Booklet for Hemato-Oncologists
Case 16 (A, B) - Photophobia, and marked decrease of visus one month after the end of therapy in a boy who received prophylactic cranial irradiation
Boy, 5 years old, affected by common ALL. He successfully completed the two years treatment following a protocol including cranial irradiation (12 Gy). One month later he presented with photophobia, bilateral conjunctival injection and marked decrease of vision.
A - What is timely the most appropriate approach for making a decision?
1. Wait and see
2. Paracentesis, spinal tap, bone marrow aspiration
3. Fundoscopy, Spinal tap, bone marrow aspiration, paracentesis, CT/MRI scan
4. Fundus oculi, CT/MRI scan, spinal tap
5. CT scan and/or MRI, spinal tap, bone marrow aspiration
B - This is an isolated ALL relapse in the anterior chamber of both eyes, may this child still have a possibility of cure?
1. Yes, 30% rate
3. Yes, 10% rate
4. Yes, 50% rate
5. Yes, 80% rate
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