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[Retinoblastoma. Relation between choroid infiltration and orbital metastasis].

A late diagnosis of retinoblastoma is an unquestionable fact that allows its growth and leads to a deterioration in the outlook. It also gives way to the invasion of the choroidea by the retinal tumor. This event has been related by some authors to orbital recurrences or distant metastases. The evolution of intraocular retinoblastomas, with and without invasion to choroidea, is compared in this work. No significant differences were found in the thirty-three cases studied.

Child↗
PubMed1992

[Immunotherapy of human retinoblastoma with RGNTF-monoclonal antibody using nude mice as model].

Retinoblastoma in nude mice as an animal model was developed by injecting cultured human retinoblastoma cell line(Rb) Y79 into the anterior chamber of eyeball. It was treated by direct injection of RGNTF-McAb into the Rb tumor. Ten out of 30 eyeballs with Rb inoculation did not develop tumor (32% inhibition) if Rb cell suspension was mixed with the RGNTF-McAb before injection; whereas in the control, all 40 but 3 eyeballs developed tumor (7%) when Rb cell suspension alone had been injected. This 32% of inhibition of Rb tumor formation by RGNTF-McAb was very significant (T > 2.58, P < 0.01). The results of immunotherapy of 46 eyeballs with Rb tumor developed 10 days after inoculation by RGNTF-McAb for 2 months revealed that the proportion of grade III-IV tumors before and after therapy reduced from 53% to 26% and that of grade I-II tumors increased from 47% to 74%. Feulgen DNA staining of tumor sections after therapy revealed that the average DNA contents in Rb cells decreased significantly (P < 0.01) from 16.2 +/- 2.6 in grade III-IV to 5.3 +/- 1.2 in grade I-II compared to that of the untreated control 18.8 +/- 3.2. Numerous white cells infiltrating the Rb tumor, hyperplasia of fibrous tissues, and no spreading and metastasis of the tumor tissue were observed in the treated eyeballs; whereas Rb tumor was spreading to the optic nerve and superior colliculus in the untreated eyeballs. Therefore, the RGNTF-McAb can not only inhibit the growth of Rb cells but also limit their spreading and metastasis.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1992

Trilateral retinoblastoma.

Retinoblastoma is the most common intraocular malignancy of childhood. Trilateral retinoblastoma is a syndrome characterized by bilateral ocular retinoblastoma in conjunction with an intracranial neuroblastic neoplasm in the pineal body, or in supraseller or parasellar location. We report the case of a three year old girl with trilateral retinoblastoma and review the literature on this subject.

Brain Neoplasms↗
PubMed1992

Functional evidence for human tumour suppressor genes: chromosome and molecular genetic studies.

There is now ample genetic and some functional evidence for the existence of tumour suppressor genes. Although much of the functional evidence has been derived from somatic cell hybrid and chromosome transfer studies, it is critical that cloned candidate tumour suppressor genes be used in such functional assays. Our experience with RB and p53 indicates that much will be learned about the control of the cell cycle from studies of tumour suppressor genes. However, the handful of candidate genes cloned to date also indicates a variety of cellular localizations and cellular functions. Thus, just as oncogenes seem to act to promote growth at many levels of metabolic control, it would seem that tumour suppressor genes act in complementary ways to control cell proliferation. The molecular genetic study of cancer has truly entered an exciting phase.

Cloning, Molecular↗
PubMed1992

[Hepatic resections for metastases].

Between January 1981 and December 1990, 79 liver resections were performed for hepatic metastases in 73 patients. Eight of these patients had a repeat resection (2 patients had their first resection performed before 1981). This figure represented 35% of 228 liver resections performed during this period. Mean age was 56.5 years (23 to 81 years). There were 38 men and 35 women. Fifty-four resections were performed for colorectal metastases and 25 resections for secondaries of other origins. There were 45 major hepatectomies (57%), defined by the resection of at least 3 Couinaud segments, and 34 minor resections (less than three segments). In 12 patients, liver resection was associated with excision of the primary tumor. Complications were observed in 25 patients (32%), pulmonary complications being the most frequent. Five re-explorations were necessary: 3 for postoperative bleeding, one for an abdominal abscess and one for intestinal obstruction. Mean postoperative stay was 18 days. There was no mortality for the first liver resections in 71 patients. One death was encountered among the second resections in 8 patients, with a global mortality of 1.3%. Follow-up was obtained for all patients but one (lost to follow-up at 5 years). Actuarial survival for the 50 patients operated on for colorectal secondaries was 98% at 6 months, 83% at 1 year, 46% at 2 years, 24% at 3 years and 15% at 5 years. In non-colorectal secondaries, the survival depended on the nature of the primary tumor but was very different from one patient to another.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