Retinoblastoma history and symptoms: Difference between revisions

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==Symptoms==
==Symptoms==


*[[Leucokoria]]: lack of red reflex of the eye in large tumors, [[retinal detachment]], retrolental mass or [[vitreous opacification]] due to tumor cells '''which is often noticed by the mother or family members'''.
*[[Leucokoria]](Cat's eye): lack of red reflex of the eye in large tumors, [[retinal detachment]], retrolental mass or [[vitreous opacification]] due to tumor cells '''which is often noticed by the mother or family members'''.
*[[Strabismus]]: disruption of fusional reflex due to loss of central vision from a tumor in the macula.
*[[Strabismus]](Lazy eye): disruption of fusional reflex due to loss of central vision from a tumor in the macula.
*[[Rubeosis iridis]]: seen in advanced cases due to extensive tumor necrosis due to ischemia releasing angiogenic factors causing neovascularisation.
*[[Rubeosis iridis]]: seen in advanced cases due to extensive tumor necrosis due to ischemia releasing angiogenic factors causing neovascularisation.



Revision as of 14:14, 29 May 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Retinoblastoma is a cancer of the retina. Development of this tumor is initiated by mutations[1] that inactivate both copies of the RB1 gene, which codes for the retinoblastoma protein.[2]

Symptoms

  • Leucokoria(Cat's eye): lack of red reflex of the eye in large tumors, retinal detachment, retrolental mass or vitreous opacification due to tumor cells which is often noticed by the mother or family members.
  • Strabismus(Lazy eye): disruption of fusional reflex due to loss of central vision from a tumor in the macula.
  • Rubeosis iridis: seen in advanced cases due to extensive tumor necrosis due to ischemia releasing angiogenic factors causing neovascularisation.

The other rare clinical features are Heterochromia(differences in iris colour), Anisocoria(differences in pupil size),Spontaneous hyphema in the absence of trauma, Glaucoma, Pseudohypopyon(seeding of AC in endophytic or diffuse infiltrating tumors), Pain(due to glaucoma or inflammation),Proptosisetc.,

References

  1. Knudson A (1971). "Mutation and cancer: statistical study of retinoblastoma". Proc Natl Acad Sci U S A. 68 (4): 820–3. PMID 5279gadgqetqer523 Check |pmid= value (help).
  2. Friend S, Bernards R, Rogelj S, Weinberg R, Rapaport J, Albert D, Dryja T. "A human DNA segment with properties of the gene that predisposes to retinoblastoma and osteosarcoma". Nature. 323 (6089): 643–6. PMID 2877398.

See also


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