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Retinoblastoma Treatment (PDQ®)

Patient Version
Last Modified: 12/08/2011

Treatment Options for Retinoblastoma

Intraocular Retinoblastoma
Extraocular Retinoblastoma
Recurrent Retinoblastoma

A link to a list of current clinical trials is included for each treatment section. For some types or stages of cancer, there may not be any trials listed. Check with your doctor for clinical trials that are not listed here but may be right for you.

Intraocular Retinoblastoma

If the cancer is in one or both eyes and it is expected that vision can be saved, treatment may include one or more of the following:

For large tumors in one or both eyes, treatment may include the following:

  • Enucleation. Chemotherapy may be given to shrink the tumor before surgery or after surgery to lower the risk that the cancer will spread to other parts of the body.

Other treatments for cancer in both eyes include the following:

  • Chemotherapy (chemoreduction) followed by local treatment such as cryotherapy, thermotherapy, or plaque radiotherapy. This may be done if there is a chance to save vision in both eyes.
  • A clinical trial of subtenon chemotherapy combined with systemic chemotherapy and local treatment.
  • A clinical trial of new combinations of chemotherapy and other treatments to the eye.
  • A clinical trial of gene therapy.

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with intraocular retinoblastoma 1. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.

Extraocular Retinoblastoma

There is no standard treatment for extraocular retinoblastoma. Treatment may include combinations of the following:

For retinoblastoma that has spread to the area around the eye, treatment may be the following:

For retinoblastoma that has spread to the brain, treatment may be the following:

  • Chemotherapy.
  • Radiation therapy to the brain and spinal cord.

For trilateral retinoblastoma, treatment may include the following:

For retinoblastoma that has spread to other parts of the body, treatment may be the following:

  • High-dose chemotherapy and stem cell rescue.
  • A clinical trial of chemotherapy followed by high-dose chemotherapy with stem cell rescue and/or radiation therapy.

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with extraocular retinoblastoma 3. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.

Recurrent Retinoblastoma

If the cancer is small and in the eye only, treatment is usually local therapy, which may include the following:

If the cancer around the eye is large and the eye has been removed, treatment is usually the following:

If the cancer comes back outside of the eye, treatment will depend on many things and may be within a clinical trial, which may be the following:

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with recurrent retinoblastoma 4. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.



