“…Germline MAX variants have been implicated in PPGL and renal oncocytoma and somatic variants have been identified in small cell carcinoma of the lung (Kurschner, et al 2017;Romero, et al 2014). Other tumours reported in association with MAX variants include endometrial carcinoma, ganglioneuromas, neuroblastoma, pancreatic cancer, lung adenocarcinoma and breast cancer (Seabrook, et al 2021;Walker, et al 2018). In one study, germline MAX variants accounted for approximately 1% of PPGLs in patients with a negative RET, VHL, SDHB, SDHC, SDHD, and TMEM127 genetic screen, thus making it very rare cause of PPGL (Burnichon, et al 2012).…”