Functioning paraganglioma and gastrointestinal stromal tumor of the jejunum in three women: Syndrome or coincidence

Colin G. Perry, William F. Young, Sarah R. McWhinney, Thalia Bei, Sotirios Stergiopoulos, Ryan A. Knudson, Rhett P. Ketterling, Charis Eng, Constantine A. Stratakis, J. Aidan Carney

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Functioning paraganglioma and gastrointestinal stromal tumor (GIST) are uncommon tumors that occur mostly in a sporadic and isolated form, occasionally as components of multiple neoplasia syndromes, either separately or together. Separately, they occur in several inherited syndromes including multiple endocrine neoplasia 2, and the GIST, lentigines, and mast cell tumor syndrome. Together, they are variably prominent components of three syndromes: the familial paraganglioma and gastric GIST syndrome, neurofibromatosis type 1, and the Carney triad. The two former conditions are inherited as autosomal dominant traits; the latter does not appear to be inherited and affects young women predominantly. This article reports the nonfamilial occurrence of functioning paraganglioma and GIST of the jejunum in 3 women, 1 young (22 years) at initial presentation. The occurrences were unexpected because of the infrequency of the tumors. The neoplasms, respectively, did not show germline SDHA, SDHB, SDHC, and SDHD, and KIT mutations associated with familial paraganglioma and familial GIST. The paraganglioma-jejunal GIST combination may be the harbinger of a rare genetic syndrome, a variant of the Carney triad or the paraganglioma-gastric stromal sarcoma syndrome, or be coincidental.

Original languageEnglish (US)
Pages (from-to)42-49
Number of pages8
JournalAmerican Journal of Surgical Pathology
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2006

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Keywords

  • Carney triad
  • GIST
  • Genetics
  • Jejunum
  • Multiple neoplasia syndrome
  • Paraganglioma

ASJC Scopus subject areas

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine

Cite this

Perry, C. G., Young, W. F., McWhinney, S. R., Bei, T., Stergiopoulos, S., Knudson, R. A., Ketterling, R. P., Eng, C., Stratakis, C. A., & Carney, J. A. (2006). Functioning paraganglioma and gastrointestinal stromal tumor of the jejunum in three women: Syndrome or coincidence. American Journal of Surgical Pathology, 30(1), 42-49. https://doi.org/10.1097/01.pas.0000178087.69394.9f