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Case Report: Adult Retinoblastoma Progression in 19 Months.

Liang Zhou1, Xiao-Hua Zhu1, Ke Zhang2

  • 1Department of Ophthalmology, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
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Adult onset retinoblastoma is exceptionally rare, often misdiagnosed due to atypical presentations. This case highlights the importance of considering this rare intraocular malignancy in adults, even with delayed presentation.

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Area of Science:

  • Ophthalmology
  • Pediatric Oncology
  • Medical Diagnostics

Background:

  • Retinoblastoma is the most common pediatric intraocular cancer.
  • Adult onset retinoblastoma is exceedingly rare, with atypical presentations often leading to misdiagnosis.
  • Early detection and accurate diagnosis are crucial for managing intraocular malignancies.

Observation:

  • A 34-year-old woman presented with a 19-month history of an intraocular mass.
  • Clinical examination revealed a whitish-pink retinal mass with vascular leakage on angiography.
  • Ultrasound confirmed an enlarging intraocular mass without calcification.

Findings:

  • The patient underwent enucleation due to the tumor's atypical features and delayed presentation.
  • Histopathology confirmed the diagnosis of retinoblastoma in the enucleated eye.
  • The tumor exhibited rapid growth and malignant features necessitating prompt intervention.

Implications:

  • Adult onset retinoblastoma requires differentiation from other retinal tumors like primitive neuroectodermal tumors.
  • Eye care practitioners must maintain awareness of adult retinoblastoma possibilities.
  • While tumors can grow rapidly, needle biopsy is not recommended for diagnosis.