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Case Report
 
Unusual presentation of a retinoblastoma: A rare case
Luvo Gaxa1, Bafana Elliot Hlatshwayo2
1MBChB, Registrar, Diagnostic Radiology and Imaging, Polokwane-Mankweng Hospital Complex, Polokwane, Limpopo, South Africa.
2Dip Rad Diag, MBChB, MMed Rad D, Senior specialist, Diagnostic Radiology and Imaging, Polokwane-Mankweng Hospital Complex, Polokwane, Limpopo, South Africa.

Article ID: 100013CRINTLG2015
doi:10.5348/crint-2015-13-CR-8

Address correspondence to:
Bafana Elliot Hlatshwayo
P.O Box 571
Kwa- Xuma, Gauteng 1868
South Africa
Phone: +27152875122
Fax: +27862600185

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How to cite this article:
Gaxa L, Hlatshwayo BE. Unusual presentation of a retinoblastoma: A rare case. Case Rep Int 2015;4:30–33.


Abstract
Introduction: Although a retinoblastoma is a well recognized condition it is still associated with a high mortality rate especially in developing countries because partly patients tend to present at very late stages to the health facilities. The mean age of occurrence of a retinoblastoma is 18 months and the age range of a retinoblastoma occurrence is 0–5 years. Diagnosing a retinoblastoma above the age of six years is extremely rare and exceptional.
Case Report: An eight-year-old girl was presented with a six-month history of a fast growing right eye mass and proptosis. The mass was fungating and septic. The patient had normal developmental milestones. At presentation the body weight 21.40 kg.The vital signs were within normal limits (temperature 36.8°C, pulse 83 beats/min, blood pressure 116/77 mmHg). The diagnosis of a retinoblastoma was highly suspected on clinical and radiological imaging but due to patient's age there was also a suspicion of a rhabdomyosarcoma of the orbit. Biopsy was performed and the diagnosis of a retinoblastoma was confirmed and the patient was then started on chemotherapy. The patient later demised while on treatment due to a disease progression.
Conclusion: A retinoblastoma shows some typical imaging findings on computed tomography scan and on magnetic resonance imaging scan, and a multi-disciplinary approach helps greatly to secure the diagnosis and that helps improve the patient's management and prognosis.

Keywords: Childhood cancer, Children, Infant, Tumor, Retinoblastoma


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Author Contributions
Luvo Gaxa – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Bafana Elliot Hlatshwayo – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Luvo Gaxa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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