Table 5.
Follow-up of cluster 1 mutation carriers with a history of a PPGL | History of metastatic PPGL, history of sympathetic PGL, SDHA/B, FH HIF2A/EPAS1-related PPGLs | History of head and neck PGL, SDHC/D/AF2, VHL |
---|---|---|
Biochemistry | 6-12 months (for HIF2A/EPAS1 including hematocrit) | 12 months |
Imaging (MRI base of the skull to pelvis, possibly alternating with low-dose chest CT plus MRI base of the skull, neck, abdomen, pelvis) | 12-24 months (initially 12, then 12-24 months) | 24-36 months (24 months for SDHD) VHL mutations: risk of renal cell cancer, consider abdominal MRI every 12 months; optic fundus examination every 12 months; CNS tumors, CNS MRI every 24-36 months. |
Abbreviations: CNS, central nervous system; CT, computed tomography; MRI, magnetic resonance imaging; PGL, paraganglioma; PPGL, pheochromocytoma/paraganglioma.