Abstract 1247: Hereditary paraganglioma-pheochromocytoma syndrome: Patterns of presentation in a Brazilian oncogenetics clinic

Abstract

Abstract Introductory Sentence: More than 35% of pheochromocytomas and paragangliomas (PPGL) are thought to occur due to an underlying genetic predisposition, which explain approximately 30% of familial cases. Methods: We analyzed data of four families with clinical and molecular diagnosis of PPGL followed at Oncogenetics Department of A.C. Camargo Cancer Center, from 2010 to 2017. Results: The proband of Family 1 is a 40-year-old woman with glomus jugulare paraganglioma and confirmed SDHB mutation. Her two children have the same mutation in SDHB gene and her son had the diagnosis of retroperitoneal paraganglioma at the age 13. The brother of the index case had a pheochromocytoma and her nephew had an abdominal paraganglioma at the age of 8. In the Family 2 the index case is a 33-year-old woman with paraganglioma of the carotid body bilateral and had a molecular diagnosis with SDHB mutation. There are no other paraganglioma cases in the members of this family. Family 3 initiated counseling in our clinics with a woman with paraganglioma of the carotid body bilateral at 25-year-old with recurrence at 35-year-old and it was found in genetic test a SDHD mutation. She had two cousins with bilateral cervical paraganglioma, but without genetic testing. Our fourth family: Man with pheochromocytoma at 28-year-old and mutation in the SDHD gene. A son with metastatic phaeochromocytoma in the retroperitoneum, mediastinum and lung at 11-year-old and bilateral carotid paraganglioma at 12-year-old. Sister of the index case with glomus jugulare paraganglioma at the age of 38. Conclusions: Although PPGL are rare tumors, it is estimated that up to 30-40% of cases are hereditary, based on this it is relevant to raise the PPGL syndrome suspicion and refer a paraganglioma or pheochromocytoma patient to a cancer genetic counseling. There are clear follow-up guidelines for the early detection of these tumors in carriers and the genotype-phenotype correlation can direct the diagnosis and in some cases the management of these patients. Citation Format: Diogo C. Soares, Ana Milena G. Camacho, Maria Isabel Achatz, Maria Nirvana C. Formiga. Hereditary paraganglioma-pheochromocytoma syndrome: Patterns of presentation in a Brazilian oncogenetics clinic [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 1247.