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Related Concept Videos

The Retinoblastoma Gene01:20

The Retinoblastoma Gene

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Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
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Related Experiment Video

Updated: Feb 27, 2026

Reconstruct Human Retinoblastoma In Vitro
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Orbital retinoblastoma: An update.

Santosh G Honavar1, Fairooz P Manjandavida2, Vijay Anand P Reddy1

  • 1Centre for Sight, Hyderabad, Telangana, India.

Indian Journal of Ophthalmology
|June 24, 2017
PubMed
Summary

Orbital extension in retinoblastoma is deadly in developing nations. Sequential multimodal therapy significantly improves survival rates, overcoming limitations of conventional treatments.

Area of Science:

  • Pediatric Oncology
  • Ophthalmology
  • Cancer Research

Background:

  • Orbital extension of retinoblastoma is a primary cause of mortality in children, particularly in developing countries.
  • Delayed diagnosis and inadequate treatment strategies contribute to high mortality rates.
  • Conventional therapies like surgery, chemotherapy, or radiotherapy alone yield poor outcomes with up to 70% mortality.

Purpose of the Study:

  • To highlight the critical impact of orbital extension in retinoblastoma.
  • To emphasize the inadequacy of conventional single-modality treatments.
  • To present sequential multimodal therapy as a superior approach for improving survival.

Main Methods:

  • Review of treatment outcomes for retinoblastoma with orbital extension.

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  • Analysis of conventional treatment modalities (exenteration, chemotherapy, radiotherapy).
  • Evaluation of sequential multimodal therapy protocols.
  • Main Results:

    • Conventional treatments result in mortality rates as high as 70%.
    • Sequential multimodal therapy, combining high-dose chemotherapy, surgery, radiotherapy, and adjuvant chemotherapy, shows improved life salvage.
    • This integrated approach addresses the complexities of advanced retinoblastoma.

    Conclusions:

    • Sequential multimodal therapy represents a significant advancement in managing orbital retinoblastoma.
    • Improved life salvage is achievable through a comprehensive, multi-step treatment strategy.
    • This approach is crucial for improving outcomes in resource-limited settings.