title: Zygomatico-orbital intra-arterial melphalan infusion for intraocular retinoblastoma.
abstract: Retinoblastoma is a rare and curable malignancy affecting the pediatric population. For advanced stage intraocular retinoblastoma, enucleation remains the primary treatment modality, although the use of laser photocoagulation, cryotherapy, radiotherapy and chemotherapy are frequently used, particularly in the setting of bilateral disease. Intravenous chemotherapy is the long-standing method of delivery, but local administration (subtenon, intravitreal or intra-arterial) is gaining in popularity because of the reduced side effects related to systemic administration. Of these newer methods, intra-arterial infusion has demonstrated technical feasibility, few procedural complications and robust tumor response. A case is described where a collateral supply to the affected ophthalmic artery was via the zygomatico-orbital branch of the ipsilateral superficial temporal artery. Melphalan infusion was performed via this pathway without incident.
authors: Department of Radiology and Biomedical Imaging, University California San Francisco, San Francisco, California, USA. daniel.cooke@ucsf.edu
authors: Daniel
authors: D
authors: Cooke
authors: Hamed
authors: H
authors: Farid
authors: Warren
authors: W
authors: Kim
authors: Christopher
authors: C
authors: Dowd
authors: Randall
authors: R
authors: Higashida
authors: Van
authors: V
authors: Halbach
mesh_terms: D002675:Child, Preschool; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D008558:Melphalan / Q000008:administration & dosage*; D009915:Orbit / Q000098:blood supply / Q000000981:diagnostic imaging; D011859:Radiography; D019572:Retinal Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy*; D012175:Retinoblastoma / Q000000981:diagnostic imaging / Q000188:drug therapy*; D013699:Temporal Arteries / Q000000981:diagnostic imaging / Q000187:drug effects*; D015050:Zygoma / Q000098:blood supply / Q000000981:diagnostic imaging
chemical_list: D008558:Melphalan