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Weinhäusel, A; Behmel, A; Ponder, BA; Haas, OA; Niederle, B; Gessl, A; Vierhapper, H; Pfragner, R.
Long-term follow up of a sporadic unilateral pheochromocytoma revealing multiple endocrine neoplasia MEN2A-2 in an elderly woman.
Endocr Pathol. 2003; 14(4):375-382 Doi: 10.1385%2FEP%3A14%3A4%3A375 (- Case Report)
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Leading authors Med Uni Graz
Pfragner Roswitha
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Abstract:
A unilateral, apparently sporadic pheochromocytoma was removed from the right adrenal of a 73-yr-old Caucasian woman. At the time of surgery, germline DNA from the patient was not available. However, a continuous cell line (KNA) established from the tumor showed a heterozygous sequence variant TGC (cysteine) to TGG (tryptophan) in exon 10, codon 611 of the RET proto-oncogene. Subsequent genetic testing of the patient and her offspring revealed the same base-change in herself, one daughter, one son, and the only grandson, confirming hereditary disease classified as MEN2A-2. Clinical follow up of the patient revealed elevated serum calcitonin after 6 yr. Thyroidectomy was performed and revealed a small medullary thyroid carcinoma. The patient's children thus far show no evidence of MEN2, but C-cell hyperplasia has been diagnosed in the grandson. Our serendipitous finding of a MEN2A-2 mutation in a patient with initial diagnosis of late onset, unilateral, "sporadic" pheochromocytoma would argue for routine mutation screening of even elderly patients presenting with a pheochromocytoma.
Find related publications in this database (using NLM MeSH Indexing)
Adrenal Gland Neoplasms - genetics
Aged - genetics
Calcitonin - blood
Carcinoma, Medullary - genetics
Female - genetics
Heterozygote - genetics
Humans - genetics
Male - genetics
Multiple Endocrine Neoplasia Type 2a - genetics
Mutation - genetics
Pheochromocytoma - genetics
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins c-ret - genetics
Receptor Protein-Tyrosine Kinases - genetics
Thyroid Neoplasms - genetics
Thyroidectomy - genetics
Tumor Cells, Cultured - genetics

Find related publications in this database (Keywords)
pheochromocytoma
multiple endocrine neoplasia 2A-2
RET proto-oncogene screening
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