DOAJ Open Access 2025

Retinoblastoma with and without Extraocular Tumor Extension

Swathi Kaliki, MD Vijitha S. Vempuluru, MD Ido Didi Fabian, MD Ido Didi Fabian, MD Elhassan Abdallah, MD +476 lainnya

Abstrak

Purpose: To study the treatment and outcomes of children with retinoblastoma (RB) with extraocular tumor extension (RB-EOE) and compare them with RB without extraocular tumor extension (RB-w/o-EOE). Design: Multicenter intercontinental collaborative prospective study from 2017 to 2020. RB-EOE cases included those with overt orbital tumor extension in treatment-naive patients. Cases with microscopic orbital extension detected postenucleation were excluded from the study. Participants: A total of 319 children with RB-EOE and 3116 children with RB-w/o-EOE. Intervention: Chemotherapy, enucleation, exenteration, radiotherapy. Main Outcome Measures: Systemic metastasis and death. Results: Of the 3435 RB patients included in this study, 309 (9%) were from low-income countries (LIC), 1448 (42%) from lower-middle income, 1012 (29%) from upper-middle income, and 666 (19%) patients from high-income countries. There was an inverse relationship between the percentage of RB-EOE and national income level, with 96 (31%) patients from LIC, 197 (6%) lower-middle income, 20 (2%) upper-middle income, and 6 (1%) patients from high-income countries (P = 0.0001). The outcomes were statistically significant for RB-EOE compared with RB-w/o-EOE: systemic metastasis (32% vs. 4% respectively; P = 0.0001) and metastasis-related death (63% vs. 6% respectively; P = 0.0001). Multimodal treatment was the most common form of treatment (n = 177; 54%) for RB-EOE, with most cases undergoing a combination of intravenous chemotherapy and enucleation (n = 97; 30%). Adjuvant external beam radiotherapy (EBRT) after surgery (enucleation/orbital exenteration) was given in only 68 (21%) cases. Kaplan–Meier analysis for systemic metastasis and metastasis-related death in RB-EOE was 28% and 57% at 1 year, 29% and 60% at 2 years, and 29% and 61% at 3 years, respectively. Cox regression analysis revealed that the risk of death from RB-EOE was greater in patients aged >4 years than <2 years (hazard ratio, 2.912; P < 0.001) and for unimodal (surgery or intravenous chemotherapy) and bimodal (surgery and intravenous chemotherapy) treatment than trimodal treatment (surgery, intravenous chemotherapy, and EBRT) (hazard ratio, 2.023; P = 0.004 and hazard ratio, 1.819; P = 0.027, respectively). Conclusions: Retinoblastoma with extraocular tumor extension is associated with a higher risk of metastasis and death. Patients with RB-EOE are likely to benefit from trimodal treatment (intravenous chemotherapy, surgery, and EBRT) rather than treatment protocols excluding EBRT. Financial Disclosure(s): The authors have no proprietary or commercial interest in any materials discussed in this article.

Topik & Kata Kunci

Penulis (481)

