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Cell Cycle Regulation And Its Effects On The Body Of Intervention

Decent Essays

Abstract: Retinoblastoma is a rare childhood tumour of the eye that is characterised by the inability of developing retinal cells to proliferate in a controlled way. This is because the retinoblastoma protein (pRb) involved in cell cycle regulation is non-functional due to the diversity of allelic mutations which arise in the Rb1 gene. The consequent tumours show distinct growth patterns, which if left untreated could severely compromise vision and cause the development of secondary malignancies. Survival from retinoblastoma is correlated with the severity of the disease and the speed of intervention. Though radiation therapies were the principle method of treatment, chemotherapy and surgical intervention now form the primary treatment …show more content…

Leucocoria is often the first visible sign of retinoblastoma in 60% of cases [1]. The retinoblastoma tumour usually presents a distinct growth pattern; exophytic tumours extend into the subretinal space and progressively detach from the retina, causing a loss of central vision which induces symptoms of secondary strabismus in 20% of cases [1]. Failure to treat patients in early life will compromise vision, as seeding of the tumour within the eye disrupts fluid flow and increases the intraocular pressure. Secondary tumours in the optic nerve, central nervous system, lungs, liver and bone marrow are also common consequences following systemic metastasis of the tumour [1]. 40% of retinoblastoma cases are familial and are presented in children under 12 months, having a parent who also suffered from the disease and was successfully cured; alternatively, 60% of children suffer from a sporadic form of the disease showing symptoms closer to 24 months [1].The prevalence of retinoblastoma shows an equal frequency of occurrence in genders, different races and ethnicities [4]; however, survival rates are less balanced, being much lower at 70% in developing countries where there is a delay in intervention and administration of appropriate treatment [3]. Genetics of Retinoblastoma This tumour is inherited as an autosomal dominant trait as the child inherits one abnormal Rb1 gene, strongly predisposing the child to

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