Skip to main content

Familial Head and Neck Paraganglioma and Genetic Testing

  • Chapter
  • First Online:
Contemporary Management of Jugular Paraganglioma

Abstract

Paragangliomas are rare vascular tumors of neuroectodermal tissue arising from neural crest cells. They can be found at various locations of the paraganglion system throughout the body. Tumors originating from chromaffin cells of the adrenal medulla are referred to as pheochromocytomas. Most paragangliomas are benign, but morbidity can result from either growth and compression of nearby structures or physiologic derangements secondary to abnormal secretion of catecholamines. The vast majority of head and neck paragangliomas are nonsecretory [1, 2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Williams MD, Rich TA. Paragangliomas arising in the head and neck. A Morphologic Review and Genetic Update. Surg Pathol Clin. 2014;7(4):543–57.

    Article  PubMed  Google Scholar 

  2. Moore MG, Netterville JL, Mendenhall WM, Isaacson B, Nussenbaum B. Head and neck Paragangliomas: an update on evaluation and management. Otolaryngol Head Neck Surg. 2016;154(4):597–605.

    Article  PubMed  Google Scholar 

  3. Baysal BE, Ferrell RE, Willett-Brozick JE, et al. Mutations in SDHD, a mitochondrial complex II gene, in hereditary paraganglioma. Science. 2000;287(5454):848–51.

    Article  CAS  PubMed  Google Scholar 

  4. Pawlu C, Bausch B, Neumann HP. Mutations of the SDHB and SDHD genes. Familial Cancer. 2005;4(1):49–54.

    Article  PubMed  Google Scholar 

  5. Gimenez-Roqueplo AP, Dahia PL, Robledo M. An update on the genetics of paraganglioma, pheochromocytoma, and associated hereditary syndromes. Horm Metab Res. 2012;44(5):328–33.

    Article  CAS  PubMed  Google Scholar 

  6. Dahia PL. Pheochromocytoma and paraganglioma pathogenesis: learning from genetic heterogeneity. Nat Rev Cancer. 2014;14(2):108–19.

    Article  CAS  PubMed  Google Scholar 

  7. Neumann HP, Erlic Z, Boedeker CC, et al. Clinical predictors for germline mutations in head and neck paraganglioma patients: cost reduction strategy in genetic diagnostic process as fall-out. Cancer Res. 2009;69(8):3650–6.

    Article  CAS  PubMed  Google Scholar 

  8. Arias-Stella J, Valcarcel J. Chief cell hyperplasia in the human carotid body at high altitudes; physiologic and pathologic significance. Hum Pathol. 1976;7(4):361–73.

    Article  CAS  PubMed  Google Scholar 

  9. Cornog JL, Wilkinson JH, Arvan DA, Freed RM, Sellers AM, Barker C. Extra-adrenal pheochromocytoma. Some electron microscopic and biochemical studies. Am J Med. 1970;48(5):654–60.

    Article  CAS  PubMed  Google Scholar 

  10. Arias-Stella J, Valcarcel J. The human carotid body at high altitudes. Pathol Microbiol (Basel). 1973;39(3):292–7.

    CAS  Google Scholar 

  11. Watanabe H, Burnstock G, Jarrott B, Louis WJ. Mitochondrial abnormalities in human pheochromocytoma. Cell Tissue Res. 1976;172(2):281–8.

    Article  CAS  PubMed  Google Scholar 

  12. Baysal BE, Willett-Brozick JE, Lawrence EC, et al. Prevalence of SDHB, SDHC, and SDHD germline mutations in clinic patients with head and neck paragangliomas. J Med Genet. 2002;39(3):178–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Burnichon N, Briere JJ, Libe R, et al. SDHA is a tumor suppressor gene causing paraganglioma. Hum Mol Genet. 2010;19(15):3011–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Hao HX, Khalimonchuk O, Schraders M, et al. SDH5, a gene required for flavination of succinate dehydrogenase, is mutated in paraganglioma. Science. 2009;325(5944):1139–42.

    Article  CAS  PubMed  Google Scholar 

  15. Niemann S, Muller U. Mutations in SDHC cause autosomal dominant paraganglioma, type 3. Nat Genet. 2000;26(3):268–70.

    Article  CAS  PubMed  Google Scholar 

  16. Astuti D, Latif F, Dallol A, et al. Gene mutations in the succinate dehydrogenase subunit SDHB cause susceptibility to familial pheochromocytoma and to familial paraganglioma. Am J Hum Genet. 2001;69(1):49–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Benn DE, Robinson BG, Clifton-Bligh RJ. 15 YEARS OF PARAGANGLIOMA: clinical manifestations of paraganglioma syndromes types 1-5. Endocr Relat Cancer. 2015;22(4):T91–103.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Offergeld C, Brase C, Yaremchuk S, et al. Head and neck paragangliomas: clinical and molecular genetic classification. Clinics (Sao Paulo). 2012;67(Suppl 1):19–28.

    Article  Google Scholar 

  19. Jafri M, Whitworth J, Rattenberry E, et al. Evaluation of SDHB, SDHD and VHL gene susceptibility testing in the assessment of individuals with non-syndromic phaeochromocytoma, paraganglioma and head and neck paraganglioma. Clin Endocrinol. 2013;78(6):898–906.

    Article  CAS  Google Scholar 

  20. Astuti D, Douglas F, Lennard TW, et al. Germline SDHD mutation in familial phaeochromocytoma. Lancet. 2001;357(9263):1181–2.

    Article  CAS  PubMed  Google Scholar 

  21. Ricketts CJ, Forman JR, Rattenberry E, et al. Tumor risks and genotype-phenotype-proteotype analysis in 358 patients with germline mutations in SDHB and SDHD. Hum Mutat. 2010;31(1):41–51.

    Article  CAS  PubMed  Google Scholar 

  22. Xekouki P, Szarek E, Bullova P, et al. Pituitary adenoma with paraganglioma/pheochromocytoma (3PAs) and succinate dehydrogenase defects in humans and mice. J Clin Endocrinol Metab. 2015;100(5):E710–9.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Neumann HP, Pawlu C, Peczkowska M, et al. Distinct clinical features of paraganglioma syndromes associated with SDHB and SDHD gene mutations. JAMA. 2004;292(8):943–51.

    Article  CAS  PubMed  Google Scholar 

  24. Benn DE, Gimenez-Roqueplo AP, Reilly JR, et al. Clinical presentation and penetrance of pheochromocytoma/paraganglioma syndromes. J Clin Endocrinol Metab. 2006;91(3):827–36.

    Article  CAS  PubMed  Google Scholar 

  25. Taschner PE, Jansen JC, Baysal BE, et al. Nearly all hereditary paragangliomas in the Netherlands are caused by two founder mutations in the SDHD gene. Genes Chromosomes Cancer. 2001;31(3):274–81.

    Article  CAS  PubMed  Google Scholar 

  26. Neumann HP, Erlic Z. Maternal transmission of symptomatic disease with SDHD mutation: fact or fiction? J Clin Endocrinol Metab. 2008;93(5):1573–5.

    Article  CAS  PubMed  Google Scholar 

  27. Yeap PM, Tobias ES, Mavraki E, et al. Molecular analysis of pheochromocytoma after maternal transmission of SDHD mutation elucidates mechanism of parent-of-origin effect. J Clin Endocrinol Metab. 2011;96(12):E2009–13.

    Article  CAS  PubMed  Google Scholar 

  28. King KS, Pacak K. Familial pheochromocytomas and paragangliomas. Mol Cell Endocrinol. 2014;386(1-2):92–100.

    Article  CAS  PubMed  Google Scholar 

  29. Bayley JP, Kunst HP, Cascon A, et al. SDHAF2 mutations in familial and sporadic paraganglioma and phaeochromocytoma. Lancet Oncol. 2010;11(4):366–72.

    Article  CAS  PubMed  Google Scholar 

  30. Kunst HP, Rutten MH, de Monnink JP, et al. SDHAF2 (PGL2-SDH5) and hereditary head and neck paraganglioma. Clin Cancer Res. 2011;17(2):247–54.

    Article  CAS  PubMed  Google Scholar 

  31. Schiavi F, Boedeker CC, Bausch B, et al. Predictors and prevalence of paraganglioma syndrome associated with mutations of the SDHC gene. JAMA. 2005;294(16):2057–63.

    Article  CAS  PubMed  Google Scholar 

  32. Mannelli M, Ercolino T, Giache V, Simi L, Cirami C, Parenti G. Genetic screening for pheochromocytoma: should SDHC gene analysis be included? J Med Genet. 2007;44(9):586–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Burnichon N, Rohmer V, Amar L, et al. The succinate dehydrogenase genetic testing in a large prospective series of patients with paragangliomas. J Clin Endocrinol Metab. 2009;94(8):2817–27.

    Article  CAS  PubMed  Google Scholar 

  34. Buffet A, Venisse A, Nau V, et al. A decade (2001–2010) of genetic testing for pheochromocytoma and paraganglioma. Horm Metab Res. 2012;44(5):359–66.

    Article  CAS  PubMed  Google Scholar 

  35. Srirangalingam U, LeCain M, Tufton N, Akker SA, Drake WM, Metcalfe K. Four generations of SDHB-related disease: complexities in management. Familial Cancer. 2016;16(2):279–82.

