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Analysis of pheochromocytomas / paragangliomas from Eastern Slovakia.
[adrenal incidentaloma]
This
multi
centre
observational
cohort
study
gives
a
view
about
the
occurrence
,
clinical
and
laboratory
presentation
,
localization
,
histological
type
and
genetic
background
of
pheochromocytoma
(
PHEO
)
and
paraganglioma
(
PGL
)
in
Eastern
Slovakia
.
It
included
28
patients
(
18
women
+
10
men
)
,
of
which
23
were
diagnosed
to
have
PHEO
(
82
,
1
%
)
and
7
patients
(
25
%
)
suffered
from
PGL
with
retroperitoneal
,
inguinal
/
pelvic
and
mediastinal
distribution
.
Arterial
hypertension
was
the
major
symptom
present
in
86
%
with
slight
dominance
of
paroxysmal
form
(
58
%
)
.
In
3
cases
(
10
,
7
%
)
,
the
diagnosis
was
gained
after
differentiation
of
adrenal
incidentaloma
in
asymptomatic
patients
.
Five
patients
(
17
,
8
%
)
were
classified
to
have
malignant
form
of
the
disease
.
9
patients
(
32
,
1
%
)
were
confirmed
to
have
hereditary
form
-
five
of
them
(
17
,
8
%
)
with
familiar
medullar
thyroid
cancer
(
FMTC
)
and
mutations
in
RET
gene
classified
as
multiple
endocrine
neoplasia
2
A
and
4
patients
(
14
,
3
%
)
with
germline
mutations
of
SDHB
gene
,
respectively
.
There
was
found
a
relatively
high
occurrence
of
other
co
-morbidities
:
thyroid
disease
in
20
patients
(
71
,
4
%
)
,
impairment
of
glucose
metabolism
in
11
patients
(
39
,
3
%
)
and
apart
from
FMTC
,
4
patients
(
14
,
3
%
)
suffered
also
from
other
malignancy
.
Together
with
a
bigger
size
of
the
primary
tumor
(
6
,
6
cm
)
,
higher
concentrations
of
metanephrines
and
prevalence
of
extra
-
adrenal
tumors
,
malignant
and
hereditary
forms
,
we
suppose
genetic
and
environmental
factors
of
Eastern
Slovakia
may
play
a
role
in
the
etiopathogenesis
of
the
tumors
.
Diseases
Validation
Diseases presenting
"respectively"
symptom
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
benign recurrent intrahepatic cholestasis
carcinoma of the gallbladder
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
epidermolysis bullosa simplex
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
harlequin ichthyosis
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
kallmann syndrome
lamellar ichthyosis
liposarcoma
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyruvate dehydrogenase deficiency
scrub typhus
triple a syndrome
von hippel-lindau disease
well-differentiated liposarcoma
wolf-hirschhorn syndrome
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