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冯·希佩尔-林道病:一例有症状患者及其无症状基因携带者的罕见影像学病例报告

Von Hippel-Lindau Disease: A Rare Radiological Case Report of a Symptomatic Patient and His Asymptomatic Genetic Counterpart.

作者信息

Khanduri Sachin, Khan Nazia, Malik Saif, Katara Shivangi, Fatima Mariyam

机构信息

Radiodiagnosis, Era's Lucknow Medical College and Hospital, Lucknow, IND.

出版信息

Cureus. 2021 Jan 26;13(1):e12925. doi: 10.7759/cureus.12925.

DOI:10.7759/cureus.12925
PMID:33654607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7906916/
Abstract

Von Hippel-Lindau (VHL) disease is an inherited syndrome manifested as a benign and malignant tumor. It is an autosomal dominant syndrome diagnosed approximately in 1 in 36,000 people. We report a case where male siblings presented with the involvement of bilateral kidneys and the multi-cystic lesion on the pancreas in both. Reverse transcription polymerase chain reaction (RT-PCR) was conducted to detect the VHL gene, which turned out to be a significant finding in our study. The rare involvement of both pancreas and kidneys was noted in the siblings with VHL in the present study. In patients with VHL-associated tumour presentations, the most frequent detection of pathogenic variants in the VHL gene is the result of directed genetic testing or inherited cancer gene panels. The presence of renal and pancreatic involvement is rare but a significant finding present within the family member who needs to be screened.

摘要

冯·希佩尔-林道(VHL)病是一种表现为良性和恶性肿瘤的遗传性综合征。它是一种常染色体显性综合征,大约每36000人中就有1人被诊断出。我们报告了一例病例,其中男性同胞均出现双侧肾脏受累以及胰腺多发囊性病变。进行了逆转录聚合酶链反应(RT-PCR)以检测VHL基因,这在我们的研究中是一个重要发现。在本研究中,VHL患者的同胞中胰腺和肾脏均罕见受累。在VHL相关肿瘤表现的患者中,VHL基因中最常检测到的致病变异是定向基因检测或遗传性癌症基因检测板的结果。肾脏和胰腺受累的情况很少见,但在需要筛查的家庭成员中是一个重要发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/7906916/9d5acfc13f5f/cureus-0013-00000012925-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/7906916/54d059b9a695/cureus-0013-00000012925-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/7906916/c115ccb598f8/cureus-0013-00000012925-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/7906916/9d5acfc13f5f/cureus-0013-00000012925-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/7906916/54d059b9a695/cureus-0013-00000012925-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/7906916/c115ccb598f8/cureus-0013-00000012925-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/7906916/9d5acfc13f5f/cureus-0013-00000012925-i03.jpg

相似文献

1
Von Hippel-Lindau Disease: A Rare Radiological Case Report of a Symptomatic Patient and His Asymptomatic Genetic Counterpart.冯·希佩尔-林道病:一例有症状患者及其无症状基因携带者的罕见影像学病例报告
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The impact of molecular genetic analysis of the VHL gene in patients with haemangioblastomas of the central nervous system.VHL基因分子遗传学分析对中枢神经系统血管母细胞瘤患者的影响。
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本文引用的文献

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Von Hippel-Lindau and Hereditary Pheochromocytoma/Paraganglioma Syndromes: Clinical Features, Genetics, and Surveillance Recommendations in Childhood.希佩尔-林道综合征和遗传性嗜铬细胞瘤/副神经节瘤综合征:儿童期的临床特征、遗传学和监测建议。
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ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing.
ACMG 临床外显子组和基因组测序中偶然发现报告的推荐标准。
Genet Med. 2013 Jul;15(7):565-74. doi: 10.1038/gim.2013.73. Epub 2013 Jun 20.
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Role of VHL gene mutation in human cancer.VHL基因突变在人类癌症中的作用。
J Clin Oncol. 2004 Dec 15;22(24):4991-5004. doi: 10.1200/JCO.2004.05.061.
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Genotype-phenotype correlation in von Hippel-Lindau families with renal lesions.伴有肾脏病变的冯·希佩尔-林道家族的基因型-表型相关性
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7
Germline mutations in the Von Hippel-Lindau disease (VHL) gene in families from North America, Europe, and Japan.北美、欧洲和日本家族中冯·希佩尔-林道病(VHL)基因的种系突变。
Hum Mutat. 1996;8(4):348-57. doi: 10.1002/(SICI)1098-1004(1996)8:4<348::AID-HUMU8>3.0.CO;2-3.
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Phenotypic expression in von Hippel-Lindau disease: correlations with germline VHL gene mutations.冯·希佩尔-林道病的表型表达:与种系VHL基因突变的相关性
J Med Genet. 1996 Apr;33(4):328-32. doi: 10.1136/jmg.33.4.328.
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Clinical features and natural history of von Hippel-Lindau disease.希佩尔-林道病的临床特征与自然病史。
Q J Med. 1990 Nov;77(283):1151-63. doi: 10.1093/qjmed/77.2.1151.
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Pancreatic lesions in the von Hippel-Lindau syndrome.冯·希佩尔-林道综合征中的胰腺病变
Gastroenterology. 1991 Aug;101(2):465-71. doi: 10.1016/0016-5085(91)90026-h.