    Article  PubMed Central  Google Scholar 

  36. Timmers HJ, Kozupa A, Eisenhofer G, et al. Clinical presentations, biochemical phenotypes, and genotype-phenotype correlations in patients with succinate dehydrogenase subunit B-associated pheochromocytomas and paragangliomas. J Clin Endocrinol Metab. 2007;92(3):779–86.

    Article  CAS  PubMed  Google Scholar 

  37. Brouwers FM, Eisenhofer G, Tao JJ, et al. High frequency of SDHB germline mutations in patients with malignant catecholamine-producing paragangliomas: implications for genetic testing. J Clin Endocrinol Metab. 2006;91(11):4505–9.

    Article  CAS  PubMed  Google Scholar 

  38. Schiavi F, Milne RL, Anda E, et al. Are we overestimating the penetrance of mutations in SDHB? Hum Mutat. 2010;31(6):761–2.

    Article  PubMed  Google Scholar 

  39. Korpershoek E, Favier J, Gaal J, et al. SDHA immunohistochemistry detects germline SDHA gene mutations in apparently sporadic paragangliomas and pheochromocytomas. J Clin Endocrinol Metab. 2011;96(9):E1472–6.

    Article  CAS  PubMed  Google Scholar 

  40. Lenders JW, Duh QY, Eisenhofer G, et al. Pheochromocytoma and paraganglioma: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2014;99(6):1915–42.

    Article  CAS  PubMed  Google Scholar 

  41. Erlic Z, Rybicki L, Peczkowska M, et al. Clinical predictors and algorithm for the genetic diagnosis of pheochromocytoma patients. Clin Cancer Res. 2009;15(20):6378–85.

    Article  CAS  PubMed  Google Scholar 

  42. Martin TP, Irving RM, Maher ER. The genetics of paragangliomas: a review. Clin Otolaryngol. 2007;32(1):7–11.

    Article  CAS  PubMed  Google Scholar 

  43. Raygada M, Pasini B, Stratakis CA. Hereditary paragangliomas. Adv Otorhinolaryngol. 2011;70:99–106.

    PubMed  PubMed Central  Google Scholar 

  44. Gill AJ, Benn DE, Chou A, et al. Immunohistochemistry for SDHB triages genetic testing of SDHB, SDHC, and SDHD in paraganglioma-pheochromocytoma syndromes. Hum Pathol. 2010;41(6):805–14.

    Article  CAS  PubMed  Google Scholar 

  45. Castelblanco E, Santacana M, Valls J, et al. Usefulness of negative and weak-diffuse pattern of SDHB immunostaining in assessment of SDH mutations in paragangliomas and pheochromocytomas. Endocr Pathol. 2013;24(4):199–205.

    Article  CAS  PubMed  Google Scholar 

  46. Carlson ML, Sweeney AD, Wanna GB, Netterville JL, Haynes DS. Natural history of glomus jugulare: a review of 16 tumors managed with primary observation. Otolaryngol Head Neck Surg. 2015;152(1):98–105.

    Article  PubMed  Google Scholar 

  47. Wanna GB, Sweeney AD, Haynes DS, Carlson ML. Contemporary management of jugular paragangliomas. Otolaryngol Clin N Am. 2015;48(2):331–41.

    Article  Google Scholar 

  48. Gilbo P, Morris CG, Amdur RJ, et al. Radiotherapy for benign head and neck paragangliomas: a 45-year experience. Cancer. 2014;120(23):3738–43.

    Article  PubMed  Google Scholar 

  49. Myssiorek D, Ferlito A, Silver CE, et al. Screening for familial paragangliomas. Oral Oncol. 2008;44(6):532–7.

    Article  CAS  PubMed  Google Scholar 

  50. Thirlwall AS, Bailey CM, Ramsay AD, Wyatt M. Laryngeal paraganglioma in a five-year-old child—the youngest case ever recorded. J Laryngol Otol. 1999;113(1):62–4.

    Article  CAS  PubMed  Google Scholar 

  51. Kwekkeboom DJ, van Urk H, Pauw BK, et al. Octreotide scintigraphy for the detection of paragangliomas. J Nucl Med. 1993;34(6):873–8.

    CAS  PubMed  Google Scholar 

  52. Myssiorek D, Palestro CJ. 111Indium pentetreotide scan detection of familial paragangliomas. Laryngoscope. 1998;108(2):228–31.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brendan P. O’Connell M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

O’Connell, B.P., Wanna, G.B. (2018). Familial Head and Neck Paraganglioma and Genetic Testing. In: Wanna, G., Carlson, M., Netterville, J. (eds) Contemporary Management of Jugular Paraganglioma. Springer, Cham. https://doi.org/10.1007/978-3-319-60955-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-60955-3_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60954-6

  • Online ISBN: 978-3-319-60955-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics