29 May 2026
: Case report 
Orbital Fungating Mass as a Rare Manifestation of Retinoblastoma: A Case Study in Palliative Care
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease
Anne Susanty
ABCDEF 1*, Kanyawati Maliani CE 2, Angga Kartiwa B 3, Dudi Cahyadi BD 4, Pujani Utami B 5, Yuni Kristina B 4, Nindi Dwi Leoni B 6, Dika Maulana Pemberiadi B 4
DOI: 10.12659/AJCR.951652
Am J Case Rep 2026; 27:e951652
Table 1 Comparison of bone marrow aspiration (BMA) results from the initial presentation to the most recent evaluation across the patient’s follow-up visits.
| Bone marrow cell count | First BMA result | Second BMA result | Third BMA result | Reference value |
|---|---|---|---|---|
| Neutrophilic granulopoiesis | 50.0 | 24.9 | 49.7 | 49.2–66% |
| Myeloblasts | 0 | 0 | 11.2 | 0–2% |
| Promyelocytes | 3 | 0 | 2.7 | 0–4% |
| Myelocytes | 10 | 0 | 3.0 | 8.2–15.7% |
| Metamyelocytes | 10 | 0 | 3.2 | 9.6–24.6% |
| Band neutrophils | 6 | 0 | 3.5 | 9.5–15.3% |
| Segmented neutrophils | 14 | 21.8 | 11.8 | 6.0–12.0% |
| Basophils | 0 | 0 | 0 | 0–1% |
| Eosinophils | 6 | 0 | 2.4 | 0–6% |
| Monocytes | 1 | 3.1 | 11.9 | 0.0–0.8% |
| Promonocytes | 0 | 0 | 0 | 0–1% |
| Erythropoiesis system | 37.5 | 3.1 | 22.8 | 18.4–33.8% |
| Pronormoblast | 3 | 0 | 2.39 | 0–2% |
| Basophils neutrophils | 9 | 0 | 2.56 | 1–4% |
| Polychromatic neutrophils | 18.5 | 0 | 5.59 | 17.9–29.2% |
| Acidophil neutrophils | 7 | 3.1 | 12.3 | 0.4–4.6% |
| Lymphopoiesis system | 12.5 | 71.9 | 26.5 | 11.3–23.2% |
| Lymphocytes | 12.5 | 71.87 | 25.56 | 11.1–23.2% |
| Lymphoblasts | 0 | 0 | 0.48 | 0–1% |
| Plasma cells | 0 | 0 | 0.48 | 0–0.1% |
| Megakaryocytes | + | 0 | 0.79 | 0.1–0.5% |
| Myeloid: Erythroid ratio | 1.3: 1 | 24.9: 3.1=8.0 | 49.7: 22.8=2.18 | 1.5–3.3 |
| Impression | Within normal limits | Hypoplasia of the bone marrow | Within normal limits | – |