Late effects of therapy in orbital rhabdomyosarcoma in children. A report from the intergroup rhabdomyosarcoma study

Ruth Heyn, Abdel Ragab, R. Beverly Raney, Fred Ruymann, Melvin Tefft, Walter Lawrence, Edward Soule, Harold M. Maurer

Research output: Contribution to journalArticle

106 Scopus citations

Abstract

Late effects of therapy were evaluated in 50 children surviving orbital rhabdomyosarcoma following treatment on Intergroup Rhabdomyosarcoma Study I. All patients had microscopic or gross tumor present following surgery and subsequently received radiotherapy and various combinations of chemotherapeutic agents. Problems in the eye included infections and functional and structural changes. Decreased vision in the treated eye was the most common functional problem and in most patients related to cataract formation, which occurred in 90% of eyes. Changes in the cornea and retina were also seen. Bony hypoplasia of the orbit and facial asymmetry were present in one half of the children. Gonadal development was normal. Statural growth was retarded in 61% of the patients. All children were in school, with five having learning or behavioral problems. One child developed acute myeloblastic leukemia. The excellent survival in patients with orbital rhabdomyosarcoma provides support for treatment programs that use multiple‐agent chemotherapy and radiotherapy and do not include orbital exenteration initially.

Original languageEnglish (US)
Pages (from-to)1738-1743
Number of pages6
JournalCancer
Volume57
Issue number9
DOIs
StatePublished - May 1 1986

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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