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Von-Hippel Lindau syndrome

From Surgopaedia

Von Hippel-Lindau syndrome

Genetics

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  • Mutation in a VHL tumour suppressor gene resulting in a type of phakomatosis
  • Specific germline mutation in exon 3 of the VHL gene is associated with a more aggressive phenotype

Risks

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  • RCC
  • Phaeochromocytoma
  • Benign tumours of CNS, retina, epididymis and inner ear
  • Pancreatic lesions
    • PNETs - which generally behave in an indolent fashion
    • Microcystic adenomas
    • Simple cysts
  • Haemangioblastoma - retinal, cerebellar, medullary

Management

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  • Observe PNETs until they reach 2-3cm in size