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Coexistence or a related condition: an infant with retinoblastoma and Gaucher disease
Burcu Berberoğlu-Ateş1, Ali Varan2, Hülya Demir1
1Departments of Pediatric Gastroenterology, Hepatology and Nutrition Hacettepe University Faculty of Medicine, Ankara, Turkey.
Insights
This case study reports the first instance of an infant diagnosed with both retinoblastoma and Gaucher disease. The findings suggest a potential link, warranting vigilance for malignancies in Gaucher disease patients.
Area of Science:
- * Pediatrics
- * Oncology
- * Genetic Disorders
Background:
- * Gaucher disease (GD) is an inherited lysosomal storage disorder caused by mutations in the glucocerebrosidase gene, leading to enzyme deficiency.
- * Common manifestations of GD include enlarged liver and spleen, low blood counts, and bone and lung issues.
- * Retinoblastoma is a childhood eye cancer originating in the retina, often associated with mutations in the RB1 gene.
Observation:
- * A 2-month-old infant was diagnosed with retinoblastoma.
- * The same infant was later diagnosed with Gaucher disease at 11 months of age.
- * This represents the first reported case of co-occurring retinoblastoma and Gaucher disease.
Findings:
- * The study documents a rare co-occurrence of retinoblastoma and Gaucher disease in an infant.
- * This case highlights a potential, previously unreported association between these two conditions.
- * The findings suggest that malignancies should be considered during the monitoring of Gaucher disease patients.
Implications:
- * This case may prompt further research into the potential relationship between Gaucher disease and cancer development.
- * Increased awareness of this association could lead to earlier detection of malignancies in children with Gaucher disease.
- * The findings underscore the importance of comprehensive diagnostic evaluations in pediatric patients presenting with complex or unusual symptom constellations.
Abstract:
Berberoğlu-Ateş B, Varan A, Demir H, Akyüz C, Yüce A. Coexistence or a related condition: an infant with retinoblastoma and Gaucher disease. Turk J Pediatr 2019; 61: 449-452. Gaucher disease (GD) is the most prevalant lysosomal lipid storage disease that results from loss of function of acid β-glucosidase due to mutations in the glucocerebrosidase gene. Common features of all types of GD include hepatosplenomegaly, cytopenia, and various patterns of bone and lung involvement. Retinoblastoma is a malignant tumor of the developing retina that occurs in children, typically before the age of five. Retinoblastoma develops from cells that have cancer-predisposing variants in both copies of RB1. The association between GD and retinoblastoma has not been reported until now. Here we report the case that was diagnosed with, retinoblastoma at the age of 2 months and then GD at the age of 11 months. Although there are controversies concerning the association between GD and cancer; malignancies should be kept in mind during GD patients follow up.
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