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Biomedfinal
Biomedfinal
SymptomsofVonHippelLindau Hemangioblastoma:
syndromecanvarydependingonthelocation
ofthegrowths.
PheochromocytomaSymptoms:
VonHippelLindau
Syndrome
(Ararenoncanceroustumorontheadrenalgland)
Highbloodpressure
Sweating
Headache
Rapid/irregularheartbeat
Anxiety
Paleskin
Dizziness
Tremors
Weightloss
OtherNames:
AngiomatosisRetinae
CerebroretinalAngiomatosis
HippelLindauDisease
VHLSyndrome
HemangioblastomaSymptoms:
(Abloodvesseltumorofthecentralnervoussystem)
Difficultywithmusclecoordination
Decreasedfeelinginarms
Difficultywithbladder/bowelfunction
Difficultyswallowing
Difficultywalking
Doublevision
Vomiting
Decreasedfeelinginarms
Causes:
ThecauseofVonHippelLindau
SyndromeisamutationoftheVHLgene.
VHLisatumorsuppressinggene,meaning
thatitkeepscellsfromgrowinganddividing
rapidly.Theresultofthismutationisthe
formationoftumorsandcyststhatare
characteristicofVonHippelLindau
Syndrome.
Pheochromocytoma:
VonHippelLindauSyndromeisagenetic
disordercharacterizedbytheformationof
tumorsandcysts(fluidfilledsacs)inmany
differentpartsofthebody.
CanitbeInherited?
MutationsoftheVHL
geneareinheritedinanautosomaldominant
pattern,meaningthatonecopyofthe
mutatedgeneineachcellisenoughto
increasethedevelopmentoftumorsand
cysts.In20%ofcases,though,thealtered
geneiscausebyanewmutationthat
occurredduringtheformationofthe
reproductivecells(egg/sperm).
WhoisAffected?
Anestimated1in36,000
peopleareaffectedbyVHL.
HowisitDiagnosed?
Ifapersonhasa
familyhistoryofVHL,theyarealsosuspected
ofhavingitistheyshowanyonesymptom.
Genetictestingformutationsisalsoavailable
forpeoplewhoaresuspectedofhavingVHL.
Whataretheestimatedcancerrisks?
The
riskofkidneycancerinfamilieswithahistory
ofVHLisincreasedby40%.
WhatarethescreeningoptionsforVHL?
Yearlyeyeexaminationstocheckfor
retinaltumors.
Yearlyabdominalultrasounds.
MRIofthebrainandspineevery2
years.
Yearlyphysicalexaminations.
Treatment:
Surgeryisthemaintreatmentfor
VHLDisease.Also,treatmentdependsonthe
problemsthediseasecause.
Pheochromocytoma:
Surgeryisthemaintreatmentforthistypeof
tumor.Removalofthepheochromocytoma
mayrequiretakingouttheentireadrenal
gland(adrenalectomy).
Hemangioblastoma:
Ifthehemangioblastomaissmallorslow
growing,itmaynotneedtreatment.Tumors
thatarelarge,fastgrowingorsymptom
causingaresurgicallyremoved.
KidneyCancer:
Kidneytumorsaretypicallyremovedat
around3cmindiameteroraregrowing
quickly.
Apartialnephrectomy(removalofpartofthe
kidney)maybeperformedtoremovethe
tumor.Radiofrequencyablation(using
radiofrequencywavestodestroythetumor)
orcryoablation(usingextremecoldtoremove
thetumor)arealsooptions.
EyeTumors:
Itisimportantthateyeproblemscausedby
VHLreceiveearlydiagnosisandtreatmentto
helplowerthechanceofvisionloss.Tumors
inverydelicateareasusuallyarenottreated
becauseofthedamageitmaycause
PancreaticCystsandCystadenomas
:
Cystsinthepancreasdonotusuallyrequire
treatment.Thecystmaybeshrunkbyusinga
needletodrawoutfluid.
ImagesshownbyanMRI:
Tumoronthekidney: