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Tobias Else Metabolism, Endocrinology and Diabetes, Department of Internal Medicine, University of Michigan, 2560E MSRB2, 1150 West Medical Center Drive, Ann Arbor, Michigan 48109‐5674, USA

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. This represents a clinical link to other often genetic conditions, such as cyanotic congenital heart disease, and a biological link, as there is a close connection between hypoxia-like signaling changes caused by genetic mutations in VHL - and SDHx

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Samuel M O’Toole William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK
Department of Endocrinology, St Bartholomew’s Hospital, Barts Health NHS Trust, London, UK

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David S Watson William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK

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Tatiana V Novoselova William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK

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Lisa E L Romano William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK

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Peter J King William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK

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Teisha Y Bradshaw William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK

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Clare L Thompson Institute of Bioengineering and School of Engineering and Material Sciences, Queen Mary University of London, London, UK

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Martin M Knight Institute of Bioengineering and School of Engineering and Material Sciences, Queen Mary University of London, London, UK

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Tyson V Sharp Barts Cancer Institute, Queen Mary University of London, London, UK

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Michael R Barnes William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK

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Umasuthan Srirangalingam William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK
Department of Endocrinology, St Bartholomew’s Hospital, Barts Health NHS Trust, London, UK
Department of Diabetes and Endocrinology, University College London Hospital, London, UK

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William M Drake Department of Endocrinology, St Bartholomew’s Hospital, Barts Health NHS Trust, London, UK

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J Paul Chapple William Harvey Research Institute, Barts and the London School of Medicine, Queen Mary University of London, London, UK

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comparing individuals with ( n  = 5) and without ( n  = 22) germline mutations in VHL. (G and H) Cilia incidence and length in 47 PCC/PGL comparing those with a germline mutations in VHL ( n  = 9), to tumors from patients with germline mutations in SDHx

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James F Powers Department of Pathology and Laboratory Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA

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Brent Cochran Department of Developmental, Molecular and Chemical Biology, Tufts University School of Medicine, Boston, Massachusetts, USA

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James D Baleja Department of Developmental, Molecular and Chemical Biology, Tufts University School of Medicine, Boston, Massachusetts, USA

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Hadley D Sikes Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

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Xue Zhang Department of Developmental, Molecular and Chemical Biology, Tufts University School of Medicine, Boston, Massachusetts, USA

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Inna Lomakin Department of Pathology and Laboratory Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA

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Troy Langford Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

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Kassi Taylor Stein Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

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Arthur S Tischler Department of Pathology and Laboratory Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA

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). In addition, SDHx -mutated paragangliomas are reported to show high levels of markers associated with oxidative stress ( Fliedner et al. 2012 ), which has been proposed as both a driver and inhibitor of tumor progression in other tumor types ( Pani

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Raquel G Martins IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Joana B Nunes IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Valdemar Máximo IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Paula Soares IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Joana Peixoto IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Telmo Catarino IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Teresa Rito IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Pedro Soares IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Luísa Pereira IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Manuel Sobrinho-Simões IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Ana Paula Santos IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Joana Couto IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Rui Henrique IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Joana Matos-Loureiro IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Paula Dias IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Isabel Torres IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Jorge Lima IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal
IPATIMUP (Institute of Pathology and Molecular Immunology of the University of Porto), Medical Faculty of the University of Porto, Department of Endocrinology, Department of Pathology, Department of Pathology, Rua Dr Roberto Frias s/n, 4200-465, Porto, Portugal

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Dear Editor We would like to report a genetic screening of SDHB , SDHC , SDHD and SDHAF2 genes (hereafter abbreviated to SDHx ) in patients with paragangliomas (PGL) and phaeochromocytomas (PCC) from northern Portugal. PGL and PCC are

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Anne-Paule Gimenez-Roqueplo Université Paris Cité, PARCC, INSERM, Paris, France
Département de Médecine Génomique des Tumeurs et des Cancers, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Paris, France

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Mercedes Robledo Hereditary Endocrine Cancer Group, Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain
Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III, Madrid, Spain

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Patricia L M Dahia Division of Hematology and Medical Oncology, Department Medicine, University of Texas Health Science Center at San Antonio (UTHSCSA), San Antonio, Texas, USA
Mays Cancer Center at UTHSCSA, San Antonio, Texas, USA

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( Buffet et al. 2019 ). The study compared the management and outcome of 221 patients diagnosed with PGL carrying mutations in SDHx or VHL who were informed of their positive genetic status either within the first year or more than 7 years after the

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L Fishbein Division of Endocrinology, Metabolism and Diabetes and Division of Biomedical Informatics and Personalized Medicine, Department of Medicine, University of Colorado School of Medicine, University of Colorado Cancer Center, Aurora, Colorado, USA

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S Ben-Maimon Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Renal and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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S Keefe Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Division of Medical Oncology and Hematology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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K Cengel Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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D A Pryma Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Division of Nuclear Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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A Loaiza-Bonilla Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Division of Medical Oncology and Hematology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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D L Fraker Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Division of Endocrine Oncologic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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K L Nathanson Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Division of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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D L Cohen Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Renal and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

