PMID- 11756777 OWN - NLM STAT- MEDLINE DCOM- 20020117 LR - 20190822 IS - 0147-5185 (Print) IS - 0147-5185 (Linking) VI - 26 IP - 1 DP - 2002 Jan TI - Familial adenomatous polyposis associated with multiple endocrine neoplasia type 1-related tumors and thyroid carcinoma: a case report with clinicopathologic and molecular analyses. PG - 103-10 AB - We describe a sporadic case with familial adenomatous polyposis, multiple endocrine neoplasia type 1 (MEN1)-related tumors (an endocrine cell tumor of the pancreas and bilateral parathyroid tumors), and a papillary thyroid carcinoma. To clarify how mutations of the adenomatous polyposis coli ( APC ) gene and the MEN1 gene, responsible for familial adenomatous polyposis and MEN1, respectively, might have contributed to tumorigenesis in this case, we studied germline mutations in both genes and loss of heterozygosity at their genetic loci in multiple lesions. In addition, we performed immunohistochemistry for beta-catenin, associated with the function of the APC gene. A germline mutation was found in the APC gene but not in the MEN1 gene. Normal allelic loss at the APC gene locus was observed in bilateral parathyroid tumors. Immunohistochemical staining of beta-catenin demonstrated accumulation in the cytoplasm in addition to membrane staining in all analyzed tumors and a strong nuclear reaction in the endocrine cell tumor of the pancreas. The presence of normal allelic deletions of the APC gene in bilateral parathyroid tumors and nuclear staining of beta-catenin in the pancreatic tumor in addition to the germline mutations suggests that functional loss of the APC gene played an important role not only in familial adenomatous polyposis but also in the MEN1-related tumors in this case. FAU - Sakai, Yuzo AU - Sakai Y AD - Department of Medicine, Cancer Institute Hospital, Tokyo, Japan. sakaiy-ind@umin.ac.jp FAU - Koizumi, Koich AU - Koizumi K FAU - Sugitani, Iwao AU - Sugitani I FAU - Nakagawa, Ken AU - Nakagawa K FAU - Arai, Masami AU - Arai M FAU - Utsunomiya, Joji AU - Utsunomiya J FAU - Muto, Tetsuichiro AU - Muto T FAU - Fujita, Rikiya AU - Fujita R FAU - Kato, Yo AU - Kato Y LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Surg Pathol JT - The American journal of surgical pathology JID - 7707904 RN - 0 (Adenomatous Polyposis Coli Protein) RN - 0 (MEN1 protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Proto-Oncogene Proteins) SB - IM CIN - Am J Surg Pathol. 2003 Mar;27(3):412-3. PMID: 12604901 CIN - Am J Surg Pathol. 2003 Aug;27(8):1176-7. PMID: 12883254 MH - Adenomatous Polyposis Coli/*etiology/genetics/pathology MH - Adenomatous Polyposis Coli Protein/genetics MH - Adult MH - Carcinoma, Papillary/*complications/genetics/pathology/surgery MH - Female MH - Genes, ras MH - Germ-Line Mutation MH - Humans MH - Loss of Heterozygosity MH - Multiple Endocrine Neoplasia Type 1/*etiology/genetics/pathology MH - Neoplasm Proteins/genetics MH - Pancreatic Neoplasms/*etiology/genetics/pathology MH - Parathyroid Neoplasms/*etiology/genetics/pathology MH - *Proto-Oncogene Proteins MH - Thyroid Neoplasms/*complications/genetics/pathology/surgery EDAT- 2002/01/05 10:00 MHDA- 2002/01/18 10:01 CRDT- 2002/01/05 10:00 PHST- 2002/01/05 10:00 [pubmed] PHST- 2002/01/18 10:01 [medline] PHST- 2002/01/05 10:00 [entrez] AID - 10.1097/00000478-200201000-00014 [doi] PST - ppublish SO - Am J Surg Pathol. 2002 Jan;26(1):103-10. doi: 10.1097/00000478-200201000-00014.