In vivo growth of retinoblastoma in a newborn infant

Parag K Shah1, V Narendran, N Kalpana

  • 1Pediatric Retina and Ocular Oncology Department, Aravind Eye Hospital & Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.

Insights

Retinoblastoma, a rare childhood eye cancer, requires prompt treatment. This case highlights tumor growth during a one-month delay in chemotherapy for a neonate with jaundice, underscoring the urgency of retinoblastoma diagnosis and management.

Area of Science:

  • Ophthalmology
  • Pediatric Oncology
  • Medical Case Reports

Background:

  • Retinoblastoma is a rare but aggressive childhood retinal malignancy.
  • Early diagnosis and treatment are critical for favorable outcomes.
  • Delayed treatment can lead to tumor progression.

Purpose of the Study:

  • To report a unique case of retinoblastoma in a neonate.
  • To document tumor growth during a treatment delay.
  • To emphasize the importance of timely retinoblastoma management.

Main Methods:

  • Case report of a five-day-old infant diagnosed with retinoblastoma.
  • Observation of tumor progression over one month due to delayed chemotherapy.
  • Chemotherapy initiated after resolution of physiological jaundice.

Main Results:

  • The retinoblastoma tumor demonstrated measurable growth during the one-month delay in treatment.
  • Physiological jaundice necessitated a delay in initiating chemotherapy.
  • Successful chemotherapy was administered upon resolution of jaundice.

Conclusions:

  • This case underscores the rapid growth potential of retinoblastoma.
  • Prompt diagnosis and initiation of treatment are crucial, even in the presence of confounding conditions like neonatal jaundice.
  • Timely intervention is paramount for managing pediatric retinoblastoma effectively.