2019
DOI: 10.1016/j.joco.2018.09.005
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Retinal anaplastic pleomorphic xanthoastrocytoma unassociated with phakomatosis

Abstract: Purpose To present a rare anaplastic form of retinal pleomorphic xanthoastrocytoma (PXA) unassociated with phakomatosis. Methods A 9-year-old girl, presented with a rapidly growing unilateral intraocular white mass unresponsive to intra-arterial chemotherapy, underwent enucleation with the clinical suspicion of retinoblastoma versus malignant astrocytoma. Results Histopathology revealed pleomorphic cells with rosenthal fibers, mitosis, and ne… Show more

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Cited by 2 publications
(2 citation statements)
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“…Children with monosomy 3 in uveal melanoma tissue should be offered genetic counseling and molecular genetic analysis of constitutional DNA. Retinal astrocytoma are benign tumors of the retina that occur sporadic or as first signs of genetic syndromes such as TSC or NF1 [ 21 , 22 , 23 ]. Children with retinal astrocytoma need careful pediatric examination for other signs of genetic syndrome and may benefit from genetic counseling.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Children with monosomy 3 in uveal melanoma tissue should be offered genetic counseling and molecular genetic analysis of constitutional DNA. Retinal astrocytoma are benign tumors of the retina that occur sporadic or as first signs of genetic syndromes such as TSC or NF1 [ 21 , 22 , 23 ]. Children with retinal astrocytoma need careful pediatric examination for other signs of genetic syndrome and may benefit from genetic counseling.…”
Section: Discussionmentioning
confidence: 99%
“…Individuals with constitutional pathogenic variants in the BAP1 -gene have a BAP1-Tumor predisposition syndrome (BAP1-TPDS), which is associated with an increased risk of uveal melanoma, mesothelioma, cutaneous melanoma and clear cell renal carcinoma [ 19 , 20 ]. Retinal astrocytoma is a rare eye tumor arising from retinal glial cells in early childhood that occur in patients with tuberous sclerosis (TSC) (57% of retinal astrocytomas) or patients with neurofibromatosis type I (14% of children with retinal astrocytoma) while 29% of children with retinal astrocytoma do not carry a known underlying tumor predisposition syndrome [ 21 , 22 , 23 , 24 ]. A benign retinal tumor is the retinal hemangioblastoma with an incidence of 1:40,000, which is approximately half the incidence of retinoblastoma and is commonly, but not always, associated with the von Hippel Lindau Syndrome [ 25 ].…”
Section: Introductionmentioning
confidence: 99%