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Clinical manifestations of von Hippel-Lindau disease

Clinical manifestations of von Hippel-Lindau disease
  Ages at diagnosis (years) Most common ages at diagnosis (years) Frequency in patients
CNS
Retinal hemangioblastomas 0 to 68 12 to 25 25 to 60%
Endolymphatic sac tumors 12 to 46 24 to 35 10 to 25%
Cerebellar hemangioblastomas 9 to 78 18 to 25 44 to 72%
Brainstem hemangioblastomas 12 to 36 24 to 35 10 to 25%
Spinal cord hemangioblastomas 12 to 66 24 to 35 13 to 50%
Viscera
Renal cell carcinoma or cysts 16 to 67 25 to 50 25 to 60%
Pheochromocytomas* 4 to 58 12 to 25 10 to 20%
Pancreatic tumor or cyst 5 to 70 24 to 35 35 to 70%
Epididymal cystadenomas 17 to 43 14 to 40 25 to 60% of males
Adnexal papillary cystadenoma of mesonephric origin (broad ligament cystadenoma) 16 to 64 16 to 46 Estimated 10% of females

CNS: central nervous system.

* Includes the 20% of lesions that occur outside the adrenal gland, also called paragangliomas.

¶ Frequency of pheochromocytoma varies widely depending on genotype.
Data from: Lonser RR, Glenn GM, Walther M, et al. von Hippel-Lindau disease. Lancet 2003; 361:2059.
Graphic 83902 Version 8.0

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