Abstract
A commonly used tumor classification is essential in order to plan initial treatment, determine prognosis, assess treatment response, compare outcomes, and plan clinical trials. Berman maintains that for tumor classifications to be successful, they must reflect clinical reality and must be changed as information is accrued. Almost never does the staging of the tumor rest solely with the subspecialty surgeon. It usually results from interaction between pathologists, oncologists, and the surgeon often aided by a tissue biopsy. This is not the case for retinoblastoma, and currently classification is based on clinical features. For almost all solid childhood malignancies, survival of the patient is the sole end point against which to assess treatment efficacy and side effects. In retinoblastoma, effective salvage of the globe is a secondary end point.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Fleming ID. Staging of pediatric cancers: problems in the development of a national system. Semin Surg Oncol. 1992;8:94–7.
Berman JJ. Tumor classification: molecular analysis meets Aristotle. BMC Cancer. 2004;4:10.
Reese AB, Ellsworth RM. The evaluation and current concept of retinoblastoma therapy. Trans Am Acad Ophthalmol Otolaryngol. 1963;67:164–72.
Ellsworth RM. The practical management of retinoblastoma. Trans Am Ophthalmol Soc. 1969;67:462–534.
Murphree AL. Intraocular retinoblastoma: the case for a new group classification. Ophthalmol Clin N Am. 2005;18:41–53, viii
Pratt CB, Fontanesi J, Lu X, et al. Proposal for a new staging scheme for intraocular and extraocular retinoblastoma based on an analysis of 103 globes. Oncologist. 1997;2:1–5.
Grabowski EF, Abramson DH. Intraocular and extraocular retinoblastoma. Hematol Oncol Clin North Am. 1987;1:721–35.
Stannard C, Sealy R, Hering E, et al. Postenucleation orbits in retinoblastoma: treatment with 125I brachytherapy. Int J Radiat Oncol Biol Phys. 2002;54:1446–54.
Retinoblastoma. In: Greene FL, Page DL, Fleming ID, et al., editors. AJCC cancer staging manual. 6th ed. New York: Springer; 2002. p. 371–6.
Wolff JBC, Ellsworth R. Extraocular retinoblastoma. In: Childrens cancer Study Group Protocol CCSG 962; 1978.
Kivela T, Kujala E. Prognostication in eye cancer: the latest tumor, node, metastasis classification and beyond. Eye (Lond). 2013;27:243–52.
Chantada G, Doz F, Antoneli CB, et al. A proposal for an international retinoblastoma staging system. Pediatr Blood Cancer. 2006;47:801–5.
Chantada GL, Sampor C, Bosaleh A, et al. Comparison of staging systems for extraocular retinoblastoma: analysis of 533 patients. JAMA Ophthalmol. 2013;131:1127–34.
Sastre X, Chantada GL, Doz F, et al., International Retinoblastoma Staging Working Group. Proceedings of the consensus meetings from the International Retinoblastoma Staging Working Group on the pathology guidelines for the examination of enucleated eyes and evaluation of prognostic risk factors in retinoblastoma. Arch Pathol Lab Med. 2009;133:1199–202.
de Graaf P, Goricke S, Rodjan F, et al., European Retinoblastoma Imaging Collaboration (ERIC). Guidelines for imaging retinoblastoma: imaging principles and MRI standardization. Pediatr Radiol. 2012;42:2–14.
Novetsky DE, Abramson DH, Kim JW, et al. Published international classification of retinoblastoma (ICRB) definitions contain inconsistencies--an analysis of impact. Ophthalmic Genet. 2009;30:40–4.
Berry JL, Jubran R, Kim JW, et al. Long-term outcomes of Group D eyes in bilateral retinoblastoma patients treated with chemoreduction and low-dose IMRT salvage. Pediatr Blood Cancer. 2013;60:688–93.
Shields CL, Mashayekhi A, Au AK, et al. The International Classification of Retinoblastoma predicts chemoreduction success. Ophthalmology. 2006;113:2276–80.
Shields CL, Shields JA. Basic understanding of current classification and management of retinoblastoma. Curr Opin Ophthalmol. 2006;17:228.
Berry JL, Jubran R, Wong K, et al. Factors predictive of long-term visual outcomes of Group D eyes treated with chemoreduction and low-dose IMRT salvage: the Children's Hospital Los Angeles experience. Br J Ophthalmol. 2014;98:1061–5.
Berry JL, Bechtold M, Shah S, et al. Not all seeds are created equal: seed classification is predictive of outcomes in retinoblastoma. Ophthalmology. 2017;124:1817–25.
Francis JH, Brodie SE, Marr B, et al. Efficacy and toxicity of intravitreous chemotherapy for retinoblastoma: four-year experience. Ophthalmology. 2017;124:488–95.
Mallipatna AC. AJCC cancer staging manual. 8th ed. New York: Springer; 2017.
Berry JL, Xu L, Murphree AL, et al. Potential of aqueous humor as a surrogate tumor biopsy for retinoblastoma. JAMA Ophthalmol. 2017;135:1221–30.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Berry, J.L., Murphree, A.L. (2019). Retinoblastoma: Staging and Grouping. In: Berry, J., Kim, J., Damato, B., Singh, A. (eds) Clinical Ophthalmic Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-11123-6_3
Download citation
DOI: https://doi.org/10.1007/978-3-030-11123-6_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-11122-9
Online ISBN: 978-3-030-11123-6
eBook Packages: MedicineMedicine (R0)