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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
Pt 3
pubmed:dateCreated
2007-3-9
pubmed:abstractText
Haemangioblastomas of the CNS are a cardinal feature of von Hippel-Lindau (VHL) disease, a dominantly inherited multisystem familial cancer syndrome caused by germline mutation of the VHL tumour suppressor gene. We investigated the frequency of VHL mutations in 188 patients presenting with a single haemangioblastoma, no family history of VHL disease and no evidence of retinal or abdominal manifestations of the disease at the time of diagnosis. We found that approximately 4% of patients had a detectable VHL mutation and all of these cases presented age 40 years or less. Although the identification of a germline VHL mutation has important consequences for the patient (e.g. risk of further CNS and extra-CNS tumours) and their relatives, four patients had germline VHL missense mutations [C162Y, D179N and R200W (two patients)] that may represent haemangioblastoma-only and/or low penetrance mutations. Approximately 5% of patients without a detectable VHL mutation subsequently developed a further 'VHL type tumour' (in most cases a further CNS haemangioblastoma). These findings suggest that a subset of patients with apparently sporadic CNS haemangioblastoma will have a germline VHL mutation but may not be at risk for developing classical VHL disease and a further group may be mosaic for a germline VHL mutation that cannot be detected in blood cells.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1460-2156
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
130
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
836-42
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:17264095-Adolescent, pubmed-meshheading:17264095-Adult, pubmed-meshheading:17264095-Aged, pubmed-meshheading:17264095-Central Nervous System Neoplasms, pubmed-meshheading:17264095-Child, pubmed-meshheading:17264095-Cohort Studies, pubmed-meshheading:17264095-DNA, Neoplasm, pubmed-meshheading:17264095-DNA Mutational Analysis, pubmed-meshheading:17264095-Family Health, pubmed-meshheading:17264095-Female, pubmed-meshheading:17264095-Germ-Line Mutation, pubmed-meshheading:17264095-Hemangioblastoma, pubmed-meshheading:17264095-Humans, pubmed-meshheading:17264095-Kaplan-Meier Estimate, pubmed-meshheading:17264095-Male, pubmed-meshheading:17264095-Middle Aged, pubmed-meshheading:17264095-Mutation, Missense, pubmed-meshheading:17264095-Risk Factors, pubmed-meshheading:17264095-Von Hippel-Lindau Tumor Suppressor Protein, pubmed-meshheading:17264095-von Hippel-Lindau Disease
pubmed:year
2007
pubmed:articleTitle
VHL mutation analysis in patients with isolated central nervous system haemangioblastoma.
pubmed:affiliation
Cancer Research UK Renal Molecular Oncology Group, Department of Medical and Molecular Genetics, University of Birmingham, Institute of Biomedical Research, Edgbaston, Birmingham, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't