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Intraocular medulloepithelioma: A rare but important mimicker of retinoblastoma

Machairoudia, Genovefa; Venkataraman, Anusha; Löbel, Ulrike; Gaur, Pritika; Bryant, Victoria; Cottom, Hannah; Duncan, Catriona; ... Negretti, Guy S; + view all (2025) Intraocular medulloepithelioma: A rare but important mimicker of retinoblastoma. Ocular Oncology and Pathology 10.1159/000549750. (In press). Green open access

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Abstract

Medulloepithelioma is a rare tumor arising from the primitive medullary epithelium affecting predominantly children. Herein, we present two patients with ocular medulloepithelioma presenting in the first two years of life with strabismus, leukocoria and a large ocular mass occupying the globe. The clinical presentation and imaging initially raised suspicion for retinoblastoma and enucleation was performed. Histopathology confirmed the diagnosis of teratoid medulloepithelioma in both cases and genetic testing found a germline DICER1 mutation in one of them. These cases highlight the importance of considering medulloepithelioma in the differential diagnosis of intraocular tumors and underscore the value of genetic evaluation for underlying DICER1 mutations.

Type: Article
Title: Intraocular medulloepithelioma: A rare but important mimicker of retinoblastoma
Open access status: An open access version is available from UCL Discovery
DOI: 10.1159/000549750
Publisher version: https://doi.org/10.1159/000549750
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Medulloepithelioma; retinoblastoma; DICER1
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10219119
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