Glossary Terms

cancer (KAN-ser)
A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can also spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is a cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is a cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is a cancer that starts in blood-forming tissue such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood. Lymphoma and multiple myeloma are cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord. Also called malignancy.
chemoreduction (KEE-moh-ree-DUK-shun)
Chemotherapy given to shrink a retinoblastoma tumor before treatment with radiation or surgery. It is a type of neoadjuvant therapy.
chemotherapy (KEE-moh-THAYR-uh-pee)
Treatment with drugs that kill cancer cells.
clinical trial (KLIH-nih-kul TRY-ul)
A type of research study that tests how well new medical approaches work in people. These studies test new methods of screening, prevention, diagnosis, or treatment of a disease. Also called clinical study.
cryotherapy (KRY-oh-THAYR-uh-pee)
Any method that uses cold temperature to treat disease.
drug (drug)
Any substance, other than food, that is used to prevent, diagnose, treat or relieve symptoms of a disease or abnormal condition. Also refers to a substance that alters mood or body function, or that can be habit-forming or addictive, especially a narcotic.
enucleation (EE-NOO-klee-AY-shun)
In medicine, the removal of an organ or tumor in such a way that it comes out clean and whole, like a nut from its shell.
external-beam radiation therapy (...RAY-dee-AY-shun THAYR-uh-pee)
A type of radiation therapy that uses a machine to aim high-energy rays at the cancer from outside of the body. Also called external radiation therapy.
extraocular (EK-struh-AH-kyoo-ler)
Located outside the eye.
gene therapy (jeen THAYR-uh-pee)
A type of experimental treatment in which foreign genetic material (DNA or RNA) is inserted into a person's cells to prevent or fight disease. Gene therapy is being studied in the treatment of certain types of cancer.
high-dose chemotherapy (hy-dose kee-moh-THAYR-uh-pee)
An intensive drug treatment to kill cancer cells, but that also destroys the bone marrow and can cause other severe side effects. High-dose chemotherapy is usually followed by bone marrow or stem cell transplantation to rebuild the bone marrow.
infusion (in-FYOO-zhun)
A method of putting fluids, including drugs, into the bloodstream. Also called intravenous infusion.
intensity-modulated radiation therapy (in-TEN-sih-tee-MAH-juh-LAY-tid RAY-dee-AY-shun THAYR-uh-pee)
A type of 3-dimensional radiation therapy that uses computer-generated images to show the size and shape of the tumor. Thin beams of radiation of different intensities are aimed at the tumor from many angles. This type of radiation therapy reduces the damage to healthy tissue near the tumor. Also called IMRT.
intra-arterial (IN-truh-ar-TEER-ee-ul)
Within an artery (blood vessel that carries blood from the heart to tissues and organs in the body).
local therapy (LOH-kul THAYR-uh-pee)
Treatment that affects cells in the tumor and the area close to it.
ophthalmic (of-THAL-mik)
Having to do with the eye.
plaque radiotherapy (plak RAY-dee-oh-THAYR-uh-pee)
A type of radiation therapy used to treat eye tumors. A thin piece of metal (usually gold) with radioactive seeds placed on one side is sewn onto the outside wall of the eye with the seeds aimed at the tumor. It is removed at the end of treatment, which usually lasts for several days
proton beam radiation therapy (PROH-ton beem RAY-dee-AY-shun THAYR-uh-pee)
A type of radiation therapy that uses streams of protons (tiny particles with a positive charge) that come from a special machine. This type of radiation kills tumor cells but does not damage nearby tissues. It is used to treat cancers in the head and neck and in organs such as the brain, eye, lung, spine, and prostate. Proton beam radiation is different from x-ray radiation.
radiation therapy (RAY-dee-AY-shun THAYR-uh-pee)
The use of high-energy radiation from x-rays, gamma rays, neutrons, protons, and other sources to kill cancer cells and shrink tumors. Radiation may come from a machine outside the body (external-beam radiation therapy), or it may come from radioactive material placed in the body near cancer cells (internal radiation therapy). Systemic radiation therapy uses a radioactive substance, such as a radiolabeled monoclonal antibody, that travels in the blood to tissues throughout the body. Also called irradiation and radiotherapy.
retinoblastoma (REH-tih-noh-blas-TOH-muh)
Cancer that forms in the tissues of the retina (the light-sensitive layers of nerve tissue at the back of the eye). Retinoblastoma usually occurs in children younger than 5 years. It may be hereditary or nonhereditary (sporadic).
spinal cord (SPY-nul kord)
A column of nerve tissue that runs from the base of the skull down the back. It is surrounded by three protective membranes, and is enclosed within the vertebrae (back bones). The spinal cord and the brain make up the central nervous system, and spinal cord nerves carry most messages between the brain and the rest of the body.
stage (stayj)
The extent of a cancer in the body. Staging is usually based on the size of the tumor, whether lymph nodes contain cancer, and whether the cancer has spread from the original site to other parts of the body.
standard therapy (... THAYR-uh-pee)
Treatment that experts agree is appropriate, accepted, and widely used. Also called best practice, standard medical care, and standard of care.
stem cell rescue (stem sel REH-skyoo)
A method of replacing immature blood-forming cells that were destroyed by treatment with anticancer drugs. The stem cells help the bone marrow recover and make healthy blood cells. Stem cell rescue is usually done using the patient’s own stem cells that were saved before treatment.
stereotactic radiation therapy (STAYR-ee-oh-TAK-tik RAY-dee-AY-shun THAYR-uh-pee)
A type of external radiation therapy that uses special equipment to position the patient and precisely deliver radiation to a tumor. The total dose of radiation is divided into several smaller doses given over several days. Stereotactic radiation therapy is used to treat brain tumors and other brain disorders. It is also being studied in the treatment of other types of cancer, such as lung cancer. Also called stereotactic external-beam radiation therapy and stereotaxic radiation therapy.
subtenon (sub-teh-NON)
Used to describe injections through the membrane covering the muscles and nerves at the back of the eyeball.
surgery (SER-juh-ree)
A procedure to remove or repair a part of the body or to find out whether disease is present. An operation.
systemic chemotherapy (sis-TEH-mik KEE-moh-THAYR-uh-pee)
Treatment with anticancer drugs that travel through the blood to cells all over the body.
therapy (THAYR-uh-pee)
Treatment.
thermotherapy (THER-moh-THAYR-uh-pee)
Treatment of disease using heat.
tumor (TOO-mer)
An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancer), or malignant (cancer). Also called neoplasm.

Table of Links

1http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=37764&tt=1&a
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2http://www.cancer.gov/clinicaltrials
3http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=37767&tt=1&a
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4http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=37768&tt=1&a
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