Page 141 - NAME OF CONDITION: REFRACTIVE ERRORS

2. High dose chemotherapy for 3-6 cycles, followed by enucleation or
extended enucleation, external beam radiotherapy, and continued

chemotherapy for 12 cycles

F. Regional Lymph Node Metastasis, International Staging, Stage IIIB
1. Baseline evaluation for systemic metastasis

2. Neck dissection, high dose chemotherapy for 6 cycles, followed by
external beam radiotherapy, and continued chemotherapy for 12
cycles

G. Hematogenous or Central Nervous System Metastasis, International Staging,

Stage IV
Palliative therapy in discussion with the family

Standard Operating Procedure
a. In-Patient :
 Admit patients for surgery and chemotherapy

 Admit patients with complications following chemotherapy

b. Out Patient: All older children who can cooperate for examination
c. Day Care: All children undergoing examination under anesthesia and focal
treatment.

c) Referral criteria: not applicable

VI. WHO DOES WHAT? AND TIMELINES

a. Doctor :

 Patient history is taken and a clinical examination performed
 Documenting the medical record
 Plan treatment guidelines and perform surgery if necessary.
 Awareness of public and medical personnel

b. Nurse/Technician:

 Perform lab tests
 To monitor the patients who are admitted
 To maintain separate inpatient and outpatient record

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