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一名携带致病性VHL突变的患者通过I-MIBG SPECT/CT成像诊断为转移性嗜铬细胞瘤。

Metastatic Pheochromocytoma Diagnosed with I-MIBG SPECT/CT Imaging in a Patient with Pathogenic VHL Mutation.

作者信息

Vankadari Kousik, Boddula Raman, Hegde Aditya Gajanan, Chinte Chimutai

机构信息

Department of Nuclear Medicine, Yashoda Hospital, Secunderabad, Telangana, India.

Department of Endocrinology, Yashoda Hospital, Secunderabad, Telangana, India.

出版信息

World J Nucl Med. 2022 Apr 30;21(1):73-75. doi: 10.1055/s-0042-1746177. eCollection 2022 Mar.

DOI:10.1055/s-0042-1746177
PMID:35502282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9056124/
Abstract

Pheochromocytoma is a rare catecholamine secreting neuroendocrine tumor arising from chromaffin cells of adrenal medulla with approximate prevalence of 0.1 to 0.6% in patients suffering from hypertension. Hypertensive control followed by surgical resection remains the primary treatment of choice. Although it is considered a slow growing benign tumor, it rarely leads to recurrence of tumor in the lymph nodes, liver, and lungs. Association of benign pheochromocytoma with familial or de novo Von Hippel-Lindau (VHL) mutations is well reported in literature. Here, we report a case of metastatic pheochromocytoma arising from commonly seen benign VHL mutation.

摘要

嗜铬细胞瘤是一种罕见的分泌儿茶酚胺的神经内分泌肿瘤,起源于肾上腺髓质的嗜铬细胞,在高血压患者中的患病率约为0.1%至0.6%。控制高血压后进行手术切除仍然是主要的治疗选择。虽然它被认为是一种生长缓慢的良性肿瘤,但很少导致肿瘤在淋巴结、肝脏和肺部复发。文献中已充分报道了良性嗜铬细胞瘤与家族性或新发的冯·希佩尔-林道(VHL)突变的关联。在此,我们报告一例由常见的良性VHL突变引起的转移性嗜铬细胞瘤病例。

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Metastatic Pheochromocytoma Diagnosed with I-MIBG SPECT/CT Imaging in a Patient with Pathogenic VHL Mutation.一名携带致病性VHL突变的患者通过I-MIBG SPECT/CT成像诊断为转移性嗜铬细胞瘤。
World J Nucl Med. 2022 Apr 30;21(1):73-75. doi: 10.1055/s-0042-1746177. eCollection 2022 Mar.
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Arch Pediatr. 2020 Nov;27(8):497-501. doi: 10.1016/j.arcped.2020.09.010. Epub 2020 Oct 13.
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Case report: a synonymous VHL mutation (c.414A > G, p.Pro138Pro) causes pathogenic familial hemangioblastoma through dysregulated splicing.病例报告:同义 VHL 突变(c.414A>G,p.Pro138Pro)通过异常剪接导致致病性家族性血管母细胞瘤。
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Identification of a VHL gene mutation in atypical Von Hippel-Lindau syndrome: genotype-phenotype correlation and gene therapy perspective.非典型冯·希佩尔-林道综合征中VHL基因突变的鉴定:基因型-表型相关性及基因治疗前景
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本文引用的文献

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Preventive medicine of von Hippel-Lindau disease-associated pancreatic neuroendocrine tumors.von Hippel-Lindau 病相关胰腺神经内分泌肿瘤的预防医学。
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Aggressive Imaging Features in a Malignant Pheochromocytoma With a Novel Mutation of the SDHB Gene.SDHB 基因突变致恶性嗜铬细胞瘤侵袭性影像学特征
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Germline mutations in the von Hippel-Lindau disease tumor suppressor gene: correlations with phenotype.冯·希佩尔-林道病肿瘤抑制基因的种系突变:与表型的相关性。
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