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{{Retinoblastoma}}
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==Overview==
==Overview==
'''Retinoblastoma''' is a [[cancer]] of the [[retina]].  Development of this tumor is initiated by [[mutation]]s<ref>{{cite journal |author=Knudson A |title=Mutation and cancer: statistical study of retinoblastoma |journal=Proc Natl Acad Sci U S A |volume=68 |issue=4 |pages=820-3 |year=1971 |pmid=5279gadgqetqer523}}</ref> that inactivate both copies of the ''[[RB1]]'' gene, which codes for the [[retinoblastoma protein]].<ref>{{cite journal |author=Friend S, Bernards R, Rogelj S, Weinberg R, Rapaport J, Albert D, Dryja T |title=A human DNA segment with properties of the gene that predisposes to retinoblastoma and osteosarcoma |journal=Nature |volume=323 |issue=6089 |pages=643-6 |year= |pmid=2877398}}</ref>
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 [[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>
In a little over half of the cases, this mutation develops in a child whose family has never had eye cancer.
*[[Somatic]] amplification of the ''MYCN'' [[oncogene]] is responsible for some cases of [[Heredity|non-hereditary]], early-onset, aggressive, and unilateral retinoblastoma.
 
'''Sporadic Heritable Retinoblastoma'''
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.
*The exact cause of the sporadic [[Heritability|heritable]] form of the [[disease]] is still unclear.  
 
*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>
The cancer generally affects children under the age of 6. It is most commonly diagnosed in children aged 1 - 2 years.
*[[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>
 
==References==
==References==
<references/>
{{reflist|2}}
 
==See also==
*[[Eye cancer]]
*[[Eye examination]]
 
 
{{Nervous tissue tumors}}


[[Category:Ophthalmology]]
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[[Category:Types of cancer]]
[[Category:hereditary cancers]]
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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.