The location and appearance of second malignancies in patients with bilateral retinoblastoma Journal Article


Authors: Rubin, C. Z.; Rosenfield, N. S.; Abramson, S. J.; Abramson, D. H.; Dunkel, I. J.
Article Title: The location and appearance of second malignancies in patients with bilateral retinoblastoma
Abstract: Purpose. This paper describes the clinical history and radiographic appearance of second malignancies in patients with bilateral retinoblastoma. Subjects/methods. The imaging studies and clinical data of 14 patients with a history of bilateral retinoblastoma who were treated for second malignancies were reviewed. Results. A total of 17 tumors were identified in 14 patients during the period 1978-1996. The median age of occurrence of the second malignancy was 17 years (range 10-32 years). Fourteen of the 17 malignancies occurred in the facial structures and three developed in the lower extremities. The histologies included osteosarcoma (n = 5), malignant fibrous histiocytoma (n = 3), high-grade spindle cell sarcoma (n = 3), malignant mesenchymoma (n = 1), leiomyosarcoma (n = 4) and angiosarcoma (n = 1). The tumors were locally aggressive and had a similar appearance to those found in non-retinoblastoma patients. Six of the 14 patients are alive and disease free. Discussion. Most of the adolescent and young adult retinoblastoma survivors developed second malignancies in the irradiated facial structures but some occurred in distal sites. Radiologically, these tumors do not differ in appearance from those seen in non-retinoblastoma patients with the exception of their location.
Keywords: retinoblastoma; second malignancies; clinical features
Journal Title: Sarcoma
Volume: 1
Issue: 2
ISSN: 1357-714X
Publisher: Hindawi Publishing Corporation  
Date Published: 1997-01-01
Start Page: 89
End Page: 93
Language: English
PROVIDER: scopus
PMCID: PMC2395350
PUBMED: 18521207
DOI: 10.1080/13577149778353
DOI/URL:
Notes: Article -- Export Date: 17 March 2017 -- Source: Scopus
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  1. Ira J Dunkel
    371 Dunkel
  2. Nancy S Rosen
    28 Rosen
  3. David H Abramson
    389 Abramson