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{{Retinoblastoma}}
{{Retinoblastoma}}
==Overview==
==Overview==
Risk factors associated with the development of retinoblastoma are mutation in RB1 gene, a positive [[family history]] of retinoblastoma, living in areas with high incidence rate of the disease, HPV viral exposure and other environmental factors.
[[Risk factors]] associated with the development of [[retinoblastoma]] are [[mutation]] in [[RB1 gene]], a positive [[family history]] of [[retinoblastoma]], living in areas with high [[incidence rate]] of the [[disease]], [[HPV]] viral exposure and other environmental factors.
==Risk Factors==
==Risk Factors==
'''Genetic mutations'''
'''Genetic mutations'''
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**[[Fragile-X Syndrome|Fragile x syndrome]]
**[[Fragile-X Syndrome|Fragile x syndrome]]
'''Family history'''
'''Family history'''
*Approximately 10% of patients with retinoblastoma have a previously established [[family history]] of the disease.<ref name="RichterVandezande2003">{{cite journal|last1=Richter|first1=Suzanne|last2=Vandezande|first2=Kirk|last3=Chen|first3=Ning|last4=Zhang|first4=Katherine|last5=Sutherland|first5=Joanne|last6=Anderson|first6=Julie|last7=Han|first7=Liping|last8=Panton|first8=Rachel|last9=Branco|first9=Patricia|last10=Gallie|first10=Brenda|title=Sensitive and Efficient Detection of RB1 Gene Mutations Enhances Care for Families with Retinoblastoma|journal=The American Journal of Human Genetics|volume=72|issue=2|year=2003|pages=253–269|issn=00029297|doi=10.1086/345651}}</ref>
*Approximately 10% of [[patients]] with [[retinoblastoma]] have a previously established [[family history]] of the disease.<ref name="RichterVandezande2003">{{cite journal|last1=Richter|first1=Suzanne|last2=Vandezande|first2=Kirk|last3=Chen|first3=Ning|last4=Zhang|first4=Katherine|last5=Sutherland|first5=Joanne|last6=Anderson|first6=Julie|last7=Han|first7=Liping|last8=Panton|first8=Rachel|last9=Branco|first9=Patricia|last10=Gallie|first10=Brenda|title=Sensitive and Efficient Detection of RB1 Gene Mutations Enhances Care for Families with Retinoblastoma|journal=The American Journal of Human Genetics|volume=72|issue=2|year=2003|pages=253–269|issn=00029297|doi=10.1086/345651}}</ref>
*The magnitude of risk among offspring of the proband depends upon the [[tumor]] presentation in the proband (ie, unilateral or bilateral) and the relationship of the individual to the patient with retinoblastoma.
*The magnitude of risk among offspring of the proband depends upon the [[tumor]] presentation in the proband (ie, unilateral or [[bilateral]]) and the relationship of the individual to the patient with retinoblastoma.
*The table below provides the estimated risk of developing retinoblastoma in individuals with a positive family history of retinoblastoma.
*The table below provides the estimated risk of developing [[retinoblastoma]] in individuals with a positive [[family history]] of [[retinoblastoma]].
{| border="3"
{| border="3"
|+ Risk of carrying [[mutated]] [[gene]] in the relatives of a patient with [[retinoblastoma]] (Patient)(%)
|+ Risk of carrying [[mutated]] [[gene]] in the relatives of a patient with [[retinoblastoma]] (Patient)(%)
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|}
|}
'''HPV virus exposure'''
'''HPV virus exposure'''
*The presence of [[HPV]] sequences in retinoblastoma [[tumor]] tissue may play a role in the development of sporadic [[retinoblastoma]].<ref name="pmid11051250">{{cite journal| author=Orjuela M, Castaneda VP, Ridaura C, Lecona E, Leal C, Abramson DH et al.| title=Presence of human papilloma virus in tumor tissue from children with retinoblastoma: an alternative mechanism for tumor development. | journal=Clin Cancer Res | year= 2000 | volume= 6 | issue= 10 | pages= 4010-6 | pmid=11051250 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11051250  }} </ref>
*The presence of [[HPV]] sequences in [[retinoblastoma]] [[tumor]] tissue may play a role in the development of sporadic [[retinoblastoma]].<ref name="pmid11051250">{{cite journal| author=Orjuela M, Castaneda VP, Ridaura C, Lecona E, Leal C, Abramson DH et al.| title=Presence of human papilloma virus in tumor tissue from children with retinoblastoma: an alternative mechanism for tumor development. | journal=Clin Cancer Res | year= 2000 | volume= 6 | issue= 10 | pages= 4010-6 | pmid=11051250 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11051250  }} </ref>
*There is evidence suggesting that the [[mutations]] of ''[[RB1]]'' are more common during [[spermatogenesis]] than [[oogenesis]].<ref name="DryjaMukai1989">{{cite journal|last1=Dryja|first1=Thaddeus P.|last2=Mukai|first2=Shizuo|last3=Petersen|first3=Robert|last4=Rapaport|first4=Joyce M.|last5=Walton|first5=David|last6=Yandell|first6=David W.|title=Parental origin of mutations of the retinoblastoma gene|journal=Nature|volume=339|issue=6225|year=1989|pages=556–558|issn=0028-0836|doi=10.1038/339556a0}}</ref>
*There is evidence suggesting that the [[mutations]] of ''[[RB1]]'' are more common during [[spermatogenesis]] than [[oogenesis]].<ref name="DryjaMukai1989">{{cite journal|last1=Dryja|first1=Thaddeus P.|last2=Mukai|first2=Shizuo|last3=Petersen|first3=Robert|last4=Rapaport|first4=Joyce M.|last5=Walton|first5=David|last6=Yandell|first6=David W.|title=Parental origin of mutations of the retinoblastoma gene|journal=Nature|volume=339|issue=6225|year=1989|pages=556–558|issn=0028-0836|doi=10.1038/339556a0}}</ref>
'''Environmental factors'''
'''Environmental factors'''
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[[Category:Medicine]]
[[Category:Medicine]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Up-To-Date]]​
[[Category:Up-To-Date]]
[[Category:Primary care]]
[[Category:Primary care]]
[[Category:Surgery]]
[[Category:Surgery]]

