Koniusz Joanna, Dąbkowski Krzysztof, Buczek Katarzyna, Gomółka Aleksandra, Starzyńska Teresa
Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland; Department of General, Vascular and Transplantation Surgery, Marie Curie Hospital, Szczecin, Poland.
Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland.
Pol Merkur Lekarski. 2017 Aug 21;43(254):53-55.
Von Hippel-Lindau disease is rare autosomal dominant disorder that results from mutation of VHL gene. Typical manifestations of this syndrome include haemangioblastomas of retina, cerebellum and spinal cord, endolymphatic sac tumors, clear cell cancer and kidney cysts, pheochromocytoma, pancreatic cysts and neuroendocrine tumors. The differential diagnosis of pancreatic lesions in patients with von Hippel Lindau syndrome plays an important role. The pancreas in VHL disease is not only site of benign lesions (cysts, serous systic adenomas) but also of potentially malignant (neuroendocrine) and malignant tumors(metastases).The gastroenterological manifestations can be the first symptoms of von Hippel-Lindau disease.
冯·希佩尔-林道病是一种罕见的常染色体显性疾病,由VHL基因突变引起。该综合征的典型表现包括视网膜、小脑和脊髓的血管母细胞瘤、内淋巴囊肿瘤、透明细胞癌和肾囊肿、嗜铬细胞瘤、胰腺囊肿和神经内分泌肿瘤。对冯·希佩尔-林道综合征患者胰腺病变的鉴别诊断具有重要作用。VHL病中的胰腺不仅是良性病变(囊肿、浆液性囊性腺瘤)的发生部位,也是潜在恶性(神经内分泌)和恶性肿瘤(转移瘤)的发生部位。胃肠表现可能是冯·希佩尔-林道病的首发症状。