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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Germline mutations associated with pheochromocytoma and paraganglioma

Germline mutations associated with pheochromocytoma and paraganglioma
Syndrome/name Gene Typical tumor location and other associations
Pseudo-hypoxic – Cluster 1*
SDHD mutation (familial paraganglioma type 1) SDHD Primarily skull base and neck; occasionally adrenal medulla, mediastinum, abdomen, pelvis; GIST; possible pituitary adenoma
SDHAF2 mutation (familial paraganglioma type 2) SDHAF2 Primarily skull base and neck; occasionally abdomen and pelvis
SDHC mutation (familial paraganglioma type 3) SDHC Primarily skull base and neck; occasionally abdomen and pelvis; GIST; possible pituitary adenoma
SDHB mutation (familial paraganglioma type 4) SDHB Abdomen, pelvis and mediastinum; rarely adrenal medulla, skull base, and neck; GIST; possible pituitary adenoma
SDHA mutation SDHA Primarily skull base and neck; occasionally abdomen and pelvis; GIST; possible pituitary adenoma
VHL disease VHL Adrenal medulla, frequently bilateral; occasionally paraganglioma that may be localized from skull base to pelvis
Hereditary leiomyomatosis and renal cell carcinoma (Reed syndrome) – Fumarate hydratase mutation FH Multifocal and metastatic; associated with hereditary leiomyomatosis, uterine fibroids, and renal cell cancer
Hypoxia inducible factor 2-alpha EPAS1 (HIF2A) Paraganglioma, polycythemia, and rarely somastostatinoma
Familial erythrocytosis associated with mutation in prolyl hydroxylase isoform 1 (PDH1) EGLN2 Polycythemia associated with pheochromocytoma and paraganglioma
Familial erythrocytosis associated with mutation in prolyl hydroxylase isoform 2 (PDH2) EGLN1 Polycythemia associated with pheochromocytoma and paraganglioma
Kinesin Family Member 1B gene KIF1B Neuroblastoma
DNA methyltransferase 3-alpha gene DNMT3A Skull base and neck paraganglioma
Dihydrolipoamide S-succinyltransferase gene DLST PGL7 tumor predisposition syndrome; pheochromocytoma and thoraco-abdominal paragangliomas
Succinate-CoA ligase GDP-forming subunit beta gene SUCLG2 Paraganglioma
Kinase signaling pathway – Cluster 2Δ
MEN2A and MEN2B RET Adrenal medulla, frequently bilateral
Neurofibromatosis type 1 NF1 Adrenal or peri-adrenal
MAX MAX Adrenal medulla
Familial pheochromocytoma TMEM127 Adrenal medulla; possible renal cell carcinoma
HRAS proto-oncogene, GTPase HRAS  
Wnt signaling pathway – Cluster 3
Cold shock domain E1 CSDE1 Sporadic, aggressive disease with frequent recurrence and metastases
UBTF (Upstream Binding Transcription Factor) fusion with MAML3 (mastermind like transcriptional coactivator 3) UBTF::MAML3 fusion Sporadic, aggressive disease with frequent recurrence and metastases

GIST: gastrointestinal stromal tumor; MEN2: multiple endocrine neoplasia type 2; SDH: succinate dehydrogenase; VHL: von Hippel-Lindau.

* Cluster 1 tumors are mostly extra-adrenal paragangliomas (except in VHL, where most tumors are localized to the adrenal), and nearly all have a noradrenergic biochemical phenotype.

¶ Associated with maternal imprinting.

Δ Cluster 2 tumors are usually adrenal pheochromocytomas with an adrenergic biochemical phenotype.

◊ Cluster 3 tumors can have a noradrenergic or adrenergic biochemical phenotype.
Original figure modified for this publication. Young WF. Endocrine hypertension. In: Williams Textbook of Endocrinology, Melmed S, Polonsky KS, Larsen PR, Kronenberg HM (Eds), 13th ed, Elsevier Inc, Philadelphia 2015. p.556. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 106549 Version 3.0

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