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Mariani-Costantini R, editor. Paraganglioma: A Multidisciplinary Approach [Internet]. Brisbane (AU): Codon Publications; 2019 Jul 2. doi: 10.15586/paraganglioma.2019.ch1

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Paraganglioma: A Multidisciplinary Approach [Internet].

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Table 1Clinical features of PPGL-associated genes

Clinical featuresAncillary surveys
PPGL-associated genesFrequency in cohorts of PPGL (%)Prototypic tumors and featuresFrequency (%)
Multifocal tumorsBilateral PHEOMetastatic PPGLBiochemical phenotypeSDHA/B IHC
VHL9.6–17.6

CNS hemangiomas

renal cysts

RCC

pNET

pancreatic cysts

abdominal PPGL

thoracic PGL

0–18.829–43.5RareNA+ve/+ve
RET5.4

MEN2A (MTC, PPGL, pHPT)

MEN2B (MTC, PPGL, marfanoid habitus, ganglioneuromatosis of the gut/oral mucosa)

Rare47–66RareA+ve/+ve
NF12.2–2.9

café au lait spots

axillary/inguinal freckling

neurofibromas

Lisch nodules of the iris

typical osseous lesions

optic glioma

carcinomas (breast, lung, colorectal)

sarcomas, GIST

melanoma

PPGL

RareRare5.4–12A+ve/+ve
SDHD10.5

HN PGL

thoracic PGL

abdominal PPGL

Carney dyad

RCC

pituitary adenomas

66.9Rare3.1NA; D+ve/−ve
SDHAF2<1

HN PGL

thoracic PGL

PHEO

46.8NARareNA, A*+ve/−ve
SDHC4

HN PGL

thoracic PGL

PHEO

Carney dyad

31.2NARareNA; D+ve/−ve
SDHB20.6

abdominal PPGL

thoracic PGL

HN PGL

Carney dyad

RCC

pituitary adenomas

20.8Rare37.0NA; D+ve/−ve
SDHA3.0

HN PGL

abdominal PGL

PHEO

Carney dyad

pituitary adenomas

RareRare11.0NA; D−ve/−ve
HIF2A5.3

polycythemia since early childhood

abdominal PPGL

duodenal somatostatinomas

retinopathy

66Rare18NA+ve/+ve
PHD1U

polycythemia

abdominal/thoracic PPGL

100*UUNAU
PHD2U

polycythemia

abdominal/thoracic PPGL

100*UUNAU
MAX<2

abdominal PPGL

thoracic PGL

2166.7–7310.5–25NA; NA, A+ve/+ve
TMEM1271.9

PHEO

Rare28.5–37RareNA, A+ve/+ve
FH~1

cutaneous/uterine leiomyomas

RCC

abdominal PPGL

thoracic PGL

30*U30*NA+ve/+ve
KIF1BUU**U66.6*UNA*U
MDH2UUUUUNAU

Abbreviations: −ve: negative; +ve: positive; A: adrenaline; CNS: central nervous system; FH: fumarate hydratase gene; GIST: gastrointestinal stromal tumor; HIF2A: hypoxia-inducible factor 2 alpha gene; IHC: immunohistochemistry; KIF1B:kinesin family member 1B gene; MAX: Myc-associated Protein X gene; MDH2:malate dehydrogenase 2 gene;MEN2A: multiple endocrine neoplasia type 2A; MEN2B: multiple endocrine neoplasia type 2B; MTC: medullary thyroid carcinoma; NA: noradrenaline; NF1: Neurofibromatosis type 1 gene; PGL: paraganglioma; PHD1: prolyl hydroxylase type 1 gene; PHD2: prolyl hydroxylase type 2 gene; PHEO: pheochromocytoma; pHPT: primary hyperparathyroidism; pNET: pancreatic neuroendocrine tumor; PPGL: pheochromocytoma and paraganglioma; RCC: renal cell carcinoma; RET: rearranged during transfection gene; SDHA: succinate dehydrogenase subunit A gene; SDHAF2: succinate dehydrogenase complex assembly factor 2; SDHB: succinate dehydrogenase subunit B gene; SDHC: succinate dehydrogenase subunit C gene; SDHD: succinate dehydrogenase subunit D gene; TMEM127:transmembrane protein 127 gene; VHL: von Hippel–Lindau gene; U: unknown.

*

Few cases reported (≤10patients).

**

One patient developed bilateral pheochromocytoma, neuroblastoma, ganglineuroma, and pelvic leiomyosarcoma; one patient developed lung adenocarcinoma.

Only one patient reported to date with multifocal/metastatic paragangliomas.

From: Chapter 1, Genetics of Pheochromocytoma and Paraganglioma

Copyright: The Authors.

Licence: This open access article is licenced under Creative Commons Attribution 4.0 International (CC BY 4.0). https://creativecommons.org/licenses/by-nc/4.0/

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