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. Author manuscript; available in PMC: 2016 Jan 19.
Published in final edited form as: Endocr Relat Cancer. 2008 Dec 15;16(1):291–299. doi: 10.1677/ERC-08-0214

Table 1.

Patient characteristics

Gender,
agea (years)
F/U
(years)
Mutation Biochemistry
(fold normal)
Presenting
symptoms
Primary mediastinal
tumor
Other
PGL/Pheo
Therapy Outcome
1 F, 18 7 SDHB, R242H NM (4×) Hypertension, palpitations, chest pain T4 vertebral body (2.5 cm), recurrent disease No Thoracotomy, XRT Five years to meta spine, psoas
2 F, 60 1 SDHB, G96D NM (11×) Chest pain, upper back pain, weight loss, hypertension T5–T7 vertebral body (7.5 cm), epidural space, thoracic wall, paraspinal musculature No Surgical removal Stable disease
3 M, 25 7 SDHB, R46X Normal Chest pain Posterior mediastinal mass, left paraspinal T2–T3 (3.5 cm) No Surgery paraspinal mass, XRT lobectomy, thoracic corpectomy, decompression, fixation T1–T5 Four years to meta lung, superior mediastinum, spine, sternum, scapula 6 years to meta left ischium, T3 and T4
4 M, 45 9 SDHD, c.170-1
G>T
NM (2.6×) Weakness, palpitations, headaches, hypertension Middle mediastinal mass (6 cm) with compression right main pulmonary artery HNP Embolization, partial resection One year to recurrent disease, meta lung, subcarinal lesion, proximal tibia
5 M, 26 4 SDHB, R46Q Normal Low back pain, hypertension Left superior mediastinum (15.6 cm) right superior paratracheal region inferior right paratracheal lymph nodes PGL abdomen Surgery abdominal mass six cycles etoposide/-cisplatin octreotide Necrotic mass L4, extending in pelvis, 1 year to meta lesions L3 and L4 and lymph nodes
6 M, 19 19 SDHD, L20C
fsX66
NM (2×) Hemodynamic instability during HNP surgery Paratracheal mass (2 cm) HNP Pheo Carotid body removal right, adrenalectomy right, XRT (HNP), 12 cycles CVD, 131I-MIBG-therapy Fifteen years to recurrence to mediastinum. Meta left ilium
7 F, 36 6 SDHB, R46X NM (3.5×) DA (1.9×) Chest discomfort, hypertension, palpitations, pre-syncope associated with urination Posterior mediastinal mass next to esophagus, posterior wall left atrium (2.9 cm) PGL bladder Partial cystectomy, re-operation (negative), surgery mediastinal PGL Stable disease
8 F, 50 6 SDHD, P81L Normal Upper respiratory symptoms, new-onset hypertension Aorto-pulmonary window, left and right hilus (3.3 cm), pulmonary nodules HNP Pending Meta lung, mediastinum, 6 years later being evaluated for new-onset hypertension
9 M, 41 1 SDHD, D92Y VMA (1.3×)b DA (1.1×)b Excessive perspiration Two masses in aorto-pulmonary window (1 cm) HNP Watch-and-wait Stable disease
10 M, 18 1 SDHB, c.286+2
T>A
NM (10×) Hypertension Mass in posterior mediastinum (9 cm), growth into T5 No Surgery (incomplete) Stable disease
Mean (range) 34 (18–60) Primary tumor: 5.3 cm (1–15.6)

F/U, follow-up; NM, normetanephrine; DA, dopamine; VMA, vanillyl mandelic acid; T, thoracic; L, lumbar; XRT, radiotherapy; Meta, metastasis; CVD, dacarbazine; HNP, head and neck paraganglioma; PGL, paraganglioma; Pheo, pheochromocytoma.

a

Age at diagnosis.

b

Urine measurement.