From HPO
Carotid body paraganglioma- MedGen UID:
- 2853
- •Concept ID:
- C0007279
- •
- Neoplastic Process
Pheochromocytoma/paraganglioma syndrome-1 (PPGL1) is an autosomal dominant disorder characterized by the development of neuroendocrine tumors, usually in adulthood. Pheochromocytomas arise from chromaffin cells in the adrenal medulla, whereas paragangliomas arise in extra-adrenal sympathetic ganglia in the thorax, abdomen, and pelvis or from parasympathetic paraganglia in the head and neck area (summary by Cascon et al., 2023).
Paragangliomas, also referred to as 'glomus body tumors,' are tumors derived from paraganglia located throughout the body. Nonchromaffin types primarily serve as chemoreceptors (hence, the tumor name 'chemodectomas') and are located in the head and neck region (i.e., carotid body, jugular, vagal, and tympanic regions), whereas chromaffin types have endocrine activity, conventionally referred to as 'pheochromocytomas,' and are usually located below the head and neck (i.e., adrenal medulla and pre- and paravertebral thoracoabdominal regions). PPGL can manifest as nonchromaffin head and neck tumors only, adrenal and/or extraadrenal pheochromocytomas only, or a combination of the 2 types of tumors (Baysal, 2002; Neumann et al., 2004).
The triad of gastric leiomyosarcoma, pulmonary chondroma, and extraadrenal paraganglioma constitutes a syndrome that occurs mainly in young women and is known as the Carney triad (604287). This triad is not to be confused with the other Carney syndrome of myxoma, spotty pigmentation, and endocrinopathy (160980).
Baysal (2008) provided a review of the molecular pathogenesis of hereditary paraganglioma.
Genetic Heterogeneity of Pheochromocytoma/Paraganglioma Syndrome
See also PPGL2 (601650), caused by mutation in the SDHAF2 gene (613019) on chromosome 11q13; PPGL3 (605373), caused by mutation in the SDHC gene (602413) on chromosome 1q21; PPGL4 (115310), caused by mutation in the SDHB gene (185470) on chromosome 1p36; PPGL5 (614165), caused by mutation in the SDHA gene (600857) on chromosome 5p15; PPGL6 (618464), caused by mutation in the SLC25A11 gene (604165) on chromosome 17p13; and PPGL7 (618475), caused by mutation in the DLST gene (126063) on chromosome 14q24.
Glomus jugular tumor- MedGen UID:
- 4905
- •Concept ID:
- C0017671
- •
- Neoplastic Process
An extra-adrenal parasympathetic paraganglioma arising from paraganglia in the base of the skull and middle ear.
Paraganglioma- MedGen UID:
- 10571
- •Concept ID:
- C0030421
- •
- Neoplastic Process
A carotid body tumor (also called paraganglionoma or chemodectoma) is a tumor found in the upper neck at the branching of the carotid artery. They arise from the chemoreceptor organ (paraganglion) located in the adventitia of the carotid artery bifurcation.
Extraadrenal pheochromocytoma- MedGen UID:
- 263453
- •Concept ID:
- C1257877
- •
- Neoplastic Process
Pheochromocytoma not originating from the adrenal medulla but from another source such as from chromaffin cells in or about sympathetic ganglia.
Adrenal pheochromocytoma- MedGen UID:
- 1636437
- •Concept ID:
- C4551683
- •
- Neoplastic Process
Pheochromocytoma originating from the adrenal medulla.
Palpitations- MedGen UID:
- 14579
- •Concept ID:
- C0030252
- •
- Finding
A sensation that the heart is pounding or racing, which is a non-specific sign but may be a manifestation of arrhythmia.
Tachycardia- MedGen UID:
- 21453
- •Concept ID:
- C0039231
- •
- Finding
A rapid heartrate that exceeds the range of the normal resting heartrate for age.
Hypertension associated with pheochromocytoma- MedGen UID:
- 871214
- •Concept ID:
- C4025693
- •
- Disease or Syndrome
A type of hypertension associated with pheochromocytoma.
Pulsatile tinnitus- MedGen UID:
- 148340
- •Concept ID:
- C0751559
- •
- Sign or Symptom
Pulsatile tinnitus is generally classified a kind of objective tinnitus, meaning that it is not only audible to the patient but also to the examiner on auscultation of the auditory canal and/or of surrounding structures with use of an auscultation tube or stethoscope. Usually, pulsatile tinnitus is heard as a lower pitched thumping or booming, a rougher blowing sound which is coincidental with respiration, or as a clicking, higher pitched rhythmic sensation.
Cranial nerve paralysis- MedGen UID:
- 57717
- •Concept ID:
- C0151311
- •
- Disease or Syndrome
Injury to any of the cranial nerves or their nuclei in the brain resulting in muscle weakness.
Episodic paroxysmal anxiety- MedGen UID:
- 923185
- •Concept ID:
- C1387805
- •
- Mental or Behavioral Dysfunction
Recurrent attacks of severe anxiety, which occur without restriction to any particular situation or set of circumstances, are therefore unpredictable.
Recurrent paroxysmal headache- MedGen UID:
- 927617
- •Concept ID:
- C4293708
- •
- Sign or Symptom
Repeated episodes of headache with rapid onset, reaching a peak within minutes and of short duration (less than one hour) with pain that is throbbing, pulsating, or bursting in quality.
Loss of voice- MedGen UID:
- 2006
- •Concept ID:
- C0003564
- •
- Sign or Symptom
A term referring to the inability to speak. It may result from injuries to the vocal cords or may be functional (psychogenic).
Hoarse voice- MedGen UID:
- 5602
- •Concept ID:
- C0019825
- •
- Sign or Symptom
Hoarseness refers to a change in the pitch or quality of the voice, with the voice sounding weak, very breathy, scratchy, or husky.
Vocal cord paralysis- MedGen UID:
- 53047
- •Concept ID:
- C0042928
- •
- Disease or Syndrome
A loss of the ability to move the vocal folds.
Hyperhidrosis- MedGen UID:
- 5690
- •Concept ID:
- C0020458
- •
- Finding
Abnormal excessive perspiration (sweating) despite the lack of appropriate stimuli like hot and humid weather.
Elevated circulating catecholamine level- MedGen UID:
- 871156
- •Concept ID:
- C4025629
- •
- Finding
An abnormal increase in catecholamine concentration in the blood.
- Abnormality of the cardiovascular system
- Abnormality of the endocrine system
- Abnormality of the integument
- Abnormality of the nervous system
- Abnormality of the voice
- Ear malformation
- Neoplasm