The clinical genetics of phaeochromocytoma and paraganglioma

ABSTRACT Phaeochromocytoma and paraganglioma are rare catecholamine-producing tumours, recognised to have one of the richest hereditary backgrounds of all neoplasms, with germline mutations seen in approximately 30% of patients. They can be a part of genetic syndromes such as MEN 2 or Neurofibromato...

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Main Authors: P. T. Kavinga Gunawardane, Ashley Grossman
Format: Article
Language:English
Published: Brazilian Society of Endocrinology and Metabolism
Series:Archives of Endocrinology and Metabolism
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972017000500490&lng=en&tlng=en
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author P. T. Kavinga Gunawardane
Ashley Grossman
author_facet P. T. Kavinga Gunawardane
Ashley Grossman
author_sort P. T. Kavinga Gunawardane
collection DOAJ
description ABSTRACT Phaeochromocytoma and paraganglioma are rare catecholamine-producing tumours, recognised to have one of the richest hereditary backgrounds of all neoplasms, with germline mutations seen in approximately 30% of patients. They can be a part of genetic syndromes such as MEN 2 or Neurofibromatosis type 1, or can be found as apparently sporadic tumours. Germline mutations are almost always found in syndromic patients. Nonetheless, apparently sporadic phaeochromocytoma too show high germline mutation rates. Early detection of a genetic mutation can lead to early diagnosis of further tumours via surveillance, early treatment and better prognosis. Apart from this, the genetic profile has important relevance for tumour location and biochemical profile, and can be a useful predictor of future tumour behaviour. It also enables family screening and surveillance. Moreover, recent studies have demonstrated significant driver somatic mutations in up to 75% of all tumours. Arch Endocrinol Metab. 2017;61(5):490-500
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spelling doaj.art-9f921d0c76504c929a9fb23c4e8924e62022-12-22T03:31:23ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-429261549050010.1590/2359-3997000000299S2359-39972017000500490The clinical genetics of phaeochromocytoma and paragangliomaP. T. Kavinga GunawardaneAshley GrossmanABSTRACT Phaeochromocytoma and paraganglioma are rare catecholamine-producing tumours, recognised to have one of the richest hereditary backgrounds of all neoplasms, with germline mutations seen in approximately 30% of patients. They can be a part of genetic syndromes such as MEN 2 or Neurofibromatosis type 1, or can be found as apparently sporadic tumours. Germline mutations are almost always found in syndromic patients. Nonetheless, apparently sporadic phaeochromocytoma too show high germline mutation rates. Early detection of a genetic mutation can lead to early diagnosis of further tumours via surveillance, early treatment and better prognosis. Apart from this, the genetic profile has important relevance for tumour location and biochemical profile, and can be a useful predictor of future tumour behaviour. It also enables family screening and surveillance. Moreover, recent studies have demonstrated significant driver somatic mutations in up to 75% of all tumours. Arch Endocrinol Metab. 2017;61(5):490-500http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972017000500490&lng=en&tlng=enPhaeochromocytomaparagangliomagenetics
spellingShingle P. T. Kavinga Gunawardane
Ashley Grossman
The clinical genetics of phaeochromocytoma and paraganglioma
Archives of Endocrinology and Metabolism
Phaeochromocytoma
paraganglioma
genetics
title The clinical genetics of phaeochromocytoma and paraganglioma
title_full The clinical genetics of phaeochromocytoma and paraganglioma
title_fullStr The clinical genetics of phaeochromocytoma and paraganglioma
title_full_unstemmed The clinical genetics of phaeochromocytoma and paraganglioma
title_short The clinical genetics of phaeochromocytoma and paraganglioma
title_sort clinical genetics of phaeochromocytoma and paraganglioma
topic Phaeochromocytoma
paraganglioma
genetics
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972017000500490&lng=en&tlng=en
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