3,009 results match your criteria: "Wermer Syndrome MEN Type 1"

Genotype-based prognosis prediction for MEN1-Related pancreatic neuroendocrine tumors in Korean patients a single-center retrospective study.

Pancreatology

November 2024

Pancreatobiliary Cancer Center, Yonsei Cancer Center, Severance Hospital, Seoul, South Korea; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea. Electronic address:

Background: Pancreatic neuroendocrine tumors (PNETs) are the leading cause of death related to multiple endocrine neoplasia type 1 (MEN1). Previous studies have linked certain mutations in the MEN1 gene and loss of interactions with MENIN's functional partners to the mortality or aggressiveness of PNETs. This study aimed to evaluate the genotype-phenotype correlations of MEN1-related PNETs in Korean patients and to summarize the treatment outcomes comprehensively.

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Summary: Adrenocortical carcinoma (ACC) is a rare malignant tumour arising from the adrenal cortex, with an estimated annual incidence of one to two patients per million. Ectopic ACCs are extremely rare. The majority of ACCs are sporadic; however, ACC has been linked with genetic disease processes, including multiple endocrine neoplasia type-1 (MEN-1).

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Targeting Menin in Acute Myeloid Leukemia: Therapeutic Advances and Future Directions.

Cancers (Basel)

November 2024

Department of Oncology, Karmanos Cancer Center, School of Medicine, Wayne State University, Detroit, MI 48201, USA.

Germline mutations in the gene encoding menin protein cause multiple endocrine neoplasia type 1 (MEN1) syndrome. Recent evidence suggests that inhibiting the interaction of menin with its crucial oncogenic protein partners represents a promising therapeutic strategy to AML. Menin plays a critical role in lysine methyltransferase 2A ()-gene-rearranged and -m acute leukemias, both associated with adverse outcomes with current standard therapies, especially in the relapsed/refractory setting.

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Multiple Endocrine Neoplasia type 1 (MEN1) Clinical Practice Guidelines (2012) are predominantly based on expert opinion due to limited available evidence at the time, leaving room for interpretation and variation in practices. Evidence on the natural course of MEN1-related neuroendocrine tumours (NET) and the value of screening programs has increased and new imaging techniques have emerged. The aim of this study is to provide insight in the current practices of screening and surveillance for MEN1-related NETs in ENETS Centers of Excellence (CoEs).

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A man in his late 30s with gait difficulty, dysarthria, impaired consciousness and polyuria was diagnosed with left thalamic infarction. Hypercalcaemia (3.52 mmol/L (2.

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Despite advancements in the field, early diagnosis of multiple endocrine neoplasia type 1 (MEN1) remains unachievable. This letter to the editor highlighted the importance of carefully assessing gastrointestinal symptoms, hypercalcemia, and elevated serum gastrin levels, as suggested by Yuan in their paper. They focused on a patient with recurrent abdominal pain and diarrhea whose diagnostic path led to establishing a MEN1 diagnosis within a year.

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Bone mineral density over ten years after primary parathyroidectomy in multiple endocrine neoplasia type 1.

JBMR Plus

December 2024

Endocrinology, Abdominal Center, Helsinki University Hospital and University of Helsinki, ENDO-ERN (European Reference Network on Rare Endocrine Conditions), FIN-00290 Helsinki, Finland.

Primary hyperparathyroidism (PHPT) associated with multiple endocrine neoplasia type 1 (MEN1) impairs bone mineral density and causes osteoporosis already in young patients. We aimed to investigate bone mineral density (BMD) in a contemporary cohort of patients with MEN1-related PHPT after long-term follow-up and compare these results with that of healthy controls. Thirty-five patients with genetically confirmed MEN1 were diagnosed with MEN1 at mean age 28.

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Adrenocortical tumors and hereditary syndromes.

Expert Rev Endocrinol Metab

November 2024

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Introduction: Adrenocortical tumors (ACTs) are frequently encountered in clinical practice. They vary in clinical and biological characteristics from nonfunctional to life threatening hormone excess, from benign to highly aggressive malignant tumors. Most ACTs appear to be benign and nonfunctioning.

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Prognosis after curative resection of non-metastatic pancreatic neuroendocrine tumors: a retrospective tertiary center study.

Ann Gastroenterol

October 2024

Gastroenterology and Hepatology (Thomas Hendrickx, Justine Vancanneyt, Jeroen Dekervel, Chris Verslype, Lukas Van Melkebeke, Filip Van Herpe, Gertjan Rasschaert).

Background: Pancreatic neuroendocrine tumors (pNETs) are rare tumors with heterogeneous outcomes. The aim of our study was to determine the long-term outcome, recurrence patterns, as well as the clinical and pathological factors that impact time-to-recurrence (TTR), recurrence-free survival (RFS), and overall survival (OS) in pNETs treated with curative surgery.

Methods: Data for all patients who underwent radical surgery with curative intent for non-metastatic pNETs were obtained from a prospectively maintained database of the University Hospitals Leuven.

