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Retinoblastoma is a malignant tumor of the retina that develops in childhood. It originates from retinal germ cells and is linked to a chromosomal abnormality.1

The RB gene is a tumor suppressor gene associated with retinoblastoma. Tumor suppressor genes act as the "brakes" on cell growth, restraining cell division and differentiation. For a tumor to form due to a tumor suppressor gene mutation, both copies of the gene typically need to be altered.2

There are two forms of retinoblastoma: a nonhereditary (sporadic) form and a hereditary form that appears earlier in life. The "two-hit hypothesis" suggests that in the hereditary form, a child inherits one mutated RB allele, and a second mutation in the healthy allele of a retinal cell is required for tumor formation. In sporadic cases, two separate mutations must occur after conception, making it a rarer occurrence.2

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