S

Swathi Kaliki, MD

V

Vijitha S. Vempuluru, MD

I

Ido Didi Fabian, MD

I

Ido Didi Fabian, MD

E

Elhassan Abdallah, MD

S

Shehu U. Abdullahi, MD

R

Rula A. Abdulqader, MD

A

Aminatu A. Abdulrahaman, MD

S

Sherif Abouelnaga, MD

D

Dupe S. Ademola-Popoola, FMCOph, FWACS

A

Adedayo Adio, FWACS

M

Mahmoud A. Afifi, MD

A

Armin R. Afshar, MD

P

Priyanka Aggarwal, MD

A

Ada E. Aghaji, FMCOph MSc

A

Alia Ahmad, MRCPCH UK

M

Marliyanti N.R. Akib, MD

A

Adeseye M. Akinsete, MBBS

L

Lamis Al Harby, MD

S

Saleh A. Al Mesfer, MD

M

Mouroge H. Al Ani, MD

S

Silvia Alarcón Portabella, MD

S

Safaa A.F. Al-Badri, MD

A

Ana Patricia A. Alcasabas, MD

S

Saad A. Al-Dahmash, MD

A

Amanda Alejos, MD

E

Ernesto Alemany-Rubio, MD

A

Amadou I. Alfa Bio, MD

Y

Yvania Alfonso Carreras, MD

C

Christiane E. Al-Haddad, MD

H

Hamoud H.Y. Al-Hussaini, MD, MSc

A

Amany M. Ali, MD

D

Donjeta B. Alia, MD

M

Mazin F. Al-Jadiry, MD

U

Usama Al-Jumaly, MD

H

Hind M. Alkatan, MD

C

Charlotta All-Eriksson, MD, PhD

A

Ali A.R.M. Al-Mafrachi, FIBMS

A

Argentino A. Almeida, MD

K

Khalifa M. Alsawidi, MD

A

Athar A.S.M. Al-Shaheen, MD

E

Entissar H. Al-Shammary, MD

D

Doreen Amankwaa-Frempong, MBChB

P

Primawita O. Amiruddin, MD

I

Inggar Armytasari, MD

N

Nicholas J. Astbury, FRCS, FRCOphth

H

Hatice T. Atalay, MD

E

Eda Ataseven, MD

L

La-ongsri Atchaneeyasakul, MD

R

Rose Atsiaya, OCO

R

Rudolf Autrata, MD, PhD

J

Julia Balaguer, MD, PhD

R

Ruhengiz Balayeva, PhD

H

Honorio Barranco, MD, PhD

P

Paulina Bartoszek, MD

K

Katarina Bartuma, MD, PhD

C

Covadonga Bascaran, MD, MSc

N

Nikolaos E. Bechrakis, MD

M

Maja Beck Popovic, MD

A

Ainura S. Begimkulova, MD

S

Sarra Benmiloud, MD

R

Rokia C. Berete, MD, PhD

J

Jesse L. Berry, MD

A

Anirban Bhaduri, MD

S

Sunil Bhat, MBBS, MD

A

Arpita Bhattacharyya, MD

E

Eva M. Biewald, MD

E

Elaine Binkley, MD

S

Sharon Blum, MD

N

Nadia Bobrova, MD

H

H. Culver Boldt, MD

M

Maria Teresa B.C. Bonanomi, MD, PhD

G

Gabrielle C. Bouda, MD

H

Hédi Bouguila, MD, PhD

R

Rachel C. Brennan, MD

B

Bénédicte G. Brichard, MD, PhD

J

Jassada Buaboonnam, MD

A

Aléine Budiongo, MD

M

Matthew Burton, FRCOphth

P

Patricia Calderón-Sotelo, MD

D

Doris A. Calle Jara, MD

J

Jayne E. Camuglia, FRANZCO

M

Miriam R. Cano, MD, MSc

M

Michael Capra, FRCPI

S

Shani Caspi, MD

N

Nathalie Cassoux, MD, PhD

G

Guilherme Castela, MD

L

Luis Castillo, MD

J

Jaume Català-Mora, MD, PhD

I

Isabel Caviedes, MD

A

Arthika Chandramohan, MD

G

Guillermo L. Chantada, MD, PhD

S

Shabana Chaudhry, MD

B

Bhavna Chawla, MD

W

Wensi Chen, MD

F

Faraja S. Chiwanga, MSc

T

Tsengelmaa Chuluunbat, MD, PhD

K

Krzysztof Cieslik, MD

A

Antony Clark, FRANZCO

R

Ruellyn L. Cockcroft, MB ChB , M Med Paed

C

Codruta Comsa, MD

M

Maria G. Correa Llano, MD

T

Timothy W. Corson, PhD

L

Line Couitchere, MD

K

Kristin E. Cowan-Lyn, MD, MBBS

M

Monika Csóka, MD, PhD

W

Wantanee Dangboon, MD

A

Anirban Das, MD

P

Pranab Das, MD

S

Sima Das, MS

J

Jacquelyn M. Davanzo, BSN, BSPH

A

Alan Davidson, MBChB, MPhil

S

Sonia De Francesco, MD

P

Patrick De Potter, MD, PhD

K

Karina Q. Delgado, MD, PhD

H

Hakan Demirci, MD

L

Laurence Desjardins, MD

R

Rosdali Y. Diaz Coronado, MD

H

Helen Dimaras, PhD

A

Andrew J. Dodgshun, M Phil

C

Carla R. Donato Macedo, MD

M

Monica D. Dragomir, MD, PhD

Y

Yi Du, MD

M

Magritha Du Bruyn, MD

J

Johannes P. Du Plessis, MMed (Paed)

