Head and Neck Paraganglioma Atypically Carrying a <i>Succinate Dehydrogenase Subunit B</i> Mutation (L157X)

  • Takeshima Ken
    First Department of Internal Medicine, Wakayama Medical University, Japan
  • Ariyasu Hiroyuki
    First Department of Internal Medicine, Wakayama Medical University, Japan
  • Uraki Shinsuke
    First Department of Internal Medicine, Wakayama Medical University, Japan
  • Kitahara Chie
    Department of Pathology, Tohoku University Graduate School of Medicine, Japan
  • Morita Shuhei
    First Department of Internal Medicine, Wakayama Medical University, Japan
  • Inaba Hidefumi
    First Department of Internal Medicine, Wakayama Medical University, Japan
  • Iwakura Hiroshi
    First Department of Internal Medicine, Wakayama Medical University, Japan
  • Warigaya Kenji
    Department of Human Pathology, Wakayama Medical University, Japan
  • Murata Shin-ichi
    Department of Human Pathology, Wakayama Medical University, Japan
  • Yamazaki Yuto
    Department of Pathology, Tohoku University Graduate School of Medicine, Japan
  • Sasano Hironobu
    Department of Pathology, Tohoku University Graduate School of Medicine, Japan
  • Akamizu Takashi
    First Department of Internal Medicine, Wakayama Medical University, Japan

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抄録

<p>A 53-year-old woman was admitted to a hospital for gradual left-ear hearing loss over 2 years. Head computed tomography revealed a 2-cm mass along the left jugular bulb and another at the right carotid bulb. The right tumor was resected; the pathological diagnosis was carotid body paraganglioma. Mutations of succinate dehydrogenase (SDH) were suspected, but SDHB staining remained in the tumor. Genetic testing identified a known SDHB mutation (L157X). The patient had head and neck paraganglioma with an SDHB mutation (L157X) more typical of an SDHD mutation. SDHB immunohistochemistry is useful for detecting SDHx mutations, but careful interpretation is needed. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 59 (9), 1167-1171, 2020-05-01

    一般社団法人 日本内科学会

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