb.ru/jour/article/view/111
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AT ebmyakoshina transpupillarythermotherapyefficiencyinthecombinedtreatmentofsmallcalcifiedretinoblastoma
AT tlushakova transpupillarythermotherapyefficiencyinthecombinedtreatmentofsmallcalcifiedretinoblastoma
AT vgpolyakov transpupillarythermotherapyefficiencyinthecombinedtreatmentofsmallcalcifiedretinoblastoma