Fig. 2. Failure to thrive as the initial manifestation of 13q syndrome. A. (Case #2) Eighteen-month-old child with severed failure to thrive and abnormal facies. Genetic screening at age 3 months revealed 13q deletion. B. (Case #2) Fundus examination at age 3 months revealed multifocal bilateral retinoblastoma. The tumors in both eyes were successfully treated with thermotherapy and cryotherapy.