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. Author manuscript; available in PMC: 2022 Aug 1.
Published in final edited form as: Ophthalmology. 2022 Apr 30;129(8):933–945. doi: 10.1016/j.ophtha.2022.04.022

Table 3.

Kaplan–Meier Cumulative Proportion of Surviving without Death from Metastasis according to 8th Edition AJCC Clinical cT Subcategory in 1841 Patients with Advanced Retinoblastoma

Kaplan–Meier Estimate, % (95% CI)
Variable 1 yr 5 yrs 10 yrs
cT2a (n = 196) 99 (98–100) 98 (97–99) 98 (97–99)
cT2b (n = 814) 98 (97–99) 96 (95–97) 96 (95–97)
cT3a (n = 22) 94 (89–99) 88 (80–96) 88 (80–96)
cT3b (n = 166) 95 (93–97) 95 (93–97) 95 (93–97)
cT3c (n = 389) 94 (89–99) 92 (90–94) 92 (90–94)
cT3d (n = 203) 85 (82–88) 84 (81–87) 84 (81–87)
cT3e (n = 51) 78 (72–84) 75 (68–82) 75 (68–82)
Pairwise Comparisons [Log-Rank Test]

cT2b cT3a cT3b cT3c cT3d cT3e
cT2a 0.27 0.008 0.047 0.007 <0.001* <0.001*
cT2b 0.065 0.19 0.002* <0.001* <0.001*
cT3a 0.46 0.62   0.46   0.14
cT3b 0.53   0.004 <0.001*
cT3c   0.001* <0.001*
cT3d   0.127
Kaplan–Meier Cumulative Proportion of Surviving without Death from Metastasis according to Treatment Modality and Tumor Laterality in 1841 Patients with Advanced Retinoblastoma

Kaplan–Meier Point Estimates (95% CI), %
Variable 1 yr 5 yrs 10 yrs
Primary enucleation (n = 1128) 96 (95–97) 96 (95–97) 96 (95–97)
   • Unilateral (n = 870) 97 (96–98) 96 (95–97) 96 (95–97)
   • Bilateral (n = 258) 95 (94–96) 94 (92–96) 94 (92–96)
Systemic chemotherapy Secondary enucleation (n = 315) 93 (91–95) 89 (87–91) 89 (87–91)
   • Unilateral (n = 161) 89 (86–92) 86 (83–89) 86 (83–89)
   • Bilateral (n = 154) 97 (96–98) 93 (91–95) 93 (91–95)
Eye salvage (n = 398) 94 (93–95) 90 (88–92) 90 (88–92)
   • Unilateral (n = 180) 94 (93–95) 93 (91–95) 93 (91–95)
   • Bilateral (n = 218) 91 (89–93) 88 (85–91) 88 (85–91)
Pairwise Comparisons [Log-Rank]

Systemic Chemotherapy followed by Secondary Enucleation Systemic Chemotherapy and Eye Salvage
Primary enucleation <0.001* <0.001*
Systemic chemotherapy followed by secondary enucleation   0.951
Pairwise Comparisons [Log-Rank]

Primary Enucleation Bilateral Systemic Chemotherapy and Secondary Enucleation Unilateral Systemic Chemotherapy and Secondary Enucleation Bilateral Systemic Chemotherapy and Eye Salvage Unilateral Systemic Chemotherapy and Eye Salvage Bilateral
Primary enucleation unilateral 0.210 <0.001* 0.327 0.070 <0.001*
Primary enucleation bilateral 0.007 0.905 0.477 0.049
Systemic chemotherapy and secondary enucleation unilateral 0.015 0.094 0.453
Systemic chemotherapy and secondary enucleation bilateral 0.488 0.084
Systemic chemotherapy and eye salvage unilateral 0.284

Overall comparison, P < 0.001.

AJCC = American Joint Committee on Cancer; c = clinical; CI = confidence interval; T = tumor.

*

Significant after adjustment for multiple comparisons according to Bonferroni.

The treatment modality for worse eye in bilateral RB cases was attributed to the patient.