Table 1.
Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | |
---|---|---|---|---|---|
Age/Sex | 11/F | 7/M | 16/M | 26/M | 30/F |
Clinical presentation | hypertension | hypertension | Sudden quadriparesis | Hemicranial headache | Progressive spastic quadriparesis |
Tumors | |||||
Pheochromocytoma | + | + | + | + | -- |
Renal Cell Carcinoma | - | - | - | - | + |
Hemangioblastoma | - | - | + | + | + |
Others | - | - | Pancreatic and renal cysts | Pancreatic neuroendocrine tumor | Pancreatic cyst |
Mutation | + | + | + | + | - |
Type of VHL | 2C | 2C | 2A | 2A | I |
Family history | + | + | + | + | + |
Surgery performed | Staged b/l adrenalectomy | Bilateral adrenalectomy | Bilateral adrenalectomy | Unilateral adrenalectomy Pancreaticoduodenectomy | Radical nephrectomy |
Excision of hemangioblastoma | Excision of hemangioblastoma | Excision of hemangiobalstoma | |||
Histopathology | Pheochromocytoma without hyperplasia | Pheochromocytoma without hyperplasia | Pheochromocytoma without hyperplasia | Pheochromocytoma without hyperplasia NET with unncertain malignant potential | |
Outcome | Asymptomatic | Asymptomatic | Post-operative mortality | Asymptomatic | Asymptomatic |