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–44.77) and did not differ based on SDHx mutation status ( SDHx carriers 6.80 years vs other 6.39 years; P  = 0.8632) or SDHB mutation status ( SDHB carriers 5.99 years vs other 7.38 years; P  = 0.5535). The presence of any SDHx mutation was

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Eva Szarek Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Evan R Ball Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Alessio Imperiale Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA
Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Maria Tsokos Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Fabio R Faucz Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Alessio Giubellino Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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François-Marie Moussallieh Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA
Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Izzie-Jacques Namer Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA
Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Mones S Abu-Asab Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Karel Pacak Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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David Taïeb Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA
Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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J Aidan Carney Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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Constantine A Stratakis Section on Endocrinology and Genetics (SEGEN), Department of Biophysics and Nuclear Medicine, Faculty of Medicine, Laboratory of Pathology, Section on Medical Neuroendocrinology (SMN), Section of Immunopathology and Laboratory of Immunology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, Emeritus Staff Center, Program on Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Building 10, CRC, Room 1‐3330, 10 Center Drive, MSC1103, Bethesda, Maryland 20892, USA

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encoded by the SDHA , SDHB, SDHC, and SDHD genes, which are collectively known as SDHx . Mutations in these genes that were known to predispose individuals to hereditary PGLs and pheochromocytomas ( Astuti et al . 2001 , Velasco et al . 2005

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Jenny Welander Department of Clinical and Experimental Medicine, Department of Surgery, Faculty of Health Sciences, Linköping University, SE-58185 Linköping, Sweden

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Peter Söderkvist Department of Clinical and Experimental Medicine, Department of Surgery, Faculty of Health Sciences, Linköping University, SE-58185 Linköping, Sweden

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Oliver Gimm Department of Clinical and Experimental Medicine, Department of Surgery, Faculty of Health Sciences, Linköping University, SE-58185 Linköping, Sweden
Department of Clinical and Experimental Medicine, Department of Surgery, Faculty of Health Sciences, Linköping University, SE-58185 Linköping, Sweden

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mutations in any of the genes involved in hereditary pheochromocytoma have been thought to be rare in the more common sporadic form of the tumor, as has repeatedly been reported for the RET , VHL , and SDHx genes ( Burnichon et al . 2011 ). While ∼15

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Frédéric Castinetti Department of Endocrinology, Department of Biophysics and Nuclear Medicine, Diagnostic Nuclear Medicine Division, Program in Reproductive and Adult Endocrinology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, La Timone University Hospital, Aix‐Marseille University, Marseille, France

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Alexander Kroiss Department of Endocrinology, Department of Biophysics and Nuclear Medicine, Diagnostic Nuclear Medicine Division, Program in Reproductive and Adult Endocrinology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, La Timone University Hospital, Aix‐Marseille University, Marseille, France

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Rakesh Kumar Department of Endocrinology, Department of Biophysics and Nuclear Medicine, Diagnostic Nuclear Medicine Division, Program in Reproductive and Adult Endocrinology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, La Timone University Hospital, Aix‐Marseille University, Marseille, France

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Karel Pacak Department of Endocrinology, Department of Biophysics and Nuclear Medicine, Diagnostic Nuclear Medicine Division, Program in Reproductive and Adult Endocrinology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, La Timone University Hospital, Aix‐Marseille University, Marseille, France

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David Taieb Department of Endocrinology, Department of Biophysics and Nuclear Medicine, Diagnostic Nuclear Medicine Division, Program in Reproductive and Adult Endocrinology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, La Timone University Hospital, Aix‐Marseille University, Marseille, France
Department of Endocrinology, Department of Biophysics and Nuclear Medicine, Diagnostic Nuclear Medicine Division, Program in Reproductive and Adult Endocrinology, Department of Nuclear Medicine, Institut Paoli‐Calmettes, La Timone University Hospital, Aix‐Marseille University, Marseille, France

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approaches for PHEOs/PGLs according to the localization and genotype Entities Associated conditions 1st choice radiopharmaceuticals 2nd choice radiopharmaceuticals PHEO MEN2 (RET), SDHx, VHL, NF1, TMEM127, MAX 18 F-FDOPA 123 I-MIBG Extraadrenal abdominal and

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Massimo Mannelli Endocrinology Unit, Endocrinology Unit, Division of Endocrinology, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy

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Elena Rapizzi Endocrinology Unit, Endocrinology Unit, Division of Endocrinology, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy

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Rossella Fucci Endocrinology Unit, Endocrinology Unit, Division of Endocrinology, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy

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Letizia Canu Endocrinology Unit, Endocrinology Unit, Division of Endocrinology, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy

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Tonino Ercolino Endocrinology Unit, Endocrinology Unit, Division of Endocrinology, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy

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Michaela Luconi Endocrinology Unit, Endocrinology Unit, Division of Endocrinology, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy

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William F Young Jr Endocrinology Unit, Endocrinology Unit, Division of Endocrinology, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy

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. 2014 ). Based on gene profiling studies ( Dahia et al . 2005 , Favier et al . 2009 ), mutated as well as WT pheochromocytoma/paraganglioma can be assigned to two different ‘clusters’. Cluster 1 includes VHL , SDHx and FH mutated tumors and is

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