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Children's tumours - suspected - Management
Retinoblastoma (mostly children under 2 years)
- In a child with a white pupillary reflex (leukocoria) noted by the parents, identified in photographs or found on examination, an urgent referral should be made. The primary healthcare professional should pay careful attention to the report by a parent of noticing an odd appearance in their child's eye (C).
- A child with a new squint or change in visual acuity should be referred. If cancer is suspected, referral should be urgent, but otherwise referral should be non-urgent (C).
- A family history of retinoblastoma should alert the primary healthcare professional to the possibility of retinoblastoma in a child who presents with visual problems. Offspring of a parent who has had retinoblastoma, or siblings of an affected child, should undergo screening soon after birth (C).
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