Table 2.
Clinicopathological, histological and genetic review of female genital tract tumours of von Hippel Lindau disease
Source | Age | Site | Side & Size | Histology | LOH | VHL disease | Other | Treatment & behaviour |
---|---|---|---|---|---|---|---|---|
Gersell & King2 | 46 | MS | Lt 3 cm | CCPC | D3S1110, D3S10387 | ReA, Cy (R-L-P), RA | – | LSO, benign |
Funk & Heiken3 | 46 | BL | Lt 3 cm | CCPC | Not analyzed | RCC, Cy (R-L-P) | Rt ovarian Cyst | LSO, benign |
Korn et al.4 | 35 | BL | Rt 5, Lt 2 cm | CCPC | Not analyzed | He (C).RCC, Cy (R-P) | – | TC, benign |
Gaffey et al.5 | 20 | PU | Rt 4 cm | CCPC | Not analyzed | RCC, He (C), Cy (R-P), MET | MET was locally invasive | TC, benign |
Werness & Guccion6 | 38 | BL | Lt 8 cm | ECAF | D3S1110, 104/1057 | RA, Cy (R-L-P), He (C), Phaeocromocytoma | – | LSO Postop death |
Aydin et al.7 | 32 | MS | UL/NA | CCPC | Not analyzed | RCC | – | USO, Recurrence, |
Case 1 | 5 years | |||||||
Aydin et al.7 Case 2 | NA | MS | UL/NA | CCPC | Not analyzed | Absent | – | USO, benign |
Zanotelli et al.8 | 23 | MS | Rt 3.5, Lt 0.8 cm | CCPC | Not analyzed | He (Im) | – | BSO, benign |
Present series Case 1a | 52 | MS & OI | Lt 6, Omental implants 3–2 cm | CCPC | No Loss | Absent | Benign omental implants | TAH-BSO, plus omentectomy A&W 15 yrs |
Present series Case 1b | 52 | MS | Lt 4 cm | ECAF | No Loss | Absent | – | TAH-BSO, A&W 15 years |
Present series Case 2 | 35 | BL | UL 3.5 cm | CCPC | Bad data | Massive Cy (R), He (C-Im) | Renal transplant | TC, A&W 7 years |
Present series Case 3 | 34 | MS | Rt 5.5 cm | CCPC | D3S1110, D3S1038 D3S1317, D3S1597 | Absent | Term pregnancy | RSO, A&W 3 years |
Present series Case 4 | 24 | MS | Lt 5 cm | CCPC | D3S1038, D3S1597 | NA | PCOD | BSO, LFU |
Present series Case 5 | 36 | MS | Rt 5.2, Lt 3 cm | CCPC | D3S1560 | Familial VHL. Patient: ReA, RCC, Cy (R-L-P), He (C) | Grandmother, mother and sister died of VHLD-related complications | BSO, A&W 1 year |
Site: MS, Mesosalpinx; BL, broad ligament, PU, Parauterine; OI, Omental implant. Side and Size: UL, unilateral, NA, not available. Histology: CCPC, clear cell papillary cystadenoma; ECAF, endometrioid cystadenofibroma of the broad ligament. Von Hippel Lindau disease: ReA, Retinal angioma; Cy, cysts; R, renal; L, liver; P, pancreas; RA, renal adenoma; RCC, renal cell carcinoma; He, hemangioblastoma; C, cerebellar and (Im) intramedullary; MET, middle ear tumour. Other lesions: PCOD, polycystic ovarian disease. Treatment and behaviour: TC, tumourectomy; USO, unspecified salpingoophorectomy; LSO/RSO, left or right salpingo-oophorectomy; TAH-BSO, total abdominal hysterectomy with bilateral salpingo-oophorectomy; A&W, alive and well; LFU, lost to follow-up.