PMID- 11150038 OWN - NLM STAT- MEDLINE DCOM- 20010208 LR - 20190915 IS - 0039-6060 (Print) IS - 0039-6060 (Linking) VI - 129 IP - 1 DP - 2001 Jan TI - Malignant endocrine tumors in patients with MEN 1 disease. PG - 91-5 AB - BACKGROUND: In contrast with multiple endocrine neoplasia type 2, malignancies are of minor importance in multiple endocrine neoplasia type 1 (MEN 1) syndrome. METHODS: The data for 42 patients with MEN 1 syndrome were evaluated. Twelve patients (29%) had 1 or more associated malignancies: malignant gastrinoma (1 patient), neuroendocrine tumors of the thymus (2 patients), neuroendocrine tumors of the lung (3 patients), neuroendocrine tumor of the ileum (1 patient), adrenocortical carcinomas (2 patients), and a combination of neuroendocrine tumors of thymus, lung or pancreas (3 patients). RESULTS: Despite suspected MEN 1 syndrome in 7 patients, malignancies were detected late in 4 patients and could not be resected curatively. The survival rates for 5 years and 10 years after operation of the malignant tumor were 66% +/- 14% (SE) and 33% +/- 15% (SE), respectively. CONCLUSIONS: In patients at risk for the MEN 1 syndrome, genetic screening is indispensable. Gene carriers have to be followed up closely with hormone analysis and routine examination of the thorax, pancreas, and adrenal glands to detect malignancies as early as possible. FAU - Dotzenrath, C AU - Dotzenrath C AD - Department of Surgery, Heinrich-Heine Universitat, Dusseldorf, Germany. FAU - Goretzki, P E AU - Goretzki PE FAU - Cupisti, K AU - Cupisti K FAU - Yang, Q AU - Yang Q FAU - Simon, D AU - Simon D FAU - Roher, H D AU - Roher HD LA - eng PT - Journal Article PL - United States TA - Surgery JT - Surgery JID - 0417347 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Female MH - Gastrinoma/genetics/surgery MH - Humans MH - Hyperparathyroidism/genetics MH - Lung Neoplasms/genetics/surgery MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/genetics/pathology/*surgery MH - Mutation MH - Pancreatic Neoplasms/genetics/surgery MH - Thymus Neoplasms/genetics/surgery EDAT- 2001/01/10 11:00 MHDA- 2001/03/03 10:01 CRDT- 2001/01/10 11:00 PHST- 2001/01/10 11:00 [pubmed] PHST- 2001/03/03 10:01 [medline] PHST- 2001/01/10 11:00 [entrez] AID - S0039606001457229 [pii] AID - 10.1067/msy.2001.109500 [doi] PST - ppublish SO - Surgery. 2001 Jan;129(1):91-5. doi: 10.1067/msy.2001.109500.