SDHD基因突变:超越头部和部瘤的研究
Sushma Kadiyala1, Yasmin Khan1, Valeria de Miguel2
1Department of Internal Medicine, Division of Endocrinology & Metabolism, University of Florida and the Malcolm Randall VA Medical Center, Gainesville, FL.
AACE clinical case reports
|July 31, 2025
概括
糖酸脱酶复合体,亚单元D (SDHD) 基因突变可以导致早期发病的双边花色素细胞瘤和横瘤. 这些发现表明,在具有功能性上腺瘤的年轻患者中,应该考虑SDHD突变.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
背景情况:
- 酸脱酶复合体,亚单元D (SDHD) 基因突变通常与头部和部偏瘤有关.
- 遗传性色细胞瘤 (PCC) 和偏角质瘤 (PGL) 综合征可以与早期发病和双边瘤一起出现.
研究的目的:
- 报告两例早期发病,双边PCC/PGL综合征与SDHD突变相关的病例.
- 突出SDHD突变在年轻患者中可能导致功能性上腺瘤的潜力.
主要方法:
- 两名患者的病例报告呈现双边PCC/PGL.
- 基因分析包括基因测序和SDHD基因的删除/重复分析.
- 诊断成像包括正子发射断层扫描与计算机断层扫描相结合.
主要成果:
- 这两位患者都在30岁之前出现了双边PCC和PGL.
- 病例1在SDHD中出现了异构2的删除;病例2在异构3中出现了框架转移突变.
- 手术切除和上腺切除导致了甲基荷胺的正常化.
结论:
- 在评估具有功能性双侧上腺PCC的年轻患者时,应该考虑SDHD突变.
- 这扩大了已知的SDHD相关瘤的临床谱范围,超出了头部和部 paragangliomas.
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