Systematic comparison of sporadic and syndromic pancreatic islet cell tumors
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Systematic comparison of sporadic and syndromic pancreatic islet cell tumors. / Erlic, Zoran; Ploeckinger, Ursula; Cascon, Alberto; Hoffmann, Michael M; von Duecker, Laura; Winter, Aurelia; Kammel, Gerit; Bacher, Janina; Sullivan, Maren; Isermann, Berend; Fischer, Lars; Raffel, Andreas; Knoefel, Wolfram Trudo; Schott, Matthias; Baumann, Tobias; Schaefer, Oliver; Keck, Tobias; Baum, Richard P; Milos, Ioana; Muresan, Mihaela; Peczkowska, Mariola; Januszewicz, Andrzej; Cupisti, Kenko; Tönjes, Anke; Fasshauer, Mathias; Langrehr, Jan; von Wussow, Peter; Agaimy, Abbas; Schlimok, Günter; Lamberts, Regina; Wiech, Thorsten; Schmid, Kurt Werner; Weber, Alexander; Nunez, Mercedes; Robledo, Mercedes; Eng, Charis; Neumann, Hartmut P H; VHL-ICT Consortium.
in: ENDOCR-RELAT CANCER, Jahrgang 17, Nr. 4, 01.12.2010, S. 875-83.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Systematic comparison of sporadic and syndromic pancreatic islet cell tumors
AU - Erlic, Zoran
AU - Ploeckinger, Ursula
AU - Cascon, Alberto
AU - Hoffmann, Michael M
AU - von Duecker, Laura
AU - Winter, Aurelia
AU - Kammel, Gerit
AU - Bacher, Janina
AU - Sullivan, Maren
AU - Isermann, Berend
AU - Fischer, Lars
AU - Raffel, Andreas
AU - Knoefel, Wolfram Trudo
AU - Schott, Matthias
AU - Baumann, Tobias
AU - Schaefer, Oliver
AU - Keck, Tobias
AU - Baum, Richard P
AU - Milos, Ioana
AU - Muresan, Mihaela
AU - Peczkowska, Mariola
AU - Januszewicz, Andrzej
AU - Cupisti, Kenko
AU - Tönjes, Anke
AU - Fasshauer, Mathias
AU - Langrehr, Jan
AU - von Wussow, Peter
AU - Agaimy, Abbas
AU - Schlimok, Günter
AU - Lamberts, Regina
AU - Wiech, Thorsten
AU - Schmid, Kurt Werner
AU - Weber, Alexander
AU - Nunez, Mercedes
AU - Robledo, Mercedes
AU - Eng, Charis
AU - Neumann, Hartmut P H
AU - VHL-ICT Consortium
PY - 2010/12/1
Y1 - 2010/12/1
N2 - Pancreatic islet cell tumors (ICTs) occur as sporadic neoplasias or as a manifestation of multiple endocrine neoplasia type 1 (MEN1) and von Hippel-Lindau disease (VHL). Molecular classification of ICTs is mandatory for timely diagnosis and surveillance. Systematic comparison of VHL-ICTs and sporadic ICTs has been lacking. Our registry-based approaches used the German NET-Registry with 259 patients with neuroendocrine tumors (NETs), who were primarily diagnosed with NETs, and the German VHL-Registry with 485 molecular genetically confirmed patients who had undergone magnetic resonance imaging or computed tomography of the abdomen. All patients provided blood DNA for testing of the MEN1 and VHL genes for intragenic mutations and large deletions. In the NET-Registry, 9/101 patients (8.9%) with ICTs had germline mutations, 8 in MEN1 and 1 in VHL. In the VHL-Registry, prevalence of NETs was 52/487 (10.6%), and all were ICTs. Interestingly, of those with VHL p.R167W, 47% developed ICTs, compared to 2% of those with p.Y98H. In total, there were 92 truly sporadic, i.e. mutation-negative ICT patients. Comparing these with the 53 VHL-ICT patients, the statistically significant differences were predominance of female gender (P=0.01), multifocal ICTs (P=0.0029), and lower malignancy rate (P<0.001) in VHL-ICTs compared to sporadic cases. VHL was prevalent in <0.5% of NETs, while NETs occur in ∼10% of VHL, virtually exclusively as ICTs, which are rarely the first presentation. Patients with NETs should not be subjected to genetic testing of the VHL gene, unless they have multifocal ICTs, other VHL-associated tumors, and/or a family history for VHL.
AB - Pancreatic islet cell tumors (ICTs) occur as sporadic neoplasias or as a manifestation of multiple endocrine neoplasia type 1 (MEN1) and von Hippel-Lindau disease (VHL). Molecular classification of ICTs is mandatory for timely diagnosis and surveillance. Systematic comparison of VHL-ICTs and sporadic ICTs has been lacking. Our registry-based approaches used the German NET-Registry with 259 patients with neuroendocrine tumors (NETs), who were primarily diagnosed with NETs, and the German VHL-Registry with 485 molecular genetically confirmed patients who had undergone magnetic resonance imaging or computed tomography of the abdomen. All patients provided blood DNA for testing of the MEN1 and VHL genes for intragenic mutations and large deletions. In the NET-Registry, 9/101 patients (8.9%) with ICTs had germline mutations, 8 in MEN1 and 1 in VHL. In the VHL-Registry, prevalence of NETs was 52/487 (10.6%), and all were ICTs. Interestingly, of those with VHL p.R167W, 47% developed ICTs, compared to 2% of those with p.Y98H. In total, there were 92 truly sporadic, i.e. mutation-negative ICT patients. Comparing these with the 53 VHL-ICT patients, the statistically significant differences were predominance of female gender (P=0.01), multifocal ICTs (P=0.0029), and lower malignancy rate (P<0.001) in VHL-ICTs compared to sporadic cases. VHL was prevalent in <0.5% of NETs, while NETs occur in ∼10% of VHL, virtually exclusively as ICTs, which are rarely the first presentation. Patients with NETs should not be subjected to genetic testing of the VHL gene, unless they have multifocal ICTs, other VHL-associated tumors, and/or a family history for VHL.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Child
KW - DNA, Neoplasm
KW - Female
KW - Genetic Variation
KW - Germ-Line Mutation
KW - Germany
KW - Humans
KW - Male
KW - Middle Aged
KW - Multiple Endocrine Neoplasia Type 1
KW - Neuroendocrine Tumors
KW - Polymerase Chain Reaction
KW - Prevalence
KW - Sequence Analysis, DNA
KW - Young Adult
KW - von Hippel-Lindau Disease
U2 - 10.1677/ERC-10-0037
DO - 10.1677/ERC-10-0037
M3 - SCORING: Journal article
C2 - 20660572
VL - 17
SP - 875
EP - 883
JO - ENDOCR-RELAT CANCER
JF - ENDOCR-RELAT CANCER
SN - 1351-0088
IS - 4
ER -