Retinoblastoma Flashcards

1
Q

tumor ocular más frecuente en niños

A

retinoblastoma

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2
Q

Epidemiología
%
unilateral %

A

Epidemiología
3%
unilateral 75%

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3
Q

Presentación
esporádica
germinal

A

Presentación
esporádica 60%- unilateral
germinal 40%-bilateral

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4
Q

Germinal mutación

A

mutación gen supresor RB1

recesivo

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5
Q
Heredado
dx
lado
alteración
riesgo
A
Heredado
dx: temprano RN
lado: bilateral
alteración: cromosómica, germinal
riesgo: sarcoma, ca mama
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6
Q
No Heredado
dx
lado
alteración
riesgo
A
No Heredado
dx: tardío
lado: unilateral
alteración: somática
riesgo: poco otras neoplasias
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7
Q

Histopatología

A

Neuroblástico maligno de retina

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8
Q

Clínica

A

leucocoria

estrabismo

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9
Q

Dx

tamizaje

A

oftalmoscopía+ US+ TAC

reflejo rojo

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10
Q

Tx unilateral:

Tx bilateral:

A

Tx unilateral: CX masivo, fotocoagulación pequeño

Tx bilateral: enucleación, QT a. retiniana

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