Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case report

Von Hippel-Lindau syndrome is an autosomal dominant disorder that includes susceptibility to hemangioblastomas of the eyes and central nervous system, renal clear cell carcinoma, multiple pancreatic cysts, serous cystadenomas and pancreatic neuroendocrine tumors, pheochromocytoma, endolymphat...

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Main Authors: Gönül Catli, Ayhan Abaci, H C Hartmut Neumann, Ayça Altincik, Korcan Demir, Ece Böber
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2012-10-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1682
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author Gönül Catli
Ayhan Abaci
H C Hartmut Neumann
Ayça Altincik
Korcan Demir
Ece Böber
author_facet Gönül Catli
Ayhan Abaci
H C Hartmut Neumann
Ayça Altincik
Korcan Demir
Ece Böber
author_sort Gönül Catli
collection DOAJ
description Von Hippel-Lindau syndrome is an autosomal dominant disorder that includes susceptibility to hemangioblastomas of the eyes and central nervous system, renal clear cell carcinoma, multiple pancreatic cysts, serous cystadenomas and pancreatic neuroendocrine tumors, pheochromocytoma, endolymphatic sac tumors, and cystadenomas of the epididymis and broad ligament. We present a 16-year-old male who had been followed for having bilateral adrenal, and in addition, extraadrenal multifocal pheochromocytoma for six years. At the age of 16, he presented with bilateral retinal hemangioblastomas, which led to the diagnosis of von Hippel-Lindau disease type 2A confirmed by genetic analysis. The patient's mother also had bilateral adrenal pheochromocytoma with no other von Hippel Lindau-associated tumor. In children, pheochromocytoma may be the only and/or initial manifestation of the disease with delayed manifestations of the syndrome in other organs. Von Hippel-Lindau disease is a complex multidisciplinary disorder that requires well-coordinated medical care. Surveillance of these patients and asymptomatic relatives may prevent morbidity and mortality and improve long- term prognosis. Molecular analysis of the von Hippel-Lindau gene is useful for early diagnosis of the disease in individuals who do not yet fulfill the clinical diagnostic criteria and is instrumental in the management and follow-up of the affected family.
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spelling doaj-art-10c080df2ed742979af05a02b72ed1ae2025-08-20T02:01:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212012-10-01545Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case reportGönül Catli0Ayhan AbaciH C Hartmut NeumannAyça AltincikKorcan DemirEce BöberDivision of Pediatric Endocrinology, Department of Pediatrics, Dokuz Eyliil University Faculty of Medicine, Izmir, Turkey. gonulcatli@gmail.com Von Hippel-Lindau syndrome is an autosomal dominant disorder that includes susceptibility to hemangioblastomas of the eyes and central nervous system, renal clear cell carcinoma, multiple pancreatic cysts, serous cystadenomas and pancreatic neuroendocrine tumors, pheochromocytoma, endolymphatic sac tumors, and cystadenomas of the epididymis and broad ligament. We present a 16-year-old male who had been followed for having bilateral adrenal, and in addition, extraadrenal multifocal pheochromocytoma for six years. At the age of 16, he presented with bilateral retinal hemangioblastomas, which led to the diagnosis of von Hippel-Lindau disease type 2A confirmed by genetic analysis. The patient's mother also had bilateral adrenal pheochromocytoma with no other von Hippel Lindau-associated tumor. In children, pheochromocytoma may be the only and/or initial manifestation of the disease with delayed manifestations of the syndrome in other organs. Von Hippel-Lindau disease is a complex multidisciplinary disorder that requires well-coordinated medical care. Surveillance of these patients and asymptomatic relatives may prevent morbidity and mortality and improve long- term prognosis. Molecular analysis of the von Hippel-Lindau gene is useful for early diagnosis of the disease in individuals who do not yet fulfill the clinical diagnostic criteria and is instrumental in the management and follow-up of the affected family. https://turkjpediatr.org/article/view/1682
spellingShingle Gönül Catli
Ayhan Abaci
H C Hartmut Neumann
Ayça Altincik
Korcan Demir
Ece Böber
Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case report
The Turkish Journal of Pediatrics
title Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case report
title_full Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case report
title_fullStr Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case report
title_full_unstemmed Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case report
title_short Bilateral pheochromocytoma as first manifestation of von Hippel-Lindau disease: a case report
title_sort bilateral pheochromocytoma as first manifestation of von hippel lindau disease a case report
url https://turkjpediatr.org/article/view/1682
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