Retinoblastoma pathophysiology: Difference between revisions

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===Morphology===
===Morphology===
Gross and microscopic appearances of retinoblastoma are identical in both hereditary and sporadic types. Macroscopically, viable tumor cells are found near blood vessels, while zones of necrosis are found in relatively avascular areas. Microscopically, both undifferentiated and differentiated elements may be present. Undifferentiated elements appear as collections of small, round cells with hyperchromatic nuclei; differentiated elements include Flexner-Wintersteiner rosettes, Homer-Wright rosettes and fluerettes from photoreceptor differentiation.
'''Gross appearance'''
 
Gross and microscopic appearances of retinoblastoma are identical in both hereditary and sporadic types. Macroscopically, viable tumor cells are found near blood vessels, while zones of necrosis are found in relatively avascular areas.
<gallery>
'''Microscopic appearance'''
Image:Wardrop retinoblastoma.jpg|Drawing of a large retinoblastoma
Microscopically, both undifferentiated and differentiated elements may be present. Undifferentiated elements appear as collections of small, round cells with hyperchromatic nuclei; differentiated elements include Flexner-Wintersteiner rosettes, Homer-Wright rosettes and fluerettes from photoreceptor differentiation.
Image:Trilateral retinoblastoma.jpg|Aspect of trilateral retinoblastoma on MRI
Image:Retinoblastoma ultrasound.jpg|An ocular ultrasound of a large retinoblastoma tumor within the eye of a three-year-old boy
Image:Retinoblastooma.jpg|Funduscopic finding of a retinoblastoma
Image:Fundus retinoblastoma.jpg|Ocular fundus aspect of retinoblastoma
Image:Retinoblastoma_in_enucleated_eyeball.jpg|Gross pathology of retinoblastoma tumor in enucleated eye of three-year-old female
Image:Retinoblastoma .jpg|Large exophytic white tumor with foci of calcification producing total exudative retinal detachment
Image:Retinoblastoma rosette.jpg|Flexner-Wintersteiner rosettes in Retinoblatoma
Image:Rtbl400.GIF|Retinoblastoma, 400 X magnification
Image:RB1.JPG|Crystal structure of the Retinoblastoma tumour suppressor protein bound to E2F peptide Polymer.
</gallery>


==See also==
==See also==

Revision as of 17:40, 4 September 2015

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

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Overview

Morphology

Gross appearance Gross and microscopic appearances of retinoblastoma are identical in both hereditary and sporadic types. Macroscopically, viable tumor cells are found near blood vessels, while zones of necrosis are found in relatively avascular areas. Microscopic appearance Microscopically, both undifferentiated and differentiated elements may be present. Undifferentiated elements appear as collections of small, round cells with hyperchromatic nuclei; differentiated elements include Flexner-Wintersteiner rosettes, Homer-Wright rosettes and fluerettes from photoreceptor differentiation.

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