Document Detail


Paraganglioma syndrome type 1 in a patient with Carney-Stratakis syndrome.
MedLine Citation:
PMID:  20098451     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A 33-year-old man was referred to a specialist center with a left neck mass and hypertension. The patient underwent surgery, which confirmed a malignant neck paraganglioma with metastasis to a cervical lymph node. He had no family history of carotid body tumors or pheochromocytoma. INVESTIGATIONS: Measurements of plasma free metanephrines and chromogranin A; radiographic evaluations with CT, (18)F-fluorodeoxyglucose PET and (123)I-labeled metaiodobenzylguanidine scan; gene analysis for mutations in the SDHD and the KIT gene. DIAGNOSIS: Paraganglioma syndrome type 1 in a patient with a paraganglioma, bilateral pheochromocytomas and a gastrointestinal stromal tumor with a somatic Asp579del KIT mutation. MANAGEMENT: The patient underwent surgical excision of all tumors after adequate preparation with alpha and beta blockers. Blood pressure normalized after surgery. The patient is examined regularly with biochemical and radiographic studies, and his follow-up is expected to last throughout life.
Authors:
Montserrat Ayala-Ramirez; Glenda G Callender; Michael E Kupferman; Thereasa A Rich; Hubert H Chuang; Jonathan Trent; Nancy D Perrier; Mahmoud Goodarzi; Camilo Jimenez
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nature reviews. Endocrinology     Volume:  6     ISSN:  1759-5037     ISO Abbreviation:  Nat Rev Endocrinol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-25     Completed Date:  2010-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101500078     Medline TA:  Nat Rev Endocrinol     Country:  England    
Other Details:
Languages:  eng     Pagination:  110-5     Citation Subset:  IM    
Affiliation:
Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1461, Houston, TX 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
3-Iodobenzylguanidine / diagnostic use
Adrenal Gland Neoplasms / diagnosis,  genetics,  surgery
Adult
Carney Complex
Chromogranin A / blood
Fluorodeoxyglucose F18 / diagnostic use
Gastrointestinal Stromal Tumors / diagnosis*,  genetics,  surgery
Gene Transfer Techniques
Humans
Hypertension / diagnosis*
Lymphatic Metastasis
Male
Metanephrine / blood
Mutation
Neck
Paraganglioma / diagnosis*,  genetics,  surgery
Pheochromocytoma / diagnosis*,  genetics,  surgery
Positron-Emission Tomography
Proto-Oncogene Proteins c-kit / genetics
Succinate Dehydrogenase / genetics
Syndrome
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Chromogranin A; 0/SDHD protein, human; 5001-33-2/Metanephrine; 63503-12-8/Fluorodeoxyglucose F18; 77679-27-7/3-Iodobenzylguanidine; EC 1.3.99.1/Succinate Dehydrogenase; EC 2.7.10.1/Proto-Oncogene Proteins c-kit

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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