Revision as of 19:50, 17 May 2019


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2] Sahar Memar Montazerin, M.D.[3]

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Overview

Risk factors associated with the development of retinoblastoma are mutation in RB1 gene, a positive family history of retinoblastoma, living in areas with high incidence rate of the disease, HPV viral exposure and other environmental factors.

Risk Factors

Genetic mutations

Family history

Risk of carrying mutated gene in the relatives of a patient with retinoblastoma (Patient)(%)
Relative of patient Bilateral involvement (100%) Unilateral involvement (15%)
Offspring (infant) 50 7.5
Parent 5 0.8
Sibling 2.5 0.4
Niece/nephew 1.3 0.2
Aunt/uncle 0.1 0.007
First cousin 0.05 0.007
The above table adopted from Ophthalmology journal [3]

HPV virus exposure

Environmental factors

References

  1. Clark, Robin D.; Avishay, Stefanie G. (2015). "Retinoblastoma: Genetic Counseling and Testing": 77–88. doi:10.1007/978-3-662-43451-2_8.
  2. Richter, Suzanne; Vandezande, Kirk; Chen, Ning; Zhang, Katherine; Sutherland, Joanne; Anderson, Julie; Han, Liping; Panton, Rachel; Branco, Patricia; Gallie, Brenda (2003). "Sensitive and Efficient Detection of RB1 Gene Mutations Enhances Care for Families with Retinoblastoma". The American Journal of Human Genetics. 72 (2): 253–269. doi:10.1086/345651. ISSN 0002-9297.
  3. Skalet, Alison H.; Gombos, Dan S.; Gallie, Brenda L.; Kim, Jonathan W.; Shields, Carol L.; Marr, Brian P.; Plon, Sharon E.; Chévez-Barrios, Patricia (2018). "Screening Children at Risk for Retinoblastoma". Ophthalmology. 125 (3): 453–458. doi:10.1016/j.ophtha.2017.09.001. ISSN 0161-6420.
  4. Orjuela M, Castaneda VP, Ridaura C, Lecona E, Leal C, Abramson DH; et al. (2000). "Presence of human papilloma virus in tumor tissue from children with retinoblastoma: an alternative mechanism for tumor development". Clin Cancer Res. 6 (10): 4010–6. PMID 11051250.
  5. Dryja, Thaddeus P.; Mukai, Shizuo; Petersen, Robert; Rapaport, Joyce M.; Walton, David; Yandell, David W. (1989). "Parental origin of mutations of the retinoblastoma gene". Nature. 339 (6225): 556–558. doi:10.1038/339556a0. ISSN 0028-0836.
  6. Singh, Arun (2007). Clinical ophthalmic oncology. Edinburgh: Elsevier Saunders. ISBN 978-1-4160-3167-3.