G

Gagan Dudeja, MBBS, MS

K

Katrin Eerme, MD

I

I Wayan Eka Sutyawan, MD

A

Asmaa El Kettani, MD

A

Amal M. Elbahi, MD

J

James E. Elder, MBBS

A

Alaa M. Elhaddad, MD, PhD

M

Moawia M.A. Elhassan, MD

M

Mahmoud M. Elzembely, MD

C

Connor Ericksen, MD

V

Vera A. Essuman, FWACS

T

Ted Grimbert A. Evina, MD

I

Ifeoma R. Ezegwui, FMCOph, FWACS, FAEH

Z

Zehra Fadoo, MBBS

A

Adriana C. Fandiño, MD

M

Mohammad Faranoush, MD

O

Oluyemi Fasina, FWACS

D

Delia D.P.G. Fernández, MSc

A

Ana Fernández-Teijeiro, MD, PhD

A

Allen Foster, FRCOphth

S

Shahar Frenkel, MD, PhD

L

Ligia D. Fu, MD

S

Soad L. Fuentes-Alabi, MD, MPH

J

Juan L. Garcia, MSc

D

David García Aldana, MD

H

Henry N. Garcia Pacheco, MD

J

Jennifer A. Geel, MBChB, MMed

F

Fariba Ghassemi, MD

A

Ana V. Girón, MD

M

Marco A. Goenz, MD

A

Aaron S. Gold, OD

H

Hila Golberg, MD

G

Glen A. Gole, MD, FRANZCO

N

Nir Gomel, MD

E

Efren Gonzalez, MD

G

Graciela Gonzalez Perez, MD

L

Liudmira González-Rodríguez, MD

M

Malka Gorfine, PhD

J

Jaime Graells, MD

P

Pernille A. Gregersen, MD

N

Nathalia D.A.K. Grigorovski, MD

K

Koffi M. Guedenon, MD

D

D Sanjeeva Gunasekera, MD

A

Ahmet K. Gündüz, MD

H

Himika Gupta, MD

S

Sanjiv Gupta, MS

V

Vineeta Gupta, MD

T

Theodora Hadjistilianou, MD

P

Patrick Hamel, MD

S

Syed A. Hamid, FCPS

N

Norhafizah Hamzah, MSc

E

Eric D. Hansen, MD

J

J William Harbour, MD

M

M. Elizabeth Hartnett, MD

M

Murat Hasanreisoglu, MD

S

Sadiq Hassan, MD, FWACS

S

Shadab Hassan, FRCS, FCPS

W

Wojciech Hautz, MD

H

Huda A. Haydar, CHD

S

Stanislava Hederova, MD

L

Laila Hessissen, MD

H

Hoby Lalaina, MD

S

Suradej Hongeng, MD

D

Diriba F. Hordofa, MD

G

G. Baker Hubbard, MD

M

Marlies Hummlen, MD

K

Kristina Husakova, MD

A

Allawi N. Hussein Al-Janabi, MD

