Fahimeh Asadi Amoli; Faezeh Foroughi; Hormoz Shams; Issa Jahanzad
Volume 5, Issue 2 , March 2010, , Pages 60-64
Abstract
Background and Objectives: Retinoblastoma is the most common intraocular pediatric malignancy. Angiogenic factor expression such as VEGF (vascular endothelial growth factor) in retinoblastoma can be confirmatory angiogenic potential of this tumor. This study was performed to determine the role ...
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Background and Objectives: Retinoblastoma is the most common intraocular pediatric malignancy. Angiogenic factor expression such as VEGF (vascular endothelial growth factor) in retinoblastoma can be confirmatory angiogenic potential of this tumor. This study was performed to determine the role of angiogenesis in local invasion of retinoblastoma and its correlation with patients’ survival. Materials and methods: This clinicopathological analysis was performed on 60 paraffin- embedded eyes with adequate tumoral tissue, which were stained using a CD34 antibody. Microvessel count was carried out in three tumor areas with the richest vascularity (hot spots) at a high magnification (× 400). The obtained data were correlated with histopathological characteristics and 5-years survival. Statistical analysis of the data was performed using student t-test and ANOVA test (P<0.05). Results: Tumor with local invasion to choroids, optic nerve, sclera and cilliary body showed statistically significant higher mean vessel density (P=0.00, P=0.041, P= 0.008 and P= 0.002, respectively). In addition, a statistically significant correlation was detected between mean vascular density and 5-years survival (P=0.031). Conclusion: The results suggest that in retinoblastoma, mean vessel density has a significant role in local invasion of tumor growth and a significant correlation with patient survival. Therefore, in these patients an anti-angiogenic therapy and minute diagnostic and follow up programs should be considered to identify metastasis.
Seyed Ali Ahmadi; Fahimeh Asadi Amoli; Katayoun Gohari Moghaddam
Volume 3, Issue 3 , June 2008, , Pages 151-156
Abstract
Background and Objective: The frequency and pattern of eye neoplasms differ in various geographic areas. Our aim was to determine the distribution of patient age, gender, ocular tumor origin, location and histological type in our region. Materials and Methods: In this cross-sectional study, ...
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Background and Objective: The frequency and pattern of eye neoplasms differ in various geographic areas. Our aim was to determine the distribution of patient age, gender, ocular tumor origin, location and histological type in our region. Materials and Methods: In this cross-sectional study, all of the 384 eye globe enucleation cases carried out during a 10-year period in Farabi Medical Center in Tehran were selected and reviewed. The inflammatory and non-tumoral conditions were excluded. Results: Out of 350 primary tumors, 344 (98.6%) were malignant including 248 cases of retinoblastomas (70.9%), 76 cases of (21.7%) melanomas and 14 cases of (4%) squamous cell carcinomas. Mean ages for these tumors were 3.2, 51 and 64.8 years respectively. Overall the tumors were 1.15 times more frequent in left eye and 1.53 times more common in males. Out of 248 cases of retinoblastomas, only 12 (4.8%) cases were bilateral (mean age 3.46 years; male to female ratio 1.4:1). Some rare cases in our series included a primary non-Hodgkin lymphoma of choroid, two choroidal leiomyomas and an adenocarcinoma of the retinal pigment epithelium. Conclusion: The overall frequency of the three most common primary malignancies in our series was similar to the reported Asian countries but slightly differed with western countries in terms of lower incidence of melanoma here. Also bilateral retinoblastoma was less frequent here and occurred in a slightly older age. The actual frequency of metastatic eye tumors could not be evaluated precisely due to lack of systematic autopsy data.
