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{{Retinoblastoma}}
{{Retinoblastoma}}
==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 is caused by a mutation in the ''RB1'' gene.


==Causes==
==Causes==
:* Retinoblastoma is caused by a mutation in a gene controlling cell division, causing cells to grow out of control and become cancerous.
*In children with the heritable genetic form of retinoblastoma there is a mutation on chromosome 13, called the ''RB1'' gene. The genetic codes found in chromosomes control the way in which cells grow and develop within the body.<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.
If a portion of the code is missing or altered (mutation) a cancer may develop. 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.
:* 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 cancer generally affects children under the age of 6. It is most commonly diagnosed in children aged 1 - 2 years.
*The development of retinoblastoma can be explained by the two-hit model. According to the two-hit model, two events are necessary for the retinal cell or cells to develop into tumors. The first mutational event can be inherited (germline or constitutional) and would then be present in all cells in the body. The second “hit” results in the loss of the remaining normal allele (gene) and occurs within a particular retinal cell. In the sporadic, nonheritable form of retinoblastoma, both mutational events occur within a single retinal cell after fertilization (somatic events), resulting in unilateral retinoblastoma.
:* Retinoblastoma occurs in heritable and nonheritable forms
 
:* A child is thought to have the heritable form of retinoblastoma when one of the following is true:
*Somatic amplification of the MYCN oncogene is responsible for some cases of non-hereditary, early-onset, aggressive, unilateral retinoblastoma.  
:::* There is a family history of retinoblastoma.
 
:::* 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==

Revision as of 20:46, 10 October 2015

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

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Overview

Retinoblastoma is caused by a mutation in the RB1 gene.

Causes

  • In children with the heritable genetic form of retinoblastoma there is a mutation on chromosome 13, called the RB1 gene. The genetic codes found in chromosomes control the way in which cells grow and develop within the body.[1]

If a portion of the code is missing or altered (mutation) a cancer may develop. 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.

  • The development of retinoblastoma can be explained by the two-hit model. According to the two-hit model, two events are necessary for the retinal cell or cells to develop into tumors. The first mutational event can be inherited (germline or constitutional) and would then be present in all cells in the body. The second “hit” results in the loss of the remaining normal allele (gene) and occurs within a particular retinal cell. In the sporadic, nonheritable form of retinoblastoma, both mutational events occur within a single retinal cell after fertilization (somatic events), resulting in unilateral retinoblastoma.
  • Somatic amplification of the MYCN oncogene is responsible for some cases of non-hereditary, early-onset, aggressive, unilateral 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.


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