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Unilateral Retinoblastoma Presentation in a Latin-American Teenager: A Case Report and Literature Review

Received: 2 December 2021    Accepted: 20 December 2021    Published: 29 December 2021
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Abstract

Background: Retinoblastoma is the most common intraocular mass in children—typically presenting in infants under 5 years of age—with a mean age of 24 months in unilateral cases, and 12 months in bilateral cases. Late-onset retinoblastoma and its presentation in adults is extremely rare; however, it should always be considered for the differential diagnosis of an intraocular mass originating from the retina. Due to the life-threatening nature of this disease, early diagnosis and prompt treatment are crucial for a good prognosis. Objective: A tumor case presentation and multidisciplinary study of a female young adult. Method: A case presentation study of a Hispanic teenager with a unilateral retinoblastoma and vitreous exudation resembling a large snowbank. The patient underwent complete ophthalmological examination and subsequent enucleation, with histopathological confirmation of retinoblastoma accompanied by chemotherapy. Conclusion: Retinoblastoma presenting as an intraocular mass in a young adult should always be considered as a differential diagnosis. Echography is crucial to obtaining a diagnosis, as well as dictating precise and adequate treatment. We review the literature regarding cases of retinoblastoma, demonstrating that most exhibited differentiated characteristics and were sporadic in nature; in most cases, the eye could not be saved. Review of late-onset retinoblastomas was therefore conducted to enrich our existing knowledge, as well as to prevent making the same mistakes when facing a similar difficult diagnosis.

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 4)
DOI 10.11648/j.ijovs.20210604.23
Page(s) 267-272
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Retinoblastoma, Intraocular Mass, Leukocoria, Echography and Enucleation

References
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    Erick Andres Quiroz-Gonzalez, Miguel Angel Quiroz-Reyes, Cristina Gonzalez-Gonzalez, Roberto Loaeza-Castrejon, Luis Haro-Morlett, et al. (2021). Unilateral Retinoblastoma Presentation in a Latin-American Teenager: A Case Report and Literature Review. International Journal of Ophthalmology & Visual Science, 6(4), 267-272. https://doi.org/10.11648/j.ijovs.20210604.23

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    ACS Style

    Erick Andres Quiroz-Gonzalez; Miguel Angel Quiroz-Reyes; Cristina Gonzalez-Gonzalez; Roberto Loaeza-Castrejon; Luis Haro-Morlett, et al. Unilateral Retinoblastoma Presentation in a Latin-American Teenager: A Case Report and Literature Review. Int. J. Ophthalmol. Vis. Sci. 2021, 6(4), 267-272. doi: 10.11648/j.ijovs.20210604.23

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    AMA Style

    Erick Andres Quiroz-Gonzalez, Miguel Angel Quiroz-Reyes, Cristina Gonzalez-Gonzalez, Roberto Loaeza-Castrejon, Luis Haro-Morlett, et al. Unilateral Retinoblastoma Presentation in a Latin-American Teenager: A Case Report and Literature Review. Int J Ophthalmol Vis Sci. 2021;6(4):267-272. doi: 10.11648/j.ijovs.20210604.23

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  • @article{10.11648/j.ijovs.20210604.23,
      author = {Erick Andres Quiroz-Gonzalez and Miguel Angel Quiroz-Reyes and Cristina Gonzalez-Gonzalez and Roberto Loaeza-Castrejon and Luis Haro-Morlett and Armando Bautista-Barba and Emiliano Fulda-Graue and Federico Graue-Wiechers},
      title = {Unilateral Retinoblastoma Presentation in a Latin-American Teenager: A Case Report and Literature Review},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {6},
      number = {4},
      pages = {267-272},
      doi = {10.11648/j.ijovs.20210604.23},
      url = {https://doi.org/10.11648/j.ijovs.20210604.23},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210604.23},
      abstract = {Background: Retinoblastoma is the most common intraocular mass in children—typically presenting in infants under 5 years of age—with a mean age of 24 months in unilateral cases, and 12 months in bilateral cases. Late-onset retinoblastoma and its presentation in adults is extremely rare; however, it should always be considered for the differential diagnosis of an intraocular mass originating from the retina. Due to the life-threatening nature of this disease, early diagnosis and prompt treatment are crucial for a good prognosis. Objective: A tumor case presentation and multidisciplinary study of a female young adult. Method: A case presentation study of a Hispanic teenager with a unilateral retinoblastoma and vitreous exudation resembling a large snowbank. The patient underwent complete ophthalmological examination and subsequent enucleation, with histopathological confirmation of retinoblastoma accompanied by chemotherapy. Conclusion: Retinoblastoma presenting as an intraocular mass in a young adult should always be considered as a differential diagnosis. Echography is crucial to obtaining a diagnosis, as well as dictating precise and adequate treatment. We review the literature regarding cases of retinoblastoma, demonstrating that most exhibited differentiated characteristics and were sporadic in nature; in most cases, the eye could not be saved. Review of late-onset retinoblastomas was therefore conducted to enrich our existing knowledge, as well as to prevent making the same mistakes when facing a similar difficult diagnosis.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Unilateral Retinoblastoma Presentation in a Latin-American Teenager: A Case Report and Literature Review
    AU  - Erick Andres Quiroz-Gonzalez
    AU  - Miguel Angel Quiroz-Reyes
    AU  - Cristina Gonzalez-Gonzalez
    AU  - Roberto Loaeza-Castrejon
    AU  - Luis Haro-Morlett
    AU  - Armando Bautista-Barba
    AU  - Emiliano Fulda-Graue
    AU  - Federico Graue-Wiechers
    Y1  - 2021/12/29
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    N1  - https://doi.org/10.11648/j.ijovs.20210604.23
    DO  - 10.11648/j.ijovs.20210604.23
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 267
    EP  - 272
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20210604.23
    AB  - Background: Retinoblastoma is the most common intraocular mass in children—typically presenting in infants under 5 years of age—with a mean age of 24 months in unilateral cases, and 12 months in bilateral cases. Late-onset retinoblastoma and its presentation in adults is extremely rare; however, it should always be considered for the differential diagnosis of an intraocular mass originating from the retina. Due to the life-threatening nature of this disease, early diagnosis and prompt treatment are crucial for a good prognosis. Objective: A tumor case presentation and multidisciplinary study of a female young adult. Method: A case presentation study of a Hispanic teenager with a unilateral retinoblastoma and vitreous exudation resembling a large snowbank. The patient underwent complete ophthalmological examination and subsequent enucleation, with histopathological confirmation of retinoblastoma accompanied by chemotherapy. Conclusion: Retinoblastoma presenting as an intraocular mass in a young adult should always be considered as a differential diagnosis. Echography is crucial to obtaining a diagnosis, as well as dictating precise and adequate treatment. We review the literature regarding cases of retinoblastoma, demonstrating that most exhibited differentiated characteristics and were sporadic in nature; in most cases, the eye could not be saved. Review of late-onset retinoblastomas was therefore conducted to enrich our existing knowledge, as well as to prevent making the same mistakes when facing a similar difficult diagnosis.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Ophthalmology Department, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico. Mexico City, Mexico

  • Ultrasonographic Department, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico. Mexico City, Mexico

  • Ophthalmology Department, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Ophthalmology Department, Institute of Ophthalmology, National Autonomous University of Mexico, Mexico City, Mexico

  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico. Mexico City, Mexico

  • Retina Service, Institute of Ophthalmology, National Autonomous University of Mexico. Mexico City, Mexico

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