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To screen or not to screen: complexity of SDHA mutation management
Einas Mohamed1, Rosalind Eeles2, Terri McVeigh2
1Imperial College Healthcare NHS Trust, London, UK.
Endocrine Oncology (Bristol, England)
|February 4, 2026
Summary
Germline SDHA variants can increase cancer risk, but their penetrance is low. Careful clinical interpretation is crucial to determine if SDHA variants are actionable, guiding necessary surveillance and family testing.
Area of Science:
- Genetics
- Oncology
- Biochemistry
Background:
- Pathogenic germline variants in succinate dehydrogenase (SDH) genes are linked to hereditary phaeochromocytomas and paragangliomas (PPGLs).
- Germline SDHA variants are also associated with wild-type gastrointestinal stromal tumours (GISTs) and paragangliomas, but exhibit low penetrance.
- Clinical interpretation of SDHA variants requires careful consideration due to low penetrance, avoiding unnecessary investigations or concern.
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