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5P Strategies for Management of Multiple Endocrine Neoplasia Type 2: A Paradigm of Precision Medicine. | LitMetric

5P Strategies for Management of Multiple Endocrine Neoplasia Type 2: A Paradigm of Precision Medicine.

Front Endocrinol (Lausanne)

Department of Oncologic and Urologic Surgery, The 903rd PLA Hospital, Wenzhou Medical University, Hangzhou, China.

Published: May 2021

AI Article Synopsis

  • MEN2 is a neuroendocrine cancer syndrome primarily involving medullary thyroid carcinoma, often linked to pheochromocytoma and hyperparathyroidism, with two types: MEN2A and MEN2B, caused by mutations in a specific proto-oncogene.
  • The proposed "5P" management strategies—prevention, prediction, personalization, psychological support, and participation—aim to enhance patient outcomes and are a key aspect of precision medicine.
  • Early diagnosis and risk stratification can be achieved through genetic testing and monitoring certain hormone levels, which helps tailor precise treatment plans, thereby potentially increasing survival rates and improving the overall quality of life for MEN2 patients.

Article Abstract

Multiple endocrine neoplasia type 2 (MEN2) is a neuroendocrine cancer syndrome characterized by medullary thyroid carcinoma, in combination or not with pheochromocytoma, hyperparathyroidism, and extra-endocrine features. MEN2 syndrome includes two clinically distinct forms subtyped as MEN2A and MEN2B. Nearly all MEN2 cases are caused by germline mutations of the proto-oncogene. In this review, we propose "5P" strategies for management of MEN2: prevention, prediction, personalization, psychological support, and participation, which could effectively improve clinical outcomes of patients. Based on mutations, MEN2 could be through prenatal diagnosis or preimplantation genetic testing. Identification of pathogenic mutations in can enable early diagnosis of MEN2. Combining mutation testing with measurement of serum calcitonin, plasma or urinary metanephrine/normetanephrine, and serum parathyroid hormone levels could allow risk stratification and accurately of MEN2 progression, thus facilitating implementation of precision treatments to increase disease-free survival and overall survival. Furthermore, increased awareness of MEN2 is needed, which requires of physicians, patients, family members, and related organizations. support is also important for patients with MEN2 to promote comprehensive management of MEN2 symptoms. The "5P" strategies for management of MEN2 represent a typical clinical example of precision medicine. These strategies could effectively improve the health of MEN2 patient, and avoid adverse outcomes, including death and major morbidity, from MEN2.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7531599PMC
http://dx.doi.org/10.3389/fendo.2020.543246DOI Listing

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