2009
DOI: 10.1210/jc.2008-2756
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Genetics of Pheochromocytoma and Paraganglioma in Spanish Patients

Abstract: Germline mutations are rare in apparently sporadic probands diagnosed after age 40 yr (3.9% in our series) and mainly involve SDHB. Therefore, we recommend prioritizing SDHB genetic testing in patients developing isolated tumors at any age, especially those with extraadrenal location or malignant behavior.

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Cited by 115 publications
(137 citation statements)
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“…It is also thought that 4-25% of seemingly sporadic CNS hemangioblastomas are due to VHL germline mutations, and thus some have recommended VHL genetic screening for patients presenting with such lesions [Fukino et al, 2000;Hes et al, 2000;Neumann et al, 1989]. As many as 25% of patients with seemingly sporadic pheochromocytomas (without family history) actually have a germline mutation in genes responsible for hereditary syndromes, such as VHL, c-RET, NF1, SDHB, or SDHD (SDHD, SDHB) [Astuti et al, 2001;Cascó n et al, 2009;Neumann et al, 2002]; thus, germline mutation screening is often recommended for these cases as well [Cascó n et al, 2009;Neumann et al, 2002].…”
Section: Diagnosismentioning
confidence: 99%
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“…It is also thought that 4-25% of seemingly sporadic CNS hemangioblastomas are due to VHL germline mutations, and thus some have recommended VHL genetic screening for patients presenting with such lesions [Fukino et al, 2000;Hes et al, 2000;Neumann et al, 1989]. As many as 25% of patients with seemingly sporadic pheochromocytomas (without family history) actually have a germline mutation in genes responsible for hereditary syndromes, such as VHL, c-RET, NF1, SDHB, or SDHD (SDHD, SDHB) [Astuti et al, 2001;Cascó n et al, 2009;Neumann et al, 2002]; thus, germline mutation screening is often recommended for these cases as well [Cascó n et al, 2009;Neumann et al, 2002].…”
Section: Diagnosismentioning
confidence: 99%
“…Untreated pheochromocytomas can result in hypertension and subsequent acute heart disease, brain edema, and stroke. Familial pheochromocytomas are often a result of mutations in VHL (MIM]s 193300, 608537), Neurofibromatosis-1 (NF1), c-RET (mutated in Multiple Endocrine Neoplasia-2), or succinate dehydrogenase (SDHB, SDHC, SDHD) genes [Astuti et al, 2001;Cascó n et al, 2009;Lee et al, 2005;Neumann et al, 2002;Pacak, 2007]. However, true sporadic pheochromocytomas rarely have somatic mutations in these genes.…”
Section: Introductionmentioning
confidence: 99%
“…In a large cohort of Spanish patients, seven independent families were found to carry deletion in the SDHB gene, representing 28% of positive SDHB cases [17]. the presence of founder mutations in the Spanish population could also explain the high rate of SDHB mutations in this series.…”
Section: Discussionmentioning
confidence: 73%
“…while the majority of patients undergoing SDHB mutation analysis have missense and nonsense mutations, some mutation negative patients have been reported to carry either large partial or total deletions of the SDHB gene [10][11][12][13][14][15][16][17][18]. to investigate this possibility, we carried out MLPA and identified a heterozygous SDHB gene deletion encompassing sequences corresponding to the promoter region, exon 1 and exon 2 ( Fig.…”
Section: Sdhb Mutation Analysismentioning
confidence: 99%
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