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Grand Rounds Terry J. Alexandrou, MD Department of Ophthalmology and Visual Science The University of Chicago 1/4/2006
HPI – Patient T.F. ,[object Object],[object Object]
PMH ,[object Object],[object Object]
Meds and Allergies ,[object Object],[object Object]
Family History ,[object Object],[object Object]
Mom complains of a “white pupil in the left eye” ,[object Object]
Always Listen to Mom!!!
EXAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Superior Cut
Inferior Cuts
[object Object]
Left Eye
Left Eye
Left Eye
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Retinoblastoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Cat’s Eye” appearance
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enucleation
Path – Gross Specimen
Path - Micro ,[object Object]
[object Object],[object Object],[object Object]
Pathologic features implicated in the past ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHILDREN’S ONCOLOGY GROUP ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GOALS AND OBJECTIVES ,[object Object],[object Object],[object Object],[object Object]
Eligibility Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Unilateral Disease High-Risk Histopathologic Features for which Adjuvant Therapy is Indicated No High-Risk Histopathologic Features for which Adjuvant Therapy is indicated No Metastatic Disease 6 cycles of Chemotherapy Observation Metastatic Disease No Metastatic Disease Follow-up Off Protocol Therapy May enter other protocols Follow-up
High-Risk Histopathologic Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
High-Risk Histopathologic Features for which Adjuvant Therapy is Indicated ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Plan ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]

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