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©The Author(s) 2025.
World J Clin Pediatr. Sep 9, 2025; 14(3): 103732
Published online Sep 9, 2025. doi: 10.5409/wjcp.v14.i3.103732
Published online Sep 9, 2025. doi: 10.5409/wjcp.v14.i3.103732
Table 3 Treatment features and outcomes of primary vs secondary intra-arterial chemotherapy in 17 eyes
IAC features | Primary IAC (n = 9) | Secondary IAC with intravitreal chemotherapy (n = 8) | P value | Total | |
Median number of cycles | 1 (1-3) | 2 (1-3) | 0.403 | 1.7 | Mann Whitney U test |
Melphalan only | 2 | 1 | 1.000 | 3 | |
Melphalan + topotecan | 6 | 6 | 12 | Fisher’s exact test | |
Melphalan + topotecan + carboplatin | 1 | 1 | 2 | ||
Melphalan [median (range)] | 5 (3-12.5) | 5 (5-12.5) | 0.33 | 5 (3-12.5) | |
Topotecan [median (range)] | 1 (1-3) | 1 (1-3) | 1 | 1 (1-3) | |
Carboplatin [median (range)] | 30 (-) | 30 (-) | - | 30 (-) | |
Intravitreal chemotherapy features | |||||
Mean number of injections [median (range)] | - | 3 (1-5) | - | 3 (1-5) | |
Melphalan only [median (range)] | - | 1 (16) | 1 (16) | ||
Topotecan only [median (range)] | - | 2 (34) | 2 (34) | ||
Melphalan + topotecan [median (range)] | - | 3 (50) | 3 (50) | ||
Systemic chemotherapy | |||||
Mean number of cycles [median (range)] | - | 8 (6-11) | - | 8 (6-11) | |
Brachytherapy [median (range)] | - | 1 | 1 | ||
Outcomes | |||||
Follow-up months [median (range)] | 20 (1-72) | 28 (10-72) | 0.385 | 30.17 (1-72) | Mann Whitney U test |
Tumor control | 8 (88) | 7 (88) | 1.00 | 15 (88) | Fisher’s exact test |
Tumor control per ICRB | |||||
Group B | 2 | 3 | 0.72 | 5 | Fisher’s exact |
Group C | 0 | 1 | 1 | ||
Group D | 2 | 1 | 3 | ||
Group E | 4 | 2 | 6 | ||
Enucleation per ICRB group | |||||
Group B | 0 | 0 | - | 0 | |
Group C | 0 | 0 | 0 | ||
Group D | 0 | 1 | 1 | ||
Group E | 1 | 0 | 1 | ||
Visual acuity of salvaged eyes | n = 8 | n = 7 | 15 | ||
> 6/60 [median (range)] | 2 (25) | 2 (28.6) | 1 | 4 | Fisher’s exact |
< 6/60 [median (range)] | 6 (75) | 5 (71.4) | 11 |
- Citation: Das A, Saiteja K, Shah PK, Prema S, Narendran V. Outcomes and adverse events following intra-arterial chemotherapy for retinoblastoma: A single center study in South India. World J Clin Pediatr 2025; 14(3): 103732
- URL: https://www.wjgnet.com/2219-2808/full/v14/i3/103732.htm
- DOI: https://dx.doi.org/10.5409/wjcp.v14.i3.103732