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Retinoblastoma

Last reviewed: 30 Nov 2025
Last updated: 28 Jan 2025

Summary

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • age <3 years
  • leukocoria (white pupillary reflex)
  • strabismus
  • positive family history
  • orbital pseudocellulitis
  • 13q syndrome
Полная информация

Другие диагностические факторы

  • visual disturbances
  • ocular pain
  • pinealoma
Полная информация

Факторы риска

  • mutation in RB1 gene
  • human papillomavirus (HPV) exposure
  • advanced paternal age
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • funduscopy and examination under anesthesia
  • wide-field fundus photography and spectral domain optical coherence tomography (sdOCT)
  • ophthalmic A- and B-scan ultrasound
Полная информация

Исследования, проведение которых нужно рассмотреть

  • genetic testing
  • MRI head/orbit
  • bone marrow aspiration
  • lumbar puncture
Полная информация

Неотложные исследования

  • liquid biopsy

Алгоритм лечения

Острый

with vitreous seeding

without vitreous seeding

metastatic disease

ПРОДОЛЖЕНИЕ

recurrence

Составители

Авторы

Timothy G. Murray, MD, MBA, FACS

Founding Director/CEO

Murray Ocular Oncology and Retina

Miami

FL

Раскрытие информации

TGM is an author of a number of references cited in this topic.

Victor M. Villegas, MD

Ocular Oncologist

Associate Professor

Department of Ophthalmology

University of Puerto Rico

Associate Professor

Department of Surgery

Ponce Health Sciences University School of Medicine

Voluntary Faculty

Bascom Palmer Eye Institute

University of Miami

Miami

FL

Раскрытие информации

VMV is an author of a reference cited in this topic.

Выражение благодарностей

Dr Timothy G. Murray and Dr Victor M. Villegas would like to gratefully acknowledge Dr Amy C. Schefler, a previous contributor to this topic, and Dr Steven Houston, III, MD for his contribution to the topic.

Раскрытие информации

ACS is an author of a number of references cited in this topic. SH declares that he has no competing interests.

Рецензенты

Susan Schneider, MD

Director

Pharmaceutical Clinical & Scientific Affairs

Bausch & Lomb

Rochester

NY

Раскрытие информации

SS declares that she has no competing interests.

Francis Munier, MD

Professor and Head of Pediatric Ocular Oncology Unit

Jules Gonin Eye Hospital

Lausanne

Switzerland

Раскрытие информации

FM declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Kamihara J, Bourdeaut F, Foulkes WD, et al. Retinoblastoma and neuroblastoma predisposition and surveillance. Clin Cancer Res. 2017 Jul 1;23(13):e98-106.Полный текст  Аннотация

Global Retinoblastoma Study Group. The Global Retinoblastoma Outcome Study: a prospective, cluster-based analysis of 4064 patients from 149 countries. Lancet Glob Health. 2022 Aug;10(8):e1128-40.Полный текст  Аннотация

Skalet AH, Gombos DS, Gallie BL, et al. Screening children at risk for retinoblastoma: consensus report from the American Association of Ophthalmic Oncologists and Pathologists. Ophthalmology. 2018 Mar;125(3):453-8.Полный текст  Аннотация

de Graaf P, Goricke S, Rodjan F, et al. Guidelines for imaging retinoblastoma: imaging principles and MRI standardization. Pediatr Radiol. 2012 Jan;42(1):2-14.Полный текст  Аннотация

American College of Radiology. ACR appropriateness criteria: orbits, vision and visual loss. 2017 [internet publication].Полный текст  Аннотация

Hutchinson AK, Morse CL, Hercinovic A, et al. Pediatric eye evaluations preferred practice pattern. Ophthalmology. 2023 Mar;130(3):P222-70.Полный текст  Аннотация

Статьи, указанные как источники

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