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10 Cards in this Set

  • Front
  • Back

MEN1

1. Parathyroid tumor


- almost 100% by 40yo


2. Pituitary


- lactotroph adenoma most common


3. Pancreatic islet cell OR gastrinoma (ZES)


- in 1/3


- ZES most commonly symptomatic

MEN1 Genetics

Autosomal dominant


MEN1 gene


Definition

2 out of 3 tumors

MEN2

2 syndromes


- MEN2A


》4 Subtypes


- MEN2B

MEN2 Genetics

Both MEN2A + MEN2B


- RET protoncogene


- on Chrosome 10



Autosomal dominant

MEN2A

Characterised by:


1. Medullary Thyroid Cancer


- almost 100% penetrance


- variable onset


2. Phaeochromocytoma


3. Primary Parathyroid Hyperplasia

MEN2B

Characterised by:


1. MTC


- in almost 100%


2. Phaeochromocytoma



(Not 1parathyoroid hyperplasia)

MEN2B

Early age of onset


More aggressive

MEN2B

Also includes:


- mucosal neuromas (inc intestinal》GI sxs)


- marfanoid habitus

MEN Treatment

Surgery