Retinoblastoma and hypochondroplasia: A case report of two germline mutations arising simultaneously

Tony Tsai, Dan Gombos, Lilia Fulton, Robert M. Conway, Joan M. O'Brien, John E. Cronin, Arpitha Muthialu

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Purpose: To report a rare case of a patient with two germline mutations arising de novo resulting in bilateral retinoblastoma and hypochondroplasia. Design: A brief review about retinoblastoma and hypochondroplasia; a case report with genetic mutational analysis results. Case report: We report a patient manifesting the clinical features of both bilateral retinoblastoma and hypochondroplasia. Genetic analysis revealed two germline mutations, a seven base-pair deletion in exon 12 (G70313-703129del) in one allele of the retinoblastoma gene (RB1) and the N540K (C1620C>A) mutation in one allele of the fibroblast growth factor 3 (FGFR3) gene, a frequent mutation in hypochondroplasia. Neither parent has a personal or family history of cancer or ocular tumors. Only the patient's mother is short in stature, and her genetic analysis revealed no FGFR3 mutations. Conclusions: Although the probability of both germline mutations occurring in a single individual is exceedingly low, the etiology and mechanism are unknown in this patient. To the best of our knowledge, this is the first report of two clinically distinct heritable germline mutations arising de novo in an individual.

Original languageEnglish (US)
Pages (from-to)107-110
Number of pages4
JournalOphthalmic Genetics
Issue number2
StatePublished - Jun 2005


  • FGFR3
  • Germline mutation
  • Hypochondroplasia
  • RB1
  • Retinoblastoma

ASJC Scopus subject areas

  • Ophthalmology
  • Pediatrics, Perinatology, and Child Health
  • Genetics(clinical)


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