Table 4.

Pheochromocytoma Susceptibility Genes in the Differential Diagnosis of Multiple Endocrine Neoplasia Type 2

Gene(s)DisorderKey FeaturesComment
VHL Von Hippel-Lindau syndrome (VHL syndrome)Hemangioblastomas of the brain, spinal cord, & retina; renal cysts & clear cell renal cell carcinoma; PCC, pancreatic cysts, & neuroendocrine tumors; endolymphatic sac tumors; & epididymal & broad ligament cystsVHL can present w/familial PCC or nonsyndromic PCC; PCCs can be unilateral or bilateral & are usually benign, but malignant behavior has been reported.
MAX
SDHA
SDHAF2
SDHB
SDHC
SDHD
TMEM127 1
Hereditary PGL-PCC syndrome PGLs & PCCs; additional tumors: GI stromal tumors, pulmonary chondromas, renal clear cell carcinoma, papillary thyroid carcinoma, pituitary adenomas, & neuroendocrine tumorsWhile head & neck PGLs are common in persons w/hereditary PGL-PCC syndrome, they are extremely rare in MEN2 2
NF1 Neurofibromatosis type 1 (NF1)Most persons w/NF1 can be diagnosed based on clinical features (multiple café au lait macules, intertriginous freckling, multiple cutaneous neurofibromas, & learning disability or neurobehavioral manifestations).Although much more frequent in people w/NF1 than in the general population, PCCs or PGLs are found in <1% of adults w/NF1; these tumors are usually asymptomatic, but they can cause arterial hypertension.

GI = gastrointestinal; MEN2 = multiple endocrine neoplasia type 2; PCC = pheochromocytoma; PGL = paraganglioma

1.

Listed genes represent the core genes associated with hereditary PGL-PCC syndrome. EGLN1, EGLN2, EPAS1, KIF1B, KMT2D, and additional genes have been reported to be associated with hereditary PGL/PCC; their clinical significance is as yet unclear.

2.

From: Multiple Endocrine Neoplasia Type 2

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