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Carney triad

MedGen UID:
388099
Concept ID:
C1858592
Disease or Syndrome
Synonym: GASTRIC LEIOMYOSARCOMA, PULMONARY CHONDROMA, AND EXTRAADRENAL PARAGANGLIOMA
SNOMED CT: Carney triad (733492003)
 
Monarch Initiative: MONDO:0011424
OMIM®: 604287
Orphanet: ORPHA139411

Definition

A rare non-hereditary condition characterised by gastrointestinal stromal tumours (GIST), pulmonary chondromas and extraadrenal paragangliomas. Less than 100 cases have been reported worldwide. The disease primarily affects young women (mean age of onset 20 years). Most patients initially present with two of the three tumours (incomplete Carney''s triad). The main symptoms at presentation are gastrointestinal bleeding, epigastric pain, anaemia and palpable abdominal mass. These symptoms are related to the GIST, which occur in 99% of cases. Pulmonary chondromas occur in approximately 80% of cases. Secreting paragangliomas (typically extraadrenal and most often mediastinal) occur in approximately 50% of patients. The aetiology is not completely understood. Impaired succinate dehydrogenase (SDH) function resulting from chromosomal losses (but not mutations) has been detected in some patients with Carney''s triad. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCarney triad
Follow this link to review classifications for Carney triad in Orphanet.

Professional guidelines

PubMed

Minnetti M, Grossman A
Best Pract Res Clin Endocrinol Metab 2016 Jan;30(1):115-27. Epub 2015 Oct 9 doi: 10.1016/j.beem.2015.09.007. PMID: 26971848
Miettinen M, Lasota J
Arch Pathol Lab Med 2006 Oct;130(10):1466-78. doi: 10.5858/2006-130-1466-GSTROM. PMID: 17090188

Recent clinical studies

Etiology

Mei L, Smith SC, Faber AC, Trent J, Grossman SR, Stratakis CA, Boikos SA
Trends Cancer 2018 Jan;4(1):74-91. Epub 2017 Dec 23 doi: 10.1016/j.trecan.2017.11.006. PMID: 29413424
Wada R, Arai H, Kure S, Peng WX, Naito Z
Pathol Int 2016 Aug;66(8):431-7. Epub 2016 Jul 18 doi: 10.1111/pin.12431. PMID: 27427238
Joensuu H, Hohenberger P, Corless CL
Lancet 2013 Sep 14;382(9896):973-83. Epub 2013 Apr 24 doi: 10.1016/S0140-6736(13)60106-3. PMID: 23623056
Carney JA
J Clin Endocrinol Metab 2009 Oct;94(10):3656-62. Epub 2009 Sep 1 doi: 10.1210/jc.2009-1156. PMID: 19723753
Rodriguez FJ, Aubry MC, Tazelaar HD, Slezak J, Carney JA
Am J Surg Pathol 2007 Dec;31(12):1844-53. doi: 10.1097/PAS.0b013e3180caa0b5. PMID: 18043038

Diagnosis

Ibrahim A, Chopra S
Arch Pathol Lab Med 2020 May;144(5):655-660. Epub 2019 Jun 6 doi: 10.5858/arpa.2018-0370-RS. PMID: 31169996
Khurana A, Mei L, Faber AC, Smith SC, Boikos SA
Horm Metab Res 2019 Jul;51(7):437-442. Epub 2019 Jun 7 doi: 10.1055/a-0918-8340. PMID: 31174229
Fernandez-Bussy S, Labarca G, Descalzi F, Pires Y, Santos M, Folch E, Majid A
Respir Care 2014 Dec;59(12):e193-6. Epub 2014 Jul 15 doi: 10.4187/respcare.02673. PMID: 25233382
Young WF Jr
Ann N Y Acad Sci 2006 Aug;1073:21-9. doi: 10.1196/annals.1353.002. PMID: 17102068
Miettinen M, Lasota J
Arch Pathol Lab Med 2006 Oct;130(10):1466-78. doi: 10.5858/2006-130-1466-GSTROM. PMID: 17090188