A

Affiong A. Ibanga, MB.BCh, FMCOph

R

Russo Ida, MD

V

Vesna R. Ilic, MD

Z

Ziyavuddin Islamov, MD

V

Vivekaraj Jairaj, DNB

T

Teyyeb A. Janjua, MD, FCPS, FRCSEd

I

Irfan Jeeva, FRCOphth

X

Xunda Ji, MD

D

Dong Hyun Jo, MD, PhD

M

Michael M. Jones, MD, PhD, FRANZCO

T

Theophile B. Amani Kabesha, MD, PhD

R

Rolande L. Kabore, MD

S

Swathi Kaliki, MD

A

Abubakar Kalinaki, MD

P

Pius Kamsang, MD

M

Mehmet Kantar, MD

N

Noa Kapelushnik, MD

T

Tamar Kardava, PhD

R

Rejin Kebudi, MD

J

Jonny Keomisy, MD

T

Tomas Kepak, MD

P

Petra Ketteler, MD

Z

Zohora J. Khan, MD

H

Hussain A. Khaqan, MD

V

Vikas Khetan, FRCS, FACS

A

Alireza Khodabande, MD

Z

Zaza Khotenashvili, MD

J

Jonathan W. Kim, MD

J

Jeong Hun Kim, MD, PhD

H

Hayyam Kiratli, MD

T

Tero T. Kivelä, MD

A

Artur Klett, MD, PhD

I

Irem Koç, MD

J

Jess Elio Kosh Komba Palet, MD

D

Dalia Krivaitiene, MD, PhD

M

Mariana Kruger, Mmed Paed, PhD

K

Kittisak Kulvichit, MD

M

Mayasari W. Kuntorini, MD

A

Alice Kyara, BA

G

Geoffrey C. Lam, FRANZCO

S

Scott A. Larson, MD

S

Slobodanka Latinović, MD, PhD

K

Kelly D. Laurenti, MD

Y

Yotam Lavi, MD, PhD

A

Alenka Lavric Groznik, MD

A

Amy A. Leverant, MD

C

Cairui Li, MD

K

Kaijun Li, MD

B

Ben Limbu, MD

C

Chun-Hsiu Liu, MD

Q

Quah Boon Long, FRCS (Ed), MMed ( Ophth), FAMS

J

Juan P. López, MD

R

Robert M. Lukamba, MD

S

Sandra Luna-Fineman, MD

D

Delfitri Lutfi, MD

L

Lesia Lysytsia, MD

S

Shiran Madgar, MD

G

George N. Magrath, MD

A

Amita Mahajan, MD

P

Puja Maitra, MD

E

Erika Maka, MD

E

Emil K. Makimbetov, MD

A

Azza M.Y. Maktabi, MD

C

Carlos Maldonado, MD

A

Ashwin Mallipatna, MD

R

Rebecca Manudhane, MD

L

Lyazat Manzhuova, MD

N

Nieves Martín Begue, MD, PhD

S

Sidra Masud, MBBS

I

Ibrahim O. Matende, MD, M. Med (Oph)

