Research Article

Clinical Presentations and Outcomes of Retinoblastoma Patients in relation to the Advent of New Multimodal Treatments: A 12-Year Report from Single Tertiary Referral Institute in Thailand

Table 4

Summary of retinoblastoma patient characteristics and treatment outcomes in the published literature1.

AuthorYear of publicationCountryNo. of patients/eyesMedian/mean age of onset (months)Most common presenting symptom (%)% eyes with advanced ICRB groups D and E% patients with EOEPatient survival rateGlobe salvage rate for intraocular tumorFollow-up time (median or mean)

Our study2018Thailand81/1248 (1–48)Leukocoria (76.5%)70.2%6.5%93.8%51.7%38 (0.2–148) months
Francis et al. [44]2018USA46/925.48 (median) (0.33–27.9)NA48.9%6.52%97.83%91.30%38.7 (6.9–60.9) months
Goolam et al. [45]2018South Africa245/33032.6 (mean) ± 26.8Leukocoria (37%)19% IRSS stage 0-169.39%58%NA71.9 (3–238) months
Kaliki et al. [8]2017India1457/207424 (<1–370)Leukocoria (75%)73%9% (eye)92%45% for all eyes30 (3–234) months
Al Hasan et al. [9]2017Syria37/65Age 4 months to 1 year in 40.6%Leukocoria (57%)NA13.50%NANANA
Soliman et al. [7]2017Egypt47/7024 (2–49)Leukocoria (96%)64%0%100%NANA
Berry et al. [46]2017USA294/34519.8 (mean)NAGroup D 47.8%; group E 52.2%0.9% (patient)98.540.3%86.3 (mean) ± 62.5 months
Li et al. [11]2016Taiwan154/NANANANANA83%NANA
Gao et al. [12]2016China253/30321 (0–611)Leukocoria (71%)90%9%91%21.70%16 (0.3–119) months
Selistre et al. [10]2016Brazil140/18723.5 (mean)Leukocoria (74%)78% of all eyes36.40%86%29.30%323 (300–346) months
Chawla et al. [13]2016India600/79421 (1–150)Leukocoria (83%)78%27.70%76%28.221 (1–60) months
Lumbroso-Le Rouic et al. [15]2015France730/1049NANANANA98.5NA93 (median follow-up time) months
Gichico et al. [16]2015Kenya160NANANANA27%NA37.5 (1–144) months
Waddell et al. [14]2015Uganda270/NA (181 before introduction of chemotherapy, 89 after introduction of chemotherapy)NANA98% after introduction of chemotherapy had group E or EOENA45% (before introduction of chemotherapy) and 65% (after introduction of chemotherapy)NA1–86 months
Okimoto et al. [19]2014Japan34/4313 (0.7–74)Leukocoria (97%)86%2.90%97%25.60%106.6 ± 53 months
Park et al. [18]2014Korea600/NANANANANA92%NA10 years
da Rocha-Bastos et al. [22]2014Portugal46/59Mean age: 22.19 for unilateral, 6.92 for bilateralLeukocoria (37%)54% Reese–Ellsworth IV-VNA98%23.70%12 (1–33) years
Moreno et al. [20]2014Argentina438/577Unilateral: 35 for lower EHDI and 24 for higher EHDI. Bilateral: 11.5 for lower EHDI and 9 for higher EHDINANANA89%NANA
Subramaniam et al. [17]2014Malaysia119/16222 (1–123)Leukocoria (92%)NANA55%NA1 year
Al-Nawaiseh I et al. [47]2014Jordan71/11421.7 (mean) (1–276)Leukocoria (54%)48% Reese–Ellsworth I–IV; 52% Reese–Ellsworth VNANA63.2%26.9 (0.25–160) months
Lim et al. [23]2013Singapore51/6725.7 (SD 19.9)Leukocoria (71%)88%0%91%23.90%5 years
Nabie et al. [24]2012Iran40/5720 (2 weeks–10.2 years)Leukocoria (98%)NANANA26.3% for all eyesNA
Luna-Fineman S et al. [48]2012Central America171/21328 (median) (1–108)NA80% Reese–Ellsworth IV–V62%52%NA18 (median) (1–112) months
Ali AAE et al. [49]2011Sudan25/3136 (median) (8–60)Enlarged eye (56%)NA64%56%NA15.4 (median) (9–36) months
Essuman et al. [27]2010Ghana23/2724.0 ± 11.3Leukocoria (87%)87% Reese–Ellsworth V17%26%NA5.7 months
Zhao et al. [25]2010China470/59520 (2 weeks–10.2 years)Leukocoria (73%)NANANANANA
Atchaneeyasakul et al. [6]2009Thailand90/11618 (0.5–80)NA76%14%85%16% for all eyes27 months
Broaddus et al. [50]2009USA992/NANANANANA95%NA5 years
MacCarthy et al. [28]2008Great Britain1576/2156NANANANAUnilateral cases diagnosed: 1963–1967, 85%; 1998–2002, 97%. Bilateral cases diagnosed: 1963–1967, 88%; 1998–2002, 100%NA5 years
Ozdemir et al. [29]2007Turkey91/12118 (2–100)Leukocoria (65%)79% Reese–Ellsworth IV-V20.9%92%46.3% for all eyes35 (4–63) months
Shields et al. [36]2006USA163/249NANA44%0100%73.10%6.2 (1–10.6) years
Badhu et al. [30]2005Nepal43/473.04 ± 1.80 yearsProptosis (40%)NA46.5%53.5%NAMinimum 2 years

1Search strategy: scientific literatures on retinoblastoma treatments written in English published between 2005 and 2020 were searched using PubMed. The search terms included retinoblastoma, retinoma, retinocytoma, chemoreduction, intra-arterial chemotherapy, brachytherapy, external beam radiation therapy, intravitreal chemotherapy, enucleation, exenteration, globe salvage rate, and survival rate. The literatures from each countries/regions were selected based on well-documented treatment modalities, tumor staging, and treatment outcomes. ICRB = International Classification of Retinoblastoma; EOE = extraocular extension; NA = nonapplicable; EHDI = Extended Human Development Index.