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==Overview==
==Overview==
*'''Retinoblastoma''' is a [[cancer]] of the [[retina]]. In children with the heritable genetic form of retinoblastoma there is a mutation on chromosome 13, called the RB1 gene.The defective RB1 gene can be inherited from either parent; in some children, however, the mutation occurs in the early stages of fetal development. Inheritance is autosomal dominant with 90% penetrance.
Retinoblastoma may be caused by [[mutation]] in both [[Allele|alleles]] of [[RB1]] [[tumor suppressor gene]] or due to [[somatic]] amplification of the ''MYCN'' [[oncogene]].
 
==Causes==
==Causes==
:* Retinoblastoma is caused by a mutation in a gene controlling cell division, causing cells to grow out of control and become cancerous.
'''[[Heritable]] Retinoblastoma'''
:* In a little over half of the cases, this mutation develops in a child whose family has never had eye cancer.
*In [[Child|children]] with the [[heritable]] [[genetic]] form of retinoblastoma, there is a [[mutation]] of ''[[RB1]]'' [[gene]] on [[chromosome 13]].<ref name="DuPogoriler2006">{{cite journal|last1=Du|first1=W|last2=Pogoriler|first2=J|title=Retinoblastoma family genes|journal=Oncogene|volume=25|issue=38|year=2006|pages=5190–5200|issn=0950-9232|doi=10.1038/sj.onc.1209651}}</ref>
:* Other times the mutation is present in several family members. If the mutation runs in the family, there is a 50% chance that an affected person's children will also have the mutation. They will therefore have a high risk of developing retinoblastoma themselves.
*[[Somatic]] amplification of the ''MYCN'' [[oncogene]] is responsible for some cases of [[Heredity|non-hereditary]], early-onset, aggressive, and unilateral retinoblastoma.
:* The cancer generally affects children under the age of 6. It is most commonly diagnosed in children aged 1 - 2 years.
'''Sporadic Heritable Retinoblastoma'''
:* '''Retinoblastoma occurs in heritable and nonheritable forms'''.
*The exact cause of the sporadic [[Heritability|heritable]] form of the [[disease]] is still unclear.
:: A child is thought to have the heritable form of retinoblastoma when one of the following is true:
*Since the sporadic form of retinoblastoma occurs due to a new [[germline mutation]], it should occur before [[conception]]. For this reason, [[Conception|preconception]] exposure to [[Mutagen|mutagens]] is [[Hypothesis|hypothesized]] to be a potential [[risk factors|risk factor]].<ref>{{cite book | last = Singh | first = Arun | title = Clinical ophthalmic oncology | publisher = Elsevier Saunders | location = Edinburgh | year = 2007 | isbn = 978-1-4160-3167-3 }}</ref>
:::* There is a family history of retinoblastoma.
*[[13q deletion syndrome]] may also cause retinoblastoma. However, the [[tumor]] tends to occur at a later age and unilaterally.<ref name="ClarkAvishay2015">{{cite journal|last1=Clark|first1=Robin D.|last2=Avishay|first2=Stefanie G.|title=Retinoblastoma: Genetic Counseling and Testing|year=2015|pages=77–88|doi=10.1007/978-3-662-43451-2_8}}</ref>
:::* There is a certain mutation (change) in the RB1 gene. The mutation in the RB1 gene may be passed from the parent to the child or it may occur at the time of conception.
:::* There is more than one tumor in the eye or there is a tumor in both eyes.
:::* There is a tumor in one eye and the child is younger than 1 year.
:: After diagnosis and treatment in a child with heritable retinoblastoma, new tumors may continue to form for a few years. Regular eye exams to check for new tumors are usually done every 2 to 4 months for at least 28 months.
::* Nonheritable retinoblastoma is retinoblastoma that is not the heritable form. Most cases of retinoblastoma are the nonheritable form.
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}
<references/>
 
==See also==
*[[Eye cancer]]
*[[Eye examination]]
 
 
{{Nervous tissue tumors}}
 
[[Category:Ophthalmology]]
[[Category:Types of cancer]]
[[Category:hereditary cancers]]
[[Category:Oncology stub]]


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Latest revision as of 23:59, 29 July 2020

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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]

Overview

Retinoblastoma may be caused by mutation in both alleles of RB1 tumor suppressor gene or due to somatic amplification of the MYCN oncogene.

Causes

Heritable Retinoblastoma

Sporadic Heritable Retinoblastoma

References

  1. Du, W; Pogoriler, J (2006). "Retinoblastoma family genes". Oncogene. 25 (38): 5190–5200. doi:10.1038/sj.onc.1209651. ISSN 0950-9232.
  2. Singh, Arun (2007). Clinical ophthalmic oncology. Edinburgh: Elsevier Saunders. ISBN 978-1-4160-3167-3.
  3. Clark, Robin D.; Avishay, Stefanie G. (2015). "Retinoblastoma: Genetic Counseling and Testing": 77–88. doi:10.1007/978-3-662-43451-2_8.