C

Clarissa C.D.S. Mattosinho, MD

M

Marchelo Matua, BAPH

I

Ismail Mayet, MD

F

Freddy B. Mbumba, MD, MMed Paed

J

John D. McKenzie, MD

A

Azim Mehrvar, MD

A

Aemero A. Mengesha, MD

V

Vikas Menon, MD

G

Gary John V.D.D. Mercado, MD

M

Marilyn B. Mets, MD

E

Edoardo Midena, MD, PhD

A

Audra Miller, MD

D

Divyansh K.C. Mishra, DNB

F

Furahini G. Mndeme, MD

A

Ahmed A. Mohamedani, FRCPath

M

Mona T. Mohammad, MD, FRCS

A

Annette C. Moll, MD, PhD

M

Margarita M. Montero, MD

C

Claude Moreira, MD, PhD

P

Prithvi Mruthyunjaya, MD, MHS

M

Mchikirwa S. Msina, MMed Ophth

G

Gerald Msukwa, MMed Ophth

S

Sangeeta S. Mudaliar, DNB Pediatric

H

Hassan Muhammad, MD

K

Kangwa I. Muma, MMed Ophth, FCOphth

F

Francis L. Munier, MD

T

Timothy G. Murray, MD, MBA

K

Kareem O. Musa, FWACS, FMCOphth, FICO

A

Asma Mushtaq, MD

A

Anne A. Musika, MD

H

Hamzah Mustak, MD

T

Tajudeen Mustapha, MBBS, FWACS

O

Okwen M. Muyen, MD

K

Khumo H. Myezo, Msc

G

Gita Naidu, MMed Paed, PhD

N

Natasha Naidu, MBCHB, FCS Ophthalmol

A

Akshay Gopinathan Nair, MD

S

Sundaram Natarajan, FRCS

L

Larisa Naumenko, MD, PhD

P

Paule Aïda Ndoye Roth, MD PhD

Y

Yetty M. Nency, MD

V

Vladimir Neroev, MD, PhD

Y

Yvonne Ng, MBChB ( Auckland) , FRANZCO

M

Marina Nikitovic, MD, PhD

E

Elizabeth D. Nkanga, FMCOph

H

Henry E. Nkumbe, MD

M

Marcel N. Numbi, MD

K

Kalle Nummi, MD

M

Murtuza Nuruddin, FRCS

M

Mutale Nyaywa, MD, MMed Ophth, FCOphth

C

Chinsisi Nyirenda, MD

G

Ghislaine Obono-Obiang, MD

S

Scott C.N. Oliver, MD

J

Joaquin Ooporto, MD

M

Miriam Ortega-Hernández, MD

A

Alexander Oscar, MD

D

Diego Ossandon, MD

H

Halimah Pagarra, MD, PhD

V

Vivian Paintsil, FWACP

L

Luisa Paiva, MD

M

Mahesh Shanmugam Palanivelu, FRCSED

R

Ruzanna Papyan, MD

R

Raffaele Parrozzani, MD, PhD

C

Claudia R. Pascual Morales, MD

K

Katherine E. Paton, MD, FRCSC

J

Jacob Pe'er, MD

J

Jesús Peralta Calvo, MD

S

Sanja Perić, MD, PhD

C

Chau T.M. Pham, MD

R

Remezo Philbert, MD

D

David A. Plager, MD

P

Pavel Pochop, MD, PhD

R

Rodrigo A. Polania, MD

V

Vladimir Polyakov, MD

J

Jimena Ponce, MD

A

Ali O. Qadir, MD

S

Seema Qayyum, FCPS

J

Jiang Qian, MD

A

Ardizal Rahman, MD

P

Purnima Rajkarnikar, MD

R

Rajesh Ramanjulu, MD

A

Aparna Ramasubramanian, MD

M

Marco A. Ramirez-Ortiz, MD, MPH

J

Jasmeen K. Randhawa, BA

L

Léa Raobela, MD

R

Riffat Rashid, MS

M

M. Ashwin Reddy, FRCOphth

L

Lorna A. Renner, FRCPCH (UK)

D

David Reynders, MD

D

Dahiru Ribadu, FMCOph

P

Petra Ritter-Sovinz, MD

A

Anna Rogowska, MD

D

Duangnate Rojanaporn, MD

L

Livia Romero, MD

S

Soma R. Roy, DCO

R

Raya H. Saab, MD

S

Svetlana Saakyan, MD, PhD

A

Ahmed H. Sabhan, MD

M

Mandeep S. Sagoo, FRCS (Ed)

