Retinoblastoma pathophysiology: Difference between revisions

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==Gross Pathology==
==Gross Pathology==
Macroscopically, viable tumor cells are found near blood vessels, while zones of necrosis are found in relatively avascular areas. Macroscopic  examination reveals a white elevated mass with fine surface vessels. Early retinoblastoma presents as a solitary or multifocal, well-circumscribed translucent mass. The tumor becomes more pink in color, with dilated feeding blood vessels, as the disease advances. The tumor may exhibit three patterns of growth:
Macroscopically, viable tumor cells are found near blood vessels, while zones of necrosis are found in relatively avascular areas. Macroscopic  examination reveals a white elevated mass with fine surface vessels. Early retinoblastoma presents as a solitary or multifocal, well-circumscribed translucent mass. The tumor becomes more pink in color, with dilated feeding blood vessels, as the disease advances. The tumor may exhibit three patterns of growth:
 
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Growth patterns}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Features}}
|-
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:Endophytic
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*Growth occurs inwards into the vitreous
*Cell clusters may detach and float in the vitreous (vitreous seeding)
*Tumor cells can enter the anterior chamber and layer behind the cornea, causing a pseudo-hypopyon.
*Spontaneous necrosis of the tumor can lead to a severe intraocular inflammatory response, presenting as pseudo-endophthalmitis.
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Exophytic
| style="padding: 5px 5px; background: #F5F5F5;" |
*Growth occurs outwards toward choroid
*Associated with non-rhegmatogeneous retinal detachment
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Combined endophytic and exophytic
| style="padding: 5px 5px; background: #F5F5F5;" |
*Mixed components of endophytic and exophytic are seen
|-
|}
==See also==
==See also==
*[[Eye cancer]]
*[[Eye cancer]]

Revision as of 18:20, 10 October 2015

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

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Overview

On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of [disease name]. On microscopic histopathological analysis, [feature1], [feature2], and feature3] are characteristic findings of [disease name].

Gross Pathology

Macroscopically, viable tumor cells are found near blood vessels, while zones of necrosis are found in relatively avascular areas. Macroscopic examination reveals a white elevated mass with fine surface vessels. Early retinoblastoma presents as a solitary or multifocal, well-circumscribed translucent mass. The tumor becomes more pink in color, with dilated feeding blood vessels, as the disease advances. The tumor may exhibit three patterns of growth:

Growth patterns Features
Endophytic
  • Growth occurs inwards into the vitreous
  • Cell clusters may detach and float in the vitreous (vitreous seeding)
  • Tumor cells can enter the anterior chamber and layer behind the cornea, causing a pseudo-hypopyon.
  • Spontaneous necrosis of the tumor can lead to a severe intraocular inflammatory response, presenting as pseudo-endophthalmitis.
Exophytic
  • Growth occurs outwards toward choroid
  • Associated with non-rhegmatogeneous retinal detachment
Combined endophytic and exophytic
  • Mixed components of endophytic and exophytic are seen

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