Head and neck paragangliomas in von Hippel-Lindau disease and multiple endocrine neoplasia type 2
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Head and neck paragangliomas in von Hippel-Lindau disease and multiple endocrine neoplasia type 2. / Boedeker, Carsten C; Erlic, Zoran; Richard, Stéphane; Kontny, Udo; Gimenez-Roqueplo, Anne-Paule; Cascon, Alberto; Robledo, Mercedes; de Campos, José M; van Nederveen, Francien H; de Krijger, Ronald R; Burnichon, Nelly; Gaal, José; Walter, Martin A; Reschke, Kirsten; Wiech, Thorsten; Weber, Johannes; Rückauer, Klaus; Plouin, Pierre Francois; Darrouzet, Vincent; Giraud, Sophie; Eng, Charis; Neumann, Hartmut P H.
In: J CLIN ENDOCR METAB, Vol. 94, No. 6, 01.06.2009, p. 1938-44.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Head and neck paragangliomas in von Hippel-Lindau disease and multiple endocrine neoplasia type 2
AU - Boedeker, Carsten C
AU - Erlic, Zoran
AU - Richard, Stéphane
AU - Kontny, Udo
AU - Gimenez-Roqueplo, Anne-Paule
AU - Cascon, Alberto
AU - Robledo, Mercedes
AU - de Campos, José M
AU - van Nederveen, Francien H
AU - de Krijger, Ronald R
AU - Burnichon, Nelly
AU - Gaal, José
AU - Walter, Martin A
AU - Reschke, Kirsten
AU - Wiech, Thorsten
AU - Weber, Johannes
AU - Rückauer, Klaus
AU - Plouin, Pierre Francois
AU - Darrouzet, Vincent
AU - Giraud, Sophie
AU - Eng, Charis
AU - Neumann, Hartmut P H
PY - 2009/6/1
Y1 - 2009/6/1
N2 - BACKGROUND: Head and neck paragangliomas (HNPs) occur as sporadic or familial entities, the latter mostly in association with germline mutations of the SDHB, SDHC, or SDHD (SDHx) genes. Heritable non-SDHx HNP might occur in von Hippel-Lindau disease (VHL, VHL gene), multiple endocrine neoplasia type 2 (MEN2, RET gene), and neurofibromatosis type 1 (NF1, NF1 gene). Reports of non-SDHx HNP presentations are scarce and guidance for genetic testing nonexistent.PATIENTS AND METHODS: An international consortium registered patients with HNPs and performed mutation analyses of the SDHx, VHL, and RET genes. Those with SDHx germline mutations were excluded for purposes of this study. Personal and family histories were evaluated for paraganglial tumors, for the major tumor manifestations, and for family history of VHL, MEN2, or NF1.RESULTS: Twelve patients were found to have hereditary non-SDHx HNPs of a total of 809 HNP and 2084 VHL registrants, 11 in the setting of germline VHL mutations and one of a RET mutation. The prevalence of hereditary HNP is five in 1000 VHL patients and nine in 1000 non-SDHx HNP patients. Comprehensive literature review revealed previous reports of HNPs in five VHL, two MEN2, and one NF1 patient. Overall, 11 here presented HNP cases, and four previously reported VHL-HNPs had lesions characteristic for VHL and/or a positive family history for VHL.CONCLUSIONS: Our observations provide evidence that molecular genetic testing for VHL or RET germline mutations in patients with HNP should be done only if personal and/or family history shows evidence for one of these syndromes.
AB - BACKGROUND: Head and neck paragangliomas (HNPs) occur as sporadic or familial entities, the latter mostly in association with germline mutations of the SDHB, SDHC, or SDHD (SDHx) genes. Heritable non-SDHx HNP might occur in von Hippel-Lindau disease (VHL, VHL gene), multiple endocrine neoplasia type 2 (MEN2, RET gene), and neurofibromatosis type 1 (NF1, NF1 gene). Reports of non-SDHx HNP presentations are scarce and guidance for genetic testing nonexistent.PATIENTS AND METHODS: An international consortium registered patients with HNPs and performed mutation analyses of the SDHx, VHL, and RET genes. Those with SDHx germline mutations were excluded for purposes of this study. Personal and family histories were evaluated for paraganglial tumors, for the major tumor manifestations, and for family history of VHL, MEN2, or NF1.RESULTS: Twelve patients were found to have hereditary non-SDHx HNPs of a total of 809 HNP and 2084 VHL registrants, 11 in the setting of germline VHL mutations and one of a RET mutation. The prevalence of hereditary HNP is five in 1000 VHL patients and nine in 1000 non-SDHx HNP patients. Comprehensive literature review revealed previous reports of HNPs in five VHL, two MEN2, and one NF1 patient. Overall, 11 here presented HNP cases, and four previously reported VHL-HNPs had lesions characteristic for VHL and/or a positive family history for VHL.CONCLUSIONS: Our observations provide evidence that molecular genetic testing for VHL or RET germline mutations in patients with HNP should be done only if personal and/or family history shows evidence for one of these syndromes.
KW - Adolescent
KW - Adult
KW - DNA Mutational Analysis
KW - Female
KW - Genetic Testing
KW - Head and Neck Neoplasms
KW - Humans
KW - Male
KW - Membrane Proteins
KW - Multiple Endocrine Neoplasia Type 2a
KW - Paraganglioma
KW - Succinate Dehydrogenase
KW - Von Hippel-Lindau Tumor Suppressor Protein
KW - Young Adult
KW - von Hippel-Lindau Disease
U2 - 10.1210/jc.2009-0354
DO - 10.1210/jc.2009-0354
M3 - SCORING: Journal article
C2 - 19336503
VL - 94
SP - 1938
EP - 1944
JO - J CLIN ENDOCR METAB
JF - J CLIN ENDOCR METAB
SN - 0021-972X
IS - 6
ER -