PMID- 11914929 OWN - NLM STAT- MEDLINE DCOM- 20020521 LR - 20161020 IS - 1435-2443 (Print) IS - 1435-2443 (Linking) VI - 386 IP - 8 DP - 2002 Mar TI - Clinical and molecular diagnosis of multiple endocrine neoplasia type 1. PG - 547-52 AB - Multiple endocrine neoplasia type 1 (MEN1) is a classic hereditary tumor syndrome characterized by a genetic predisposition to develop a variety of neuroendocrine neoplasias and hormone excess syndromes. The disease is caused by inactivating mutations of the MEN1 tumor suppressor gene, detectable in >95% of MEN1 families. The distinction of MEN1-associated tumors from sporadic neuroendocrine neoplasias is clinically important for providing optimal surgical and medical therapy, appropriate clinical follow-up, and counsel for affected patients and their families. Since MEN1 gene analysis became available in 1997, new diagnostic approaches have evolved in clinical management, to be reviewed in this article. Genetic screening of MEN1 families will allow definition of individual disease risk at a preclinical stage, thus helping to allocate medical resources and treatment as individually needed. These new diagnostic approaches are expected to reduce MEN1-associated morbidity and mortality, health care expenses, and psychological disease burden. FAU - Karges, Wolfram AU - Karges W AD - Division of Endocrinology, Department of Internal Medicine, University of Ulm, Robert Koch Strasse, 89081 Ulm, Germany. wolfram.karges@medizin.uni-ulm.de FAU - Schaaf, Ludwig AU - Schaaf L FAU - Dralle, Henning AU - Dralle H FAU - Boehm, Bernhard O AU - Boehm BO LA - eng PT - Journal Article PT - Review DEP - 20020124 PL - Germany TA - Langenbecks Arch Surg JT - Langenbeck's archives of surgery JID - 9808285 RN - 0 (MEN1 protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - DNA Mutational Analysis MH - Ethics MH - *Genes, Tumor Suppressor MH - *Genetic Testing/legislation & jurisprudence MH - Humans MH - Multiple Endocrine Neoplasia Type 1/*diagnosis/*genetics MH - Mutation MH - Neoplasm Proteins/*genetics MH - *Proto-Oncogene Proteins RF - 21 EDAT- 2002/03/27 10:00 MHDA- 2002/05/22 10:01 CRDT- 2002/03/27 10:00 PHST- 2001/10/11 00:00 [received] PHST- 2001/11/26 00:00 [accepted] PHST- 2002/03/27 10:00 [pubmed] PHST- 2002/05/22 10:01 [medline] PHST- 2002/03/27 10:00 [entrez] AID - 10.1007/s00423-001-0268-4 [doi] PST - ppublish SO - Langenbecks Arch Surg. 2002 Mar;386(8):547-52. doi: 10.1007/s00423-001-0268-4. Epub 2002 Jan 24.