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Article Synopsis
  • MEN1 is an autosomal dominant condition leading to tumors in various endocrine organs, primarily identified through genetic variants in the MEN1 gene, and this study focused on a Korean cohort to understand these features better.
  • Analyzed data from 117 MEN1 patients revealed that the most frequent symptom was primary hyperparathyroidism, with a high occurrence of gastroenteropancreatic and pituitary neuroendocrine tumors recorded.
  • Genetic testing identified 61 unique MEN1 variants, including 18 new ones, indicating a stronger link between truncating variants and a higher rate of pituitary tumors, emphasizing the significance of genetic testing in managing MEN1.
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Molecular Pathophysiology of Parathyroid Tumorigenesis-The Lesson from a Rare Disease: The "MEN1 Model".

Int J Mol Sci

October 2024

SC Endocrinologia, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore, 3, 20162 Milano, Italy.

Primary hyperparathyroidism represents the third most prevalent endocrine disease in the general population, consisting of an excessive secretion of parathyroid hormone from one or, more frequently, more of the parathyroid glands, leading to a dysregulation of calcium homeostasis. Schematically, its development occurs primarily by pathophysiological events with genetic mutation, at the germline and/or somatic level, that favor the neoplastic transformation of parathyroid cells and promote their aberrant proliferation, and mutations determining the shift in the PTH "set-point", thus interfering with the normal pathways of PTH secretion and leading to a "resetting" of Ca-dependent PTH secretion or to a secretion of PTH insensitive to changes in extracellular Ca levels. Familial syndromic and non-syndromic forms of primary hyperparathyroidism are responsible for approximately 2-5% of primary hyperparathyroidism cases and most of them are inherited forms.

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The rarity and variability of MEN1-related primary hyperparathyroidism (mPHPT) has led to contradictory data regarding the bone phenotype in this patient population. A single-center retrospective study was conducted among young age- and sex-matched patients with mPHPT and sporadic hyperparathyroidism (sPHPT). The main parameters of calcium-phosphorus metabolism, bone remodeling markers, and bone mineral density (BMD) measurements were obtained during the active phase of hyperparathyroidism before parathyroidectomy (PTE) and 1 year after.

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Introduction: Multiple endocrine neoplasia type 1 (MEN-1) is the most common inherited syndrome associated with NET development and gender-specific differences are emerging in neuroendocrine tumors (NETs). This study aimed to analyze gender difference in a single cohort of MEN-1 patients focusing on duodeno-pancreatic (DP)-NET and survival rates.

Methods: MEN-1 patients referred to the Endocrinology Unit of the "Federico II" University of Naples, ENETS CoE, were retrospectively evaluated.

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Article Synopsis
  • MEN1-related pituitary adenomas (PAs) were traditionally thought to be more aggressive than regular pituitary adenomas, but recent research indicates that their behaviors may be similar.
  • A study evaluated long-term outcomes of MEN1 PAs using data from 84 cases, focusing on factors like patient demographics, tumor size, and treatment effectiveness.
  • The findings suggest that while MEN1 micro-PAs generally have a low risk of becoming invasive, microPRLomas have a higher risk, indicating that less frequent long-term monitoring may be suitable for patients with MEN1-related PAs.
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Diagnosis and management of pituitary adenomas in children and adolescents.

Eur J Endocrinol

September 2024

INSERM-U1185, Paris Sud Paris-Saclay University and AP-HP Division of Endocrinology and Diabetes for Children, Bicêtre Paris Sud Hospital, 64 Gabriel Péri Street, 94270 Le Kremlin Bicêtre, France.

Article Synopsis
  • Pituitary adenomas (PA), or Pit-NETS, are rare in children and especially unusual in those under 10, with the majority of research conducted on adult cases.
  • This review addresses the unique clinical considerations, diagnosis, and treatment of PA in young patients, highlighting the importance of involving specialized teams that include both pediatric and adult medical experts.
  • Pediatric PAs tend to be larger, more aggressive, and often lead to hormonal imbalances that can affect growth and puberty, with the most common type being prolactinomas; genetic testing is recommended for young patients due to potential hereditary mutations linked to these tumors.
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Case report: Novel germline c.587delA pathogenic variant in familial multiple endocrine neoplasia type 1.

Front Endocrinol (Lausanne)

October 2024

Department of Geriatric Endocrinology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Article Synopsis
  • - Multiple Endocrine Neoplasia type 1 (MEN1) is a rare genetic disorder that leads to various endocrine system tumors due to mutations affecting the menin protein, which functions as a tumor suppressor.
  • - A case study of a 14-year-old boy revealed he had insulinoma and primary hyperparathyroidism linked to a new mutation, c.587delA, in the MEN1 gene, which affects protein synthesis.
  • - Interestingly, this same mutation was found in the boy's father, who also had hyperparathyroidism, highlighting genetic anticipation where related family members experience different clinical symptoms despite the same genetic change.
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First reported case of multiple endocrine neoplasia type 1 in an Australian Aboriginal.

Endocrinol Diabetes Metab Case Rep

July 2024

Alice Springs Hospital, Alice Springs, Northern Territory, Australia.

