Authors
van Hoefen Wijsard, MiloSchonfeld, Sara J.
van Leeuwen, Flora E.
Moll, Annette C.
Fabius, Armida W.
Abramson, David H.
Seddon, Johanna M
Francis, Jasmine H.
Tucker, Margaret A.
Kleinerman, Ruth A.
Morton, Lindsay M.
UMass Chan Affiliations
Department of Ophthalmology and Visual SciencesDocument Type
Journal ArticlePublication Date
2021-04-08Keywords
RB1cumulative incidence
epidemiology
hereditary retinoblastoma
leiomyoma
lipoma
retinoblastoma
retinoblastoma survivor
subsequent benign tumor
subsequent malignant neoplasms
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Eye Diseases
Neoplasms
Ophthalmology
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Show full item recordAbstract
Hereditary retinoblastoma survivors have substantially increased risk of subsequent malignant neoplasms (SMNs). The risk of benign neoplasms, a substantial cause of morbidity, is unclear. We calculated the cumulative incidence of developing benign tumors at 60 years following retinoblastoma diagnosis among 1128 hereditary (i.e., bilateral retinoblastoma or unilateral with family history, mutation testing was not available) and 924 nonhereditary retinoblastoma survivors diagnosed during 1914-2006 at two US medical centers with follow-up through 2016. Using Cox proportional hazards regression, we compared benign tumor risk by hereditary status and evaluated the association between benign tumors and SMNs. There were 100 benign tumors among 73 hereditary survivors (cumulative incidence = 17.6%; 95% confidence interval [CI] = 12.9-22.8%) and 22 benign tumors among 16 nonhereditary survivors (cumulative incidence = 3.9%; 95%CI = 2.2-6.4%), corresponding to 4.9-fold (95%CI = 2.8-8.4) increased risk for hereditary survivors. The cumulative incidence after hereditary retinoblastoma was highest for lipoma among males (14.0%; 95%CI = 7.7-22.1%) and leiomyoma among females (8.9%; 95%CI = 5.2-13.8%). Among hereditary survivors, having a prior SMN was associated with 3.5-fold (95%CI = 2.0-6.1) increased risk of developing a benign tumor; the reciprocal risk for developing an SMN after a benign tumor was 1.8 (95%CI = 1.1-2.9). These large-scale, long-term data demonstrate an increased risk for benign tumors after hereditary versus nonhereditary retinoblastoma. If confirmed, the association between benign tumors and SMNs among hereditary patients may have implications for long-term surveillance.Source
van Hoefen Wijsard M, Schonfeld SJ, van Leeuwen FE, Moll AC, Fabius AW, Abramson DH, Seddon JM, Francis JH, Tucker MA, Kleinerman RA, Morton LM. Benign Tumors in Long-Term Survivors of Retinoblastoma. Cancers (Basel). 2021 Apr 8;13(8):1773. doi: 10.3390/cancers13081773. PMID: 33917779; PMCID: PMC8068196. Link to article on publisher's site
DOI
10.3390/cancers13081773Permanent Link to this Item
http://hdl.handle.net/20.500.14038/41868PubMed ID
33917779Related Resources
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Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.3390/cancers13081773
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Except where otherwise noted, this item's license is described as Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).