Результаты ранней диагностики ретинобластомы

Subject: patients with a diagnosis of retinoblastoma (RB) in the Kemerovo region for the period from 1984 to 2013 as a whole, as well as separate timeperiods – I (1984-1993), II (1994-2003), III (2003-2013). Objective: to present the results of treatment of patients with RB living in the Kemerovo region identified in the early stages of tumor development T1-2N0M0. Methods: there was retrospectively analyzed information from 43 patients cards «History of child development» (form 112-u), 51 inpatients cards (form 003 / u) and 48 account cards of the patients from the Department of complex ocular prosthetics of the «Kemerovo regional clinical ophthalmological hospital» for the whole period of the study. Results: In the last 10 years (2004-2013), there is a tendency to an increase in early detection of RB in stage T1N0M0 to 36,6 % in the Kemerovo region. The positive dynamics of the early detection of patients in the III period of observation, use of modern methods of treatment, the active dynamic monitoring of patients during treatment and after, made it possible to reduce the percentage of enucleation to 65,9 %. It was managed to save the eyes in most cases with favorable visual outcomes. Conclusions. The success of treatment of RB that guarantees the preservation of the eyeball and its visual function is early diagnosis of the disease, allowing to conduct the combined treatment.