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), 2021. Published by Science Publishing Group |
Retinoblastoma, Intraocular Mass, Leukocoria, Echography and Enucleation
[1] | Sengupta S, Pan U, Ketan K. Adult onset retinoblastoma. Indian J Ophthalmol. 2016; 64 (7): 486–491. https://doi.org/10.4103/0301-4738.190099. |
[2] | Zhou L, Zhu XH, Zhang K, et al. Case report: Adult retinoblastoma progression in 19 months. Optom Vis Sci. 2020; 97 (11): 1010–1016. https://doi.org/10.1097/OPX.0000000000001602. |
[3] | Wells JR, Aaberg TM, Shields CL, et al. Retinoblastoma in a 48-year-old woman. Retin. Cases Brief Rep. 2011; 5 (1): 22–25. https://doi.org/10.1097/ICB.0b013e3181e17fa6. |
[4] | Shields CL, Shields JA, Shah P. Retinoblastoma in older children. Ophthalmology. 1991; 98: 395–399. https://doi.org/10.1016/s0161-6420(91)32283-8. |
[5] | Biwas J, Mani B, Shanmugam MP, et al. Retinoblastoma in adults. Report of three cases and review of the literature. Surv ophthalmol. 2000; 44 (5): 409–414. https://doi.org/10.1016/S0039-6257(99)00132-0. |
[6] | Nork TM, Millecchia LL, De Venecia GB, et al. Immunochytochemical features of retinoblastoma in an adult. Arch Ophthalmol. 1996; 114 (11): 1402–1406. https://doi.org/10.1001/archopht.1996.01100140602013. |
[7] | Rashead SA, Elkhamary SM, Sheikh OA, et al. Adult presentation of retinoblastoma in Saudi patient. Saudi J Ophthalmol. 2020; 34 (2): 136–138. https://doi.org/10.4103/1319-4534.305046. |
[8] | De jong P, Mooy CM, Stoter G, et al. Late-onset retinoblastoma in a well-functioning fellow eye. Ophthalmology. 2006; 113 (6): 1040–1044. https://doi.org/10.1016/j.ophtha.2006.02.047. |
[9] | Odashiro AN, Pereira PR, Filho JP, et al. Retinoblastoma in an adult: case report and literature review. Can J Ophthalmol. 2005; 40 (2): 188–191. https://doi.org/10.1016/S0008-4182(05)80032-8. |
[10] | Hernandez I, Rios D, Lome C, et al. Retinoblastoma in the adolescent. Unusual clinical and histopathology findings. Arch Soc Esp Oftalmol. 2016; 91 (3): 149–152. https://doi.org/10.1016/j.oftal.2015.12.007. [Spanish, English]. |
[11] | Mietz H, Hutton WL, Front RL. Unilateral retinoblastoma in an adult. Ophthalmology. 1997; 104 (1): 43–47. https://doi.org/10.1016/s0161-6420(97)30363-7. |
[12] | Singh SK, Das D, Bhattacharjee H, et al. A rare case of adult onset retinoblastoma. Oman J Ophthalmol. 2011; (4) 1: 25–27. https://doi.org/10.4103/0974-620X.77659. |
[13] | Sharifzadeh M, Ghassemi F, Amoli FA, et al. Retinoblastoma in adults: a case report and literature review. J Ophthalmic Vis Res. 2014; 9 (3): 388–391. https://doi.org/10.4103/2008-322X.143382. |
[14] | Khetan V, Bindu A, Kamat P, et al. Failure of globe conservation in a case of adult onset retinoblastoma. Middle East Afr J Ophthalmol. 2014; 21 (4): 358–360. https://doi.org/10.4103/0974-9233.142280. |
[15] | Kalikili S, Shields CL, Gupta A, et al. Newly diagnosed active retinoblastoma in adults. Retina. 2015; 35 (12): 2483–2488. https://doi.org/10.1097/IAE.0000000000000612. |
[16] | Riazi-Esfahani H, Masoomian B, Ghassemi F. Intra-arterial chemotherapy: New hope for adult retinoblastoma treatment – A case report and brief review. Case reports in ophthalmological Medicine. 2021; 2021: 6639900. https://doi.org/10.1155/2021/6639900. |
[17] | McMahon JF, Jabbour P, Shields CL. Retinoblastoma in a 23-year-old adult treated with primary intra-arterial and intravitreal chemotherapy. Oman J Ophthalmol. 2019; 12 (2): 119–121. https://doi.org/10.4103/ojo.OJO_162_2018. |
[18] | Magan T, Khoo CT, Jabbour PM, et al. Intra-arterial chemotherapy for adult onset retino- blastoma in a 32-year-old man. Journal of Pediatric Ophthalmology and Strabismus. 2016; 53: e43–e46. https://doi.org/10.3928/01913913-20160722-01. |
APA Style
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
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
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
@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} }
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 PY - 2021 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 -