Table 2.
Clinical characteristics associated with PCC/PGL susceptibility genes.
PCC/PGL susceptibility gene | Transmission | Penetrance for PCC/PGL | Adrenal PCC | HNPGL | Extra-adrenal PGL | Risk of multifocal primary PCC/PGL | Risk of metastatic disease |
---|---|---|---|---|---|---|---|
VHL | Autosomal dominant | 19% 60% for type 2 |
+++ | + | + | +++ | <5% |
RET | Autosomal dominant | 50% | +++ | + | + | +++ | <5% |
NF1 | Autosomal dominant | 7.7–14% | +++ | + | + | ++ | ~12% |
SDHB | Autosomal dominant | 22–26% by age 60 | ++ | ++ | +++ | ++ | 25–50% |
SDHD | Autosomal dominant – paternal inheritance | 43% by age 60 | ++ | +++ | ++ | +++ | 3–8% |
SDHC | Autosomal dominant | 25% by age 60a | + | +++ | + | ++ | <5% |
SDHA | Autosomal dominant | 10% by age 70 | ++ | ++ | ++ | + | 12%a |
SDHAF2 | Autosomal dominant – paternal inheritance | Uknb | Uknb | +++ | Uknb | +++ | <5% |
TMEM127 | Autosomal dominant | Uknb | +++ | + | + | ++ | <5% |
MAX | Autosomal dominant | Uknb | +++ | Uknb | + | +++ | <10%a |
+++, very likely; ++, likely; +, less likely but can occur. aSmall sample size may skew estimates. bUkn, unknown.