Version 2.78

Term Description

This term was developed in collaboration with the National Institute of Health's National Eye Institute (NEI) as part of an effort to standardize the data elements collected by the National Ophthalmic Disease Genotyping and Phenotyping Network (eyeGENE).
Source: Regenstrief LOINC

Part Descriptions

LP201235-1   Extraocular retinoblastoma classification
The Reese-Ellsworth extraocular retinoblastoma staging system applies to cancer that has spread outside of the eye, either to the tissues around the eye or to the central nervous system (CNS), bone marrow, or lymph nodes. This staging system is based on how much cancer remains after surgery to remove the tumor and whether the cancer has spread. Details of each stage in the extraocular staging system are as follows:
Stage 0 (zero) - the cancer is in the eye (called intraocular) and has not spread outside of the eye. Most retinoblastoma cases are discovered in Stage 0 and should be classified based on the International Classification for Intraocular Retinoblastoma (ICRB). Doctors recommend conservative treatment for this stage with no additional adjuvant therapy, meaning no additional treatment after surgery.
Stage I - the eye has already been removed and there is some microscopic spread to the optic nerve. These patients need adjuvant chemotherapy after surgery.
Stage II - the tumor has spread to the optic nerve or the sclera, which is the white part of the eye. Patients with this stage need adjuvant chemotherapy and possibly radiation therapy.
Stage III - the cancer has spread to the lymph nodes or the bony cavity that surrounds the eyeball. Stage III is divided into two substages called stage IIIa and stage IIIb, depending on where the tumor has spread. The treatment for this stage involves both chemotherapy and radiation therapy.
Stage IV - the tumor has spread to distant areas of the body outside the eye, via the lymphatic system and blood vessels. Stage IV is divided into substages called IVa and IVb, and IVb is further divided into IVb1, IVb2, and IVb3, depending on the location of the spread. This stage of extraocular retinoblastoma is treated with high-dose chemotherapy followed by stem cell rescue. Radiation therapy may also be used in addition to high-dose chemotherapy for some patients with stage IV disease.
[http://www.cancer.gov/types/retinoblastoma/patient/retinoblastoma-treatment-pdq#link/stoc_h2_1] Source: National Cancer Institute,

LP203649-1   EYE.HX.NEI
Developed in collaboration with the National Institute of Health's National Eye Institute (NEI) as part of an effort to standardize the data elements collected by the National Ophthalmic Disease Genotyping and Phenotyping Network (eyeGENE). Source: Regenstrief LOINC

Fully-Specified Name

Component
Extraocular retinoblastoma classification^at final disease stage
Property
Class
Time
Pt
System
Eye.right
Scale
Ord
Method
Reese-Ellsworth system

Additional Names

Short Name
Reese-Ells class final dis stage Eye-R

Normative Answer List: LL3733-4

Source: National Eye Institute
Answer Code Score Answer ID
Stage 0 0 LA4323-7
Stage I

Stage I means that eye has already been removed and there is some microscopic spread to the optic nerve. These patients need adjuvant chemotherapy after surgery.

 1 LA3664-5
Stage II

Stage II means that the tumor has spread to the optic nerve or the sclera, which is the white part of the eye. Patients with this stage need adjuvant chemotherapy and possibly radiation therapy.

 2 LA3661-1
Stage III

means that the cancer has spread to the lymph nodes or the bony cavity that surrounds the eyeball. It is divided into two substages called stage IIIa and stage IIIb, depending on where the tumor has spread. The treatment for this stage involves both chemotherapy and radiation therapy.

 3 LA3657-9
Stage IV

In stage IV, the tumor has spread to distant areas of the body outside the eye, via the lymphatic system and blood vessels. Stage IV is divided into substages of IVa and IVb. Stage IVb is further divided into IVb1, IVb2, and IVb3, depending on the location of the spread. This stage of extraocular retinoblastoma is treated with high-dose chemotherapy followed by stem cell rescue.

 4 LA3651-2
UnknownCopyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) UNK LA4489-6

Basic Attributes

Class
EYE.HX.NEI
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Clasificación del retinoblastoma extraocular ^ en la etapa final de la enfermedad:Clase:Punto temporal:Ojo derecho:Ordinal:Reese-Ellsworth system
it-IT Italian (Italy) Classificazione del retinoblastoma extraoculare^allo stadio finale di malattia:Classe:Pt:Occhio.destro:Ord:Reese-Ellsworth, sistema
Synonyms: Concetti storia NEI eyeGENE Fase Occhio Occhio Destro Punto nel tempo (episodio) Sistema Reese-Ellsworth;Sistema di classificazione Reese-Ellsworth Stadio della malattia
zh-CN Chinese (China) 眼外视网膜母细胞瘤分类^最终疾病分期时:分类:时间点:眼睛.右侧:序数型:Reese-Ellsworth 系统
Synonyms: R Reese-Ellsworth 分期系统;Reese-Ellsworth 分期体系;里斯-埃尔斯沃思分期系统;里斯-埃尔斯沃思分期系统;里斯（瑞茜、里瑟、李斯）-埃尔斯沃思分期系统 RT 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 分级;阶段;时期 右 右侧（Right，R，RT） 右侧的 右侧眼睛;右眼 右向 右向的 右边 右边的 向右 向右的 族;种类;等;类;类别;级;纲;组 时刻;随机;随意;瞬间 最终（最后）疾病分期（阶段、分级）时（的时候）;疾病终末期（晚期、末期）时（的时候）;终末疾病分期（阶段、分级）时（的时候） 疾 疾病阶段 病 症 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼外（眼外期）视网膜母细胞瘤（成视网膜细胞瘤、视网膜神经胶质瘤、眼癌、视网膜胚细胞瘤、视网膜母细胞肿瘤、视网膜胚母细胞瘤）分类 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 眼科学与视力测定变量.病史（眼科病史、眼睛病史、眼部病史、HX）.NEI;NEI eyeGENE''s eye history concepts;NEI eyeGENE 病史（眼科病史、眼睛病史、眼部病史、HX）概念

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