Article Synopsis
  • - The case study discusses a 48-year-old Aboriginal Australian woman diagnosed with Multiple Endocrine Neoplasia type 1 (MEN1), who faced significant health issues including hypercalcaemia, following a history of parathyroid surgery and several severe medical conditions, indicating the complexity of her case.
  • - Genetic testing revealed a rare variant in the MEN1 gene, but cultural and logistical challenges hindered effective genetic counseling for her family, highlighting gaps in healthcare support for remote Aboriginal communities.
  • - The case underscores the critical need for improved genetic counseling approaches and timely recognition of rare diseases in remote areas, as late diagnoses can lead to severe health consequences, as seen in her unfortunate passing in 2021.
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Menin in Cancer.

Genes (Basel)

September 2024

Division of Gastroenterology and Hepatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

Article Synopsis
  • Menin, a protein encoded by a specific gene, acts as a nuclear scaffold that regulates gene expression by interacting with chromatin modifiers and transcription factors.
  • Its role in cancer is complex, as it can function as both a tumor suppressor in conditions like MEN1 syndrome and cholangiocarcinoma, and as a tumor promoter in various other cancers like leukemia and colorectal cancer, depending on the type and context of the tumor.
  • The review focuses on the diverse roles of menin across different cancer types, emphasizing the need for further research to understand its mechanisms and therapeutic potential.
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Choroidal melanoma in a patient with multiple endocrine neoplasia type 1.

Can J Ophthalmol

September 2024

Westmead and Central (Save Sight Institute) Clinical Schools, Specialty of Clinical Ophthalmology and Eye Health, University of Sydney, Sydney, Australia; Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia; Westmead Hospital, Sydney, Australia. Electronic address:

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Pituitary Neuroendocrine Tumors in Multiple Endocrine Neoplasia.

Endocrinol Metab (Seoul)

August 2024

Division of Endocrinology and Metabolism, Department of Medicine, University of Alberta, Edmonton, AB, Canada.

Article Synopsis
  • Multiple endocrine neoplasia type 1 (MEN1) is a genetic disorder that leads to tumors in the pituitary gland, parathyroid glands, and digestive tract, affecting roughly 40% of cases with pituitary tumors (PitNETs) showing a slight female bias.* -
  • Functional PitNETs (FPitNETs), especially prolactinomas, are more common than non-functional types, and MEN1-related tumors tend to be larger, more invasive, and sometimes plurihormonal compared to sporadic tumors.* -
  • When considering treatment, MEN1-related PitNETs are managed similarly to sporadic ones, and in patients with symptoms resembling MEN1 but with negative genetic tests, MEN
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Article Synopsis
  • This study assesses the effectiveness of Ga-DOTATATE PET/CT scans for diagnosing and locating insulinomas, which can be benign or malignant, including those associated with MEN-1 syndrome.
  • It involved 43 patients who showed symptoms or lab indications of insulinoma, and comparisons were made between Ga-DOTATATE PET/CT and conventional contrast-enhanced CT (CE-CT) in identifying the lesions.
  • Although Ga-DOTATATE PET/CT showed high sensitivity (87.5%) for detecting insulinomas, it didn't significantly outperform CE-CT (80.36%) in localization, suggesting it may be most useful as a supplementary tool when other imaging methods struggle.
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Article Synopsis
  • Multiple Endocrine Neoplasia type 1 (MEN1) is a genetic disorder leading to tumors, primarily in the parathyroid, pancreas, and pituitary glands, with rare cases of ACTH-producing pancreatic neuroendocrine carcinoma.
  • A Colombian family with a novel MEN1 variant showed symptoms of hyperparathyroidism from their 20s to 50s, and the individual with the index case developed the rare ACTH-secreting pancreatic tumor.
  • This study highlights the importance of genetic screening for early diagnosis and treatment of MEN1, as well as showcasing a unique case that adds new insights into the disorder's potential manifestations.
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Early detection of multiple endocrine neoplasia type 1: A case report.

World J Gastroenterol

July 2024

Department of Gastroenterology, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University), Shenzhen 518020, Guangdong Province, China.

Article Synopsis
  • * A case study highlighted a middle-aged male who experienced recurrent abdominal pain and diarrhea, leading to the early detection of MEN1 through blood tests that indicated hypercalcemia and hypophosphatemia, as well as imaging studies.
  • * The diagnosis was confirmed through surgery, showing a parathyroid adenoma and a neuroendocrine tumor, emphasizing the need for clinicians to consider MEN1 in patients with gastrointestinal symptoms and abnormal calcium levels.*
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Article Synopsis
  • - Insulinomas are rare but mostly benign tumors found in the pancreas, making their pre-operative localization tricky, with limited data on comparing various imaging techniques for identification.
  • - A study involving 37 patients was conducted to examine clinical features and management challenges of insulinomas, revealing that newer imaging techniques like 68Ga Exendin-4 PET-CT showed the highest sensitivity and accuracy in locating the tumors compared to other methods.
  • - The study concluded that 68Ga Exendin-4 PET-CT is a highly effective first-line imaging option for insulinomas, with most patients achieving a good prognosis and being cured after surgical removal of the tumors.
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