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[Unilateral retinoblastomas with late bilateralization. Three case reports]

P Poncet1, C Levy, F Doz

  • 1Service d'Ophtalmologie, Institut Curie, Paris.

Journal Francais D'Ophtalmologie
|October 6, 1998
PubMed
Summary

Unilateral retinoblastoma can rarely affect the second eye years later, even without a family history. This highlights the importance of long-term monitoring for retinoblastoma patients.

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Area of Science:

  • Ophthalmology
  • Pediatric Oncology
  • Genetics

Background:

  • Retinoblastoma is the most common primary intraocular malignancy in children.
  • While often unilateral, bilateral retinoblastoma occurs in approximately 30-40% of cases.
  • Late bilateralization, where the second eye is affected years after the first, is exceptionally rare.

Observation:

  • This study presents three cases of unilateral retinoblastoma that subsequently developed tumors in the fellow eye.
  • Initial diagnoses were made at 3 months, 16 months, and 3 years of age.
  • Tumors in the second eye appeared at ages 16 years (one case) and 5 years (two cases).

Findings:

  • The three cases demonstrate late bilateralization of retinoblastoma, occurring years after the initial unilateral diagnosis and enucleation.

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  • The latency period between initial diagnosis and fellow-eye tumor development varied.
  • These cases occurred in the absence of a known family history of retinoblastoma.
  • Implications:

    • The findings underscore the critical need for extended, long-term surveillance of the fellow eye in all retinoblastoma patients, irrespective of family history.
    • Prolonged monitoring may facilitate early detection of secondary tumors, potentially improving outcomes.
    • This rare presentation warrants further investigation into the underlying mechanisms of late retinoblastoma progression.