A

Azza M.A. Said, MD

R

Rohit Saiju, MD

B

Beatriz Salas, MD

S

Sonsoles San Román Pacheco, MD

G

Gissela L. Sánchez, MD

A

Alma Janeth Sanchez Orozco, MD

P

Phayvanh Sayalith, MD

T

Trish A. Scanlan, MRCPI, MSc

C

Christoph Schwab, MD

A

Ahad Sedaghat, MD

R

Rachna Seth, DNB MNAMS

M

Mariana Sgroi, MD

A

Ankoor S. Shah, MD, PhD

S

Shawkat A. Shakoor, MS

M

Manoj K. Sharma, MD

S

Sadik T. Sherief, MD

C

Carol L. Shields, MD

D

David Sia, MB ChB, FRANZCO

S

Sorath Noorani Siddiqui, MD

S

Sidi Sidi cheikh, MD, PhD

S

Sónia Silva, MD

A

Arun D. Singh, MD

U

Usha Singh, MS

P

Penny Singha, MD

R

Rita S. Sitorus, MD, PhD

A

Alison H. Skalet, MD, PhD

H

Hendrian D. Soebagjo, MD, PhD

T

Tetyana Sorochynska, MD, PhD

G

Grace Ssali, MD

A

Andrew W. Stacey, MD

S

Sandra E. Staffieri, PhD

E

Erin D. Stahl, MD

D

David M. Steinberg, PhD

D

David K. Stones, MBChB, FCPaed

C

Caron Strahlendorf, MD

M

Maria Estela Coleoni Suarez, MD

S

Sadia Sultana, FCPS

X

Xiantao Sun, MD

R

Rosanne Superstein, MD

E

Eddy Supriyadi, MD, PhD

S

Supawan Surukrattanaskul, MD

S

Shigenobu Suzuki, MD, PhD

K

Karel Svojgr, MD, PhD

F

Fatoumata Sylla, MD

G

Gevorg Tamamyan, MD, PhD

D

Deborah Tan, MBBS

A

Alketa Tandili, MD, PhD

J

Jing Tang, MD

F

Fanny F. Tarrillo Leiva, MD

M

Maryam Tashvighi, MD

B

Bekim Tateshi, MD, PhD

K

Kok Hoi Teh, MD

E

Edi S. Tehuteru, MD

L

Luiz F. Teixeira, MD

M

Manca Tekavcic Pompe, MD, PhD

A

Abdullah Dahan M. Thawaba, MD

T

Tuyisabe Theophile, MSc

H

Helen Toledano, MBChB

D

Doan L. Trang, MD

F

Fousseyni Traoré, MD

D

Devjyoti Tripathy, MD

S

Samuray Tuncer, MD

H

Harba Tyau-Tyau, MD

A

Ali B. Umar, MD, FMCPath

E

Emel Unal, MD

O

Ogul E. Uner, BA

S

Steen F. Urbak, MD, PhD

T

Tatiana L. Ushakova, MD

R

Rustam H. Usmanov, MD

S

Sandra Valeina, MD

P

Paola Valente, MD

M

Milo van Hoefen Wijsard, MD

J

Jacqueline Karina Vasquez Anchaya, MD

L

Leon O. Vaughan, FRCS (Ed)

N

Nevyana V. Veleva-Krasteva, MD, PhD

N

Nishant Verma, MD

A

Andi A. Victor, MD, PhD

M

Maris Viksnins, MD

E

Edwin G. Villacís Chafla, MD

V

Victor M. Villegas, MD

V

Victoria Vishnevskia-Dai, MD

K

Keith Waddell, DM, FRCP, FRCS, FRCOphth

A

Amina H. Wali, MD, FMCOph Nigeria

Y

Yi-Zhuo Wang, MD

N

Nutsuchar Wangtiraumnuay, MD, FICO

J

Julie A. Wetter, MMed Rad Onc, FCRad Onc

W

Widiarti P. Riono, MD

M

Matthew W. Wilson, MD

A

Amelia D.C. Wime, MD

A

Atchareeya Wiwatwongwana, MD

D

Damrong Wiwatwongwana, MD

C

Charlotte Wolley Dod, MD

E

Emily S. Wong, FCOphth HK, FHKAM

P

Phanthipha Wongwai, MD, PhD

S

Si-qi Wu, MSc

D

Daoman Xiang, MD, PhD

Y

Yishuang Xiao, MSc

B

Bing Xu, MD

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Kang Xue, MD

A

Antonio Yaghy, MD

J

Jason C. Yam, FRCSEd

H

Huasheng Yang, MD

J

Jenny M. Yanga, MD

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Muhammad A. Yaqub, MD, FCPS, FRCSEd

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Vera A. Yarovaya, MD

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Andrey A. Yarovoy, MD, PhD

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Huijing Ye, MD

R

Roberto I. Yee, MD

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Yacoub A. Yousef, MD

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Putu Yuliawati, MD

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Arturo M. López, MD

E

Ekhtelbenina Zein, MD

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Yi Zhang, MD, PhD

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Katsiaryna Zhilyaeva, MD

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Nida Zia, MBBS, MCPS

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Othman A.O. Ziko, MD, PhD

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Marcia Zondervan, MBA

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Sabrina Schlüter, MD

R

Richard Bowman, FRCOphth

Format Sitasi

MD, S.K., MD, V.S.V., MD, I.D.F., MD, I.D.F., MD, E.A., MD, S.U.A. et al. (2025). Retinoblastoma with and without Extraocular Tumor Extension. https://doi.org/10.1016/j.xops.2024.100637

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10.1016/j.xops.2024.100637
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