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Visual improvement despite radiologically stable disease after treatment with carboplatin in children with progressive low-grade optic/thalamic gliomas.

Publication ,  Journal Article
Mitchell, AE; Elder, JE; Mackey, DA; Waters, KD; Ashley, DM
Published in: J Pediatr Hematol Oncol
December 2001

BACKGROUND: The purpose of this study was to examine the clinical and radiologic response to carboplatin by children with progressive optic/thalamic gliomas. PATIENTS AND METHODS: Between July 1997 and July 1999, 12 consecutive children were treated with monthly carboplatin for progressive optic/thalamic gliomas. RESULTS: Five children have completed 12 cycles of carboplatin and five children are currently receiving treatment. Two children had progressive disease noted both clinically and radiologically. Nine children have stable radiologic disease and one child has had a partial radiologic response to chemotherapy. Eight children have had regular visual assessments. Four children (three with stable radiology and one with a partial radiologic response) have had improvement in their vision. Three children with radiologically stable disease have had no change in vision. One child has had deterioration in vision despite radiologically stable disease. CONCLUSIONS: The results suggest that the clinical response of optic/thalamic gliomas to carboplatin, as measured by visual acuity and visual fields, may be better than predicted by radiologic assessment. These data suggest that a prospective clinical study is warranted of the role of carboplatin in children with progressive optic/thalamic gliomas and visual impairment.

Duke Scholars

Published In

J Pediatr Hematol Oncol

DOI

ISSN

1077-4114

Publication Date

December 2001

Volume

23

Issue

9

Start / End Page

572 / 577

Location

United States

Related Subject Headings

  • Visual Fields
  • Visual Acuity
  • Vision Disorders
  • Treatment Outcome
  • Thrombocytopenia
  • Thalamus
  • Retrospective Studies
  • Remission Induction
  • Optic Nerve Neoplasms
  • Optic Chiasm
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mitchell, A. E., Elder, J. E., Mackey, D. A., Waters, K. D., & Ashley, D. M. (2001). Visual improvement despite radiologically stable disease after treatment with carboplatin in children with progressive low-grade optic/thalamic gliomas. J Pediatr Hematol Oncol, 23(9), 572–577. https://doi.org/10.1097/00043426-200112000-00004
Mitchell, A. E., J. E. Elder, D. A. Mackey, K. D. Waters, and D. M. Ashley. “Visual improvement despite radiologically stable disease after treatment with carboplatin in children with progressive low-grade optic/thalamic gliomas.J Pediatr Hematol Oncol 23, no. 9 (December 2001): 572–77. https://doi.org/10.1097/00043426-200112000-00004.
Mitchell AE, Elder JE, Mackey DA, Waters KD, Ashley DM. Visual improvement despite radiologically stable disease after treatment with carboplatin in children with progressive low-grade optic/thalamic gliomas. J Pediatr Hematol Oncol. 2001 Dec;23(9):572–7.
Mitchell, A. E., et al. “Visual improvement despite radiologically stable disease after treatment with carboplatin in children with progressive low-grade optic/thalamic gliomas.J Pediatr Hematol Oncol, vol. 23, no. 9, Dec. 2001, pp. 572–77. Pubmed, doi:10.1097/00043426-200112000-00004.
Mitchell AE, Elder JE, Mackey DA, Waters KD, Ashley DM. Visual improvement despite radiologically stable disease after treatment with carboplatin in children with progressive low-grade optic/thalamic gliomas. J Pediatr Hematol Oncol. 2001 Dec;23(9):572–577.

Published In

J Pediatr Hematol Oncol

DOI

ISSN

1077-4114

Publication Date

December 2001

Volume

23

Issue

9

Start / End Page

572 / 577

Location

United States

Related Subject Headings

  • Visual Fields
  • Visual Acuity
  • Vision Disorders
  • Treatment Outcome
  • Thrombocytopenia
  • Thalamus
  • Retrospective Studies
  • Remission Induction
  • Optic Nerve Neoplasms
  • Optic Chiasm