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The role of maternal age & birth order on the development of unilateral and bilateral retinoblastoma: a multicentre study
Ist Teil von
Eye (London), 2023-04, Vol.37 (5), p.966-970
Ort / Verlag
London: Nature Publishing Group UK
Erscheinungsjahr
2023
Quelle
MEDLINE
Beschreibungen/Notizen
Background/Objectives
Retinoblastoma is a common childhood intraocular malignancy, the bilateral form of which most commonly results from a
de novo
germline pathogenic variant in the
RB1
gene. Both advanced maternal age and decreasing birth order are known to increase the risk of
de novo
germline pathogenic variants, while the influence of national wealth is understudied. This cohort study aimed to retrospectively observe whether these factors influence the ratio of bilateral retinoblastoma cases compared to unilateral retinoblastoma, thereby inferring an influence on the development of
de novo
germline pathogenic variants in
RB1
.
Subjects/Methods
Data from 688 patients from 11 centres in 10 countries were analysed using a series of statistical methods.
Results
No associations were found between advanced maternal age, birth order or GDP per capita and the ratio of bilateral to unilateral retinoblastoma cases (
p
values = 0.534, 0.201, 0.067, respectively), indicating that these factors do not contribute to the development of a
de novo
pathogenic variant.
Conclusions
Despite a lack of a definitive control group and genetic testing, this study demonstrates that advanced maternal age, birth order or GDP per capita do not influence the risk of developing a bilateral retinoblastoma.