• Nida Zia, Ahmer Hamid, Sundus Iftikhar, Muhammad Hamza Qadri, Anzal Jangda, and Muhammad Rahil Khan.
• Nida Zia, MCPS. Department of Peads Oncology, The Indus Hospital, Karachi, Pakistan.
• Pak J Med Sci. 2020 Jan 1; 36 (1): S61-S66.

ObjectiveTo study the clinical presentation, treatment, and outcome of Retinoblastoma (Rb) in a tertiary care hospital of Pakistan.MethodsA retrospective study was conducted in the Department of Pediatric Hematology Oncology, The Indus Hospital (TIH), Karachi from 1st June 2013 to 30th June 2017. Data including patients' demography, clinical symptoms and duration, laterality, extent of the tumor, type of treatment, relapse, and final outcome were extracted and evaluated with respect to progression and survival.ResultsA total of 93 patients were included; 34.4% were boys. The median age at presentation was 30 months. Leukocoria was the commonest symptom (61.3%), followed by proptosis (37.6%). Unilateral disease was seen in 59.1%, extraocular tumors in 43.5% and metastasis in 28.1%. Enucleation was performed on 46.2%, chemotherapy given to 80.6% and external beam radiation therapy to 29.3% patients.ConclusionDelayed presentation, recurrent disease, extraocular disease and metastasis on presentation were factors affecting outcome in our cohort. Awareness about the early warning signs and symptoms in both public and health professionals for early recognition and timely management are mandatory to decrease morbidity and mortality.Copyright: © Pakistan Journal of Medical Sciences.

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