Symptoms and Manifestations |
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Clinical Trial: Clinical Manifestations and Molecular Bases of Heritable Urologic Malignant Disorders
This study is currently recruiting patients.
Purpose
We will investigate the clinical manifestations and molecular genetic defects of heritable urologic malignant disorders. Families with urologic malignancy with known or suspected genetic basis will be enrolled. Affected individuals or individuals suspected of having a germline urologic malignant disorder will undergo periodic clinical assessment and genetic analyses for the purpose of: 1) definition and characterization of phenotype, 2) determination of the natural history of the disorder, and 3) genotype/phenotype correlation. Genetic linkage studies may be performed in situations in which the genetic basis of the disorder has not been elucidated.
| Condition |
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| Hemangioblastoma Hereditary Neoplastic Syndrome Hippel Lindau Disease Neoplasm Renal Cell Carcinoma |
MedlinePlus related topics: Cancer; Cancer Alternative Therapy; Genetic Disorders; Kidney Cancer; Neurologic Diseases; Vascular Diseases
Genetics Home Reference related topics: von Hippel-Lindau syndrome
Study Type: Observational
Study Design: Natural History
Expected Total Enrollment: 3000
Study start: April 20, 1989
We will investigate the clinical manifestations and molecular genetic defects of heritable urologic malignant disorders. Families with urologic malignancy with known or suspected genetic basis will be enrolled. Affected individuals or individuals suspected of having a germline urologic malignant disorder will undergo periodic clinical assessment and genetic analyses for the purpose of: 1) definition and characterization of phenotype, 2) determination of the natural history of the disorder, and 3) genotype/phenotype correlation. Genetic linkage studies may be performed in situations in which the genetic basis of the disorder has not been elucidated.
Eligibility
Genders Eligible for Study: Both
Criteria
Category A will include patients, and relatives, who may or may not be affected who will be evaluated in the Warren G. Magnuson Clinical Center. Patients in this category will be eligible if they or their family members manifest one or more of the following features in a pattern suggestive of a heritable urologic malignant disorder.
One or more histologically proven or suspected renal carcinomas and/or cysts
Cerebellar, spinal, medullary or cerebral hemangioblastomas
Retinal angioma
Pancreatic neuro-endocrine carcinoma, microcystadenoma and/or cysts
Pheochromocytoma
Papillary cystadenoma of the epididymis or broad ligament
Endolymphatic sac tumor
Known or suspected cutaneous fibrofolliculomas or multiple skin-colored papules
History of spontaneous pneumothorax
Lung cysts
Thyroid carcinoma
Intestinal polyposis + / - colon cancer
Cutaneous or Uterine leiomyoma or uterine leiomyosarcoma, sarcoma
INCLUSION CRITERIA - Subject Category B:
Category B will include patients, their at-risk relatives and spouses of patients with inherited urologic malignancies with the above listed clinical findings who live at a distance and who will not be evaluated at the Clinical Center. In some cases, local diagnostic testing may be necessary for these individuals in addition to collection of a blood sample for molecular analysis.
INCLUSION CRITERIA - Subject Category C:
Category C will include relatives and spouses who enroll in this study primarily for genetic linkage studies. These individuals will contribute a blood sample for DNA analysis only. No imaging diagnostic testing will be performed on individuals from this category.
EXCLUSION CRITERIA:
Persons unable to give informed consent.
Location and Contact Information
Maryland
National Cancer Institute (NCI), 9000 Rockville Pike, Bethesda, Maryland, 20892, United States; Recruiting
More Information
Detailed Web Page
Publications
Linehan WM, Lerman MI, Zbar B. Identification of the von Hippel-Lindau (VHL) gene. Its role in renal cancer. JAMA. 1995 Feb 15;273(7):564-70. Review. No abstract available.
Schmidt L, Duh FM, Chen F, Kishida T, Glenn G, Choyke P, Scherer SW, Zhuang Z, Lubensky I, Dean M, Allikmets R, Chidambaram A, Bergerheim UR, Feltis JT, Casadevall C, Zamarron A, Bernues M, Richard S, Lips CJ, Walther MM, Tsui LC, Geil L, Orcutt ML, Stackhouse T, Zbar B, et al. Germline and somatic mutations in the tyrosine kinase domain of the MET proto-oncogene in papillary renal carcinomas. Nat Genet. 1997 May;16(1):68-73.
Zbar B, Brauch H, Talmadge C, Linehan M. Loss of alleles of loci on the short arm of chromosome 3 in renal cell carcinoma. Nature. 1987 Jun 25-Jul 1;327(6124):721-4.
Record last reviewed: March 1, 2005
Last Updated: March 4, 2005
Record first received: November 3, 1999
ClinicalTrials.gov Identifier: NCT00001238
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-04-08
Source: ClinicalTrials.gov
Cache Date: April 8, 2005

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