Therapy

Wang YM, Gu ML, Ji F
World J Gastroenterol 2015 Feb 28;21(8):2303-14. doi: 10.3748/wjg.v21.i8.2303. PMID: 25741136Free PMC Article
Joensuu H, Hohenberger P, Corless CL
Lancet 2013 Sep 14;382(9896):973-83. Epub 2013 Apr 24 doi: 10.1016/S0140-6736(13)60106-3. PMID: 23623056
Noushif M, Chandra A, Gupta V, Kumar A
Indian J Gastroenterol 2013 Jul;32(4):281-2. Epub 2013 Mar 5 doi: 10.1007/s12664-013-0310-9. PMID: 23460241
Lasota J, Miettinen M
Histopathology 2008 Sep;53(3):245-66. Epub 2008 Feb 28 doi: 10.1111/j.1365-2559.2008.02977.x. PMID: 18312355
Lasota J, Miettinen M
Semin Diagn Pathol 2006 May;23(2):91-102. doi: 10.1053/j.semdp.2006.08.006. PMID: 17193822

Prognosis

Ibrahim A, Chopra S
Arch Pathol Lab Med 2020 May;144(5):655-660. Epub 2019 Jun 6 doi: 10.5858/arpa.2018-0370-RS. PMID: 31169996
Herzberg M, Beer M, Anupindi S, Vollert K, Kröncke T
J Pediatr Surg 2018 Sep;53(9):1862-1870. Epub 2018 Mar 29 doi: 10.1016/j.jpedsurg.2018.03.022. PMID: 29685489
Gill AJ
Histopathology 2018 Jan;72(1):106-116. doi: 10.1111/his.13277. PMID: 29239034
Minnetti M, Grossman A
Best Pract Res Clin Endocrinol Metab 2016 Jan;30(1):115-27. Epub 2015 Oct 9 doi: 10.1016/j.beem.2015.09.007. PMID: 26971848
Miettinen M, Lasota J
Arch Pathol Lab Med 2006 Oct;130(10):1466-78. doi: 10.5858/2006-130-1466-GSTROM. PMID: 17090188

Clinical prediction guides

Daumova M, Svajdler M, Fabian P, Kren L, Babankova I, Jezova M, Sedivcova M, Vanecek T, Behenska K, Michal M, Daum O
Appl Immunohistochem Mol Morphol 2021 Sep 1;29(8):599-605. doi: 10.1097/PAI.0000000000000920. PMID: 33624983
Gill AJ
Histopathology 2018 Jan;72(1):106-116. doi: 10.1111/his.13277. PMID: 29239034
Wada R, Arai H, Kure S, Peng WX, Naito Z
Pathol Int 2016 Aug;66(8):431-7. Epub 2016 Jul 18 doi: 10.1111/pin.12431. PMID: 27427238
Minnetti M, Grossman A
Best Pract Res Clin Endocrinol Metab 2016 Jan;30(1):115-27. Epub 2015 Oct 9 doi: 10.1016/j.beem.2015.09.007. PMID: 26971848
Miettinen M, Lasota J
Arch Pathol Lab Med 2006 Oct;130(10):1466-78. doi: 10.5858/2006-130-1466-GSTROM. PMID: 17090188

Recent systematic reviews

Herzberg M, Beer M, Anupindi S, Vollert K, Kröncke T
J Pediatr Surg 2018 Sep;53(9):1862-1870. Epub 2018 Mar 29 doi: 10.1016/j.jpedsurg.2018.03.022. PMID: 29685489
Benesch M, Wardelmann E, Ferrari A, Brennan B, Verschuur A
Pediatr Blood Cancer 2009 Dec 15;53(7):1171-9. doi: 10.1002/pbc.22123. PMID: 19499582

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