Background. Polymorphisms in the genes of folate and methioninemetabolism enzymes have been associated with some forms ofcancer by affecting DNA synthesis, repair, and methylation.Procedure. A casecontrol study of 72 retinoblastoma cases and98 cancer-free children controls was performed to investigatewhether the polymorphisms of the methylenetetrahydrofolatereductase (MTHFR C677T and A1298C), methionine synthase(MTR A2756G), carrier of reduced folate 1 (RFC-1 A80G) andthymidylate synthase (TYMS 2R>3R) altered the risk for retinoblastoma.Results. MTR A2756G AG plusGG genotype frequencies werehigher in patients than in controls (45% vs. 26%, P¬0.03).Individual carriers of the variant allele G had a 2.02 (95% CI1.053.92)-fold increased risk for retinoblastoma. In contrast, noassociation was observed with respect to MTHFR C677T andA1298C, RFC A80G, and TYMS polymorphisms. Conclusions. Thisstudy presents evidence for an association between the MTRA2756G polymorphism and retinoblastoma susceptibility ina Northeast population from Brazil.(AU)