title: Malignant pheochromocytoma in a 16-year-old patient with neurofibromatosis type 1.
abstract: Patients with neurofibromatosis type I (NF1) feature a high risk of developing benign and malignant tumors, mainly those with a neuroectodermal origin, the risk being about 4 times higher than in the general population. Pheochromocytoma (PHEO) is a sporadic tumor (1∶100,000) arising from the adrenal medulla. Pheochromocytoma is a rare condition when occurring in conjunction with NF1 and occurs in about 1% of patients, rarely in those of pediatric age. In this study we present a 16-year-old patient with NF1 and malignant PHEO. Loss of heterozygosity analysis in PHEOs shows a reduction to homozygosity, observed for both 17p and 17q markers. This case confirms the importance of surveillance for malignant neoplasias in NF1 patients during childhood and adolescence. On the other hand, since 30% of PHEOs had germline mutations and, more rarely, somatic mutations, patients with PHEO should be investigated for associated genetic syndromes.
authors.affiliation: 1   Department of Pathology, Children's Hospital Bambino Gesù, IRCCS Rome, Italy.
authors.forename: Isabella
authors.initials: I
authors.lastname: Giovannoni
authors.forename: Francesco
authors.initials: F
authors.lastname: Callea
authors.forename: Renata
authors.initials: R
authors.lastname: Boldrini
authors.forename: Alessandro
authors.initials: A
authors.lastname: Inserra
authors.forename: Raffaele
authors.initials: R
authors.lastname: Cozza
authors.forename: Paola
authors.initials: P
authors.lastname: Francalanci
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000235:genetics / Q000473:pathology*; D001932:Brain Neoplasms / Q000175:diagnosis / Q000235:genetics*; D020022:Genetic Predisposition to Disease; D006801:Humans; D019656:Loss of Heterozygosity / Q000235:genetics*; D008297:Male; D009154:Mutation / Q000235:genetics; D009456:Neurofibromatosis 1 / Q000150:complications / Q000175:diagnosis / Q000235:genetics / Q000473:pathology*; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis / Q000235:genetics / Q000473:pathology*
keywords: loss of heterozygosity; malignant pheochromocytoma; multicarcinoma syndromes; neurofibromatosis type 1