Definition

  • Inherited
  • Autosomal-dominant syndrome
  • Occurs due to germline pathogenic variants in the VHL gene.
  • VHL disease is characterized by a variety of benign and malignant tumors, which include:

Manifestations

Clinical presenations

  • Usually present with multiple tumors at a young age

Diagnosis

  • Germline mutations in VHL gene

Surveillance

  • Retinal capillary hemangioblastomas
    • Retinal - before age 1, Every 6-12 months
  • Pheochromocytomas
    • Bloods pressure - age 2, every year
    • Metanephrines, age 5, every year
  • CNS hemangioblastoma
    • MRI brain, age 11, every 2 years
  • Intra-abdominal lesions (panc, renal, adrenal)
    • MRI abodmen, age 15, every 2 years