Adrenocortical carcinoma risk factors: Difference between revisions

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{{CMG}} {{AE}} {{AAM}}
{{CMG}} {{AE}} {{AAM}}
==Overview==
==Overview==
The most potent risk factors in the development of adrenocortical cancer are [[TP53| TP53 mutation]], [[Beckwith-Wiedemann syndrome]] and [[Carney complex]].<ref name="cancergov">National Cancer Institute. Physician Data Query Database 2015.http://www.cancer.gov/types/adrenocortical/patient/adrenocortical-treatment-pdq#section/_1</ref>
The most potent risk factors in the development of adrenocortical cancer are [[Lynch syndrome]][[Beckwith-Wiedemann syndrome|, Beckwith-Wiedemann syndrome,]] [[Carney complex|Carney complex,]] [[Neurofibromatosis type I|Neurofibromatosis type 1,]] [[Multiple endocrine neoplasia type 1]] ([[MEN1]]), and [[Carney complex]].
==Risk Factors==
==Risk Factors==
Risk factor associated with adrenocortical carcinoma are:
Risk factor associated with adrenocortical carcinoma are:
* Lynch syndrome
* [[Lynch syndrome]]
*[[Beckwith-Wiedemann syndrome]]
*[[Beckwith-Wiedemann syndrome]]
*[[Carney complex]]
*[[Carney complex]]
*Neurofibromatosis type 1
*[[Neurofibromatosis type I|Neurofibromatosis type 1]]
*MEN1
*[[Multiple endocrine neoplasia type 1]] ([[MEN1]])
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! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Clinical picture}}
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Clinical picture}}
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Lynch syndrome
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Lynch syndrome]]
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
* MSH2, MSH6, MLH1, PMS2
* [[MSH2]], [[MSH6]], [[MLH1]], [[PMS2]]
|
|
* Colorectal cancer
* [[Colorectal cancer]]
* Endometrial cancer
* [[Endometrial cancer]]
* Sebaceous neoplasms
* [[Sebaceous gland carcinoma|Sebaceous neoplasms]]
* Ovarian cancer
* [[Ovarian cancer]]
* Pancreatic cancer
* [[Pancreatic cancer]]
* Brain cancer
* [[Brain cancer]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Neurofibromatosis
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Neurofibromatosis type I|Neurofibromatosis type 1]]
type 1
|
|
* NF1
* [[NF1]]
|
|
* Malignant peripheral nerve sheet tumor
* [[Malignant]] [[Peripheral nervous system|peripheral nerve]] [[Nerve sheath|sheet]] [[tumor]]
* Pheochromocytoma
* [[Pheochromocytoma]]
* Café au lait spots
* [[Café au lait spot|Café au lait spots]]
* Neurofibroma
* [[Neurofibroma]]
* Optic glioma
* [[Optic nerve glioma|Optic glioma]]
* Lisch nodule
* [[Lisch nodule]]
* Skeletal abnormalities
* Skeletal abnormalities
|-
|-
|'''MEN1 45'''
|                           '''[[Multiple endocrine neoplasia type 1|MEN1]]'''
|
|
* MENIN
* MENIN
|
|
* Foregut neuroendocrine tumors
* [[Foregut]] [[neuroendocrine tumors]]
* Pituitary tumors
* [[Pituitary tumors]]
* Parathyroid hyperplasia
* [[Parathyroid gland|Parathyroid]] [[hyperplasia]]
* Collagenoma
* Collagenoma
* Angiofibroma
* [[Angiofibroma]]
* Adrenal adenoma/hyperplasia
* [[Adrenal adenoma]]/[[hyperplasia]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Carney complex
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Carney complex]]
|
|
* PRKAR1A
* [[PRKAR1A]]
|
|
* Primary pigmented nodular
* [[Adrenal disease]]
* Adrenal disease
* [[Sertoli cell]] [[tumors]]
* Large-cell calcifying Sertoli cell tumors
* [[Thyroid adenoma]]
* Thyroid adenoma  
* [[Myxoma]]
* Myxoma
* [[Somatotrope|Somatotroph]] [[pituitary adenoma]]
* Somatotroph pituitary adenoma
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |BWS 41
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[BWS]]
|
|
* IGF2, CDKN1C, H19
* [[IGF2]], [[CDKN1C]], [[H19 (gene)|H19]]
|
|
* Wilms’ tumor
* [[Wilm's tumor|Wilm’s tumor]]
* Hepatoblastoma
* [[Hepatoblastoma]]
* Macrosomia
* [[Macrosomia]]
* Adrenocortical cytomegaly
* [[Adrenocortical]] cytomegaly
* Adrenal adenoma
* [[Adrenal adenoma]]
* Adrenal cyst
* [[Adrenal Gland|Adrenal]] [[cyst]]
* Hemihypertrophy
* [[Hemihypertrophy]]
* Macroglossia
* [[Macroglossia]]
* Omphalocele
* [[Omphalocele]]
|}
|}



Revision as of 15:43, 25 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

The most potent risk factors in the development of adrenocortical cancer are Lynch syndrome, Beckwith-Wiedemann syndrome, Carney complex, Neurofibromatosis type 1, Multiple endocrine neoplasia type 1 (MEN1), and Carney complex.

Risk Factors

Risk factor associated with adrenocortical carcinoma are:

Differential Diagnosis Gene mutations Clinical picture
Lynch syndrome
Neurofibromatosis type 1
MEN1
  • MENIN
Carney complex
BWS

References

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