Retinoblastoma with Fine Calcification

TC is a 4-year-old girl who was noted by her parents to “not focus on things” with her right eye. She was examined by her pediatrician, who could not see a red reflex in that eye and referred her to a pediatric ophthalmologist, who noted a paramacular mass. B-scan demonstrated a subretinal mass with an irregular surface. A-scan revealed medium and regular internal reflectivity (Fig. 305). Calcium was not detected by either modality. The lesion was assumed to be a noncalcified retinoblastoma and treatment with chemotherapy was begun. She was followed with monthly examination under anesthesia and a small calcified lesion was noted in the left eye 6 months later. This was highly consistent with retinoblastoma. Another course of chemotherapy was instituted and the lesion was noted to regress.


Public Health Calcium Deposit Internal Reflectivity Irregular Surface Calcify Lesion 
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© Springer Science+Business Media, LLC 2008

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