Local methotrexate and dexamethasone phosphate for the treatment of recurrent primary intraocular lymphoma.

作者: Robert B Nussenblatt , Michael R Robinson , Gisela Velez , H Culver Boldt , Scott M Whitcup

DOI: 10.3928/1542-8877-20020701-16

关键词:

摘要: A 70-year-old patient with recurrent bilateral primary intraocular lymphoma (PIOL) was treated local injections of methotrexate and periocular dexamethasone phosphate to both eyes over the course 5 months. Local therapy consisted a cycle each eye 3 intravitreal (200 microg in total volume 0.1 cc) administered on days 1, 5, 8, followed by subtenon injection (7.5 mg 0.3 day 9. This treatment 4 times for right left eye, at 6 week intervals. Electroretinography used assess retinal function prior during regimen. Complete regression lymphomatous infiltrates resolution vitritis observed preservation visual acuity no changes electroretinography. The effect sustained 24 months after termination absence systemic chemotherapy, radiation treatments, or maintenance injections. combined chemotherapy can be treat PIOL, serve as successful palliative patients whom further is contraindicated.

参考文章(24)
Dedrick Rl, Bleyer Wa, Clinical pharmacology of intrathecal methotrexate. I. Pharmacokinetics in nontoxic patients after lumbar injection. Cancer treatment reports. ,vol. 61, pp. 703- 708 ,(1977)
Françoise Homo-Delarche, Glucocorticoid receptors and steroid sensitivity in normal and neoplastic human lymphoid tissues: a review. Cancer Research. ,vol. 44, pp. 431- 437 ,(1984)
Benoít Pirotte, Marc Levivier, Serge Goldman, Jean-Marie Brucher, Jacques Brotchi, Jerzy Hildebrand, Glucocorticoid-induced long-term remission in primary cerebral lymphoma: Case report and review of the literature Journal of Neuro-oncology. ,vol. 32, pp. 63- 69 ,(1997) , 10.1023/A:1005733416571
L. Neal Freeman, Andrew P. Schachat, David L. Knox, Ronald G. Michels, W. Richard Green, CLINICAL FEATURES, LABORATORY INVESTIGATIONS, AND SURVIVAL IN OCULAR RETICULUM CELL SARCOMA Ophthalmology. ,vol. 94, pp. 1631- 1639 ,(1987) , 10.1016/S0161-6420(87)33256-7
Alberto A. Gabbai, Fred H. Hochberg, Rita M. Linggood, Rifaat Bashir, Kathleen Holteman, High-dose methotrexate for non-AIDS primary central nervous system lymphoma. Report of 13 cases. Journal of Neurosurgery. ,vol. 70, pp. 190- 194 ,(1989) , 10.3171/JNS.1989.70.2.0190
J. D. Baxter, A. W. Harris, G. M. Tomkins, M. Cohn, Glucocorticoid Receptors in Lymphoma Cells in Culture: Relationship to Glucocorticoid Killing Activity Science. ,vol. 171, pp. 189- 191 ,(1971) , 10.1126/SCIENCE.171.3967.189
Fred H. Hochberg, Douglas C. Miller, Primary central nervous system lymphoma Journal of Neurosurgery. ,vol. 68, pp. 835- 853 ,(1988) , 10.3171/JNS.1988.68.6.0835