PMID- 18729310 OWN - NLM STAT- MEDLINE DCOM- 20081010 LR - 20211020 IS - 0513-5796 (Print) IS - 1976-2437 (Electronic) IS - 0513-5796 (Linking) VI - 49 IP - 4 DP - 2008 Aug 30 TI - Multiple endocrine neoplasia type 1 with multiple leiomyomas linked to a novel mutation in the MEN1 gene. PG - 655-61 LID - 10.3349/ymj.2008.49.4.655 [doi] AB - Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominantly inherited syndrome. MEN1 is characterized by the presence of functioning and nonfunctioning tumors or hyperplasia of the pituitary gland, parathyroid glands, and pancreatic islet cells. In addition, MEN1 carriers can have adrenal or thyroid tumors and non-endocrine tumors, such as lipomas, angiofibromas, and leiomyomas. Although leiomyoma is not a major component of MEN1, it is thought to occur more frequently than expected. However, there has been no report of a case of MEN1 with leiomyoma in Korea so far. This report describes a patient with multiple leiomyomas in MEN1. A 50-year-old woman was referred for further evaluation of elevated calcium levels and osteoporosis. Biochemical abnormalities included hypercalcemia with elevated parathyroid hormone. There was hyperprolactinemia with pituitary microadenoma in sella MRI. An abdominal MRI demonstrated adrenal nodules and leiomyomas in the bladder and uterus. Endoscopic ultrasonography demonstrated esophageal leiomyoma and pancreatic islet cell tumor. A subtotal parathyroidectomy with thymectomy was performed. Sequencing of the MEN1 gene in this patient revealed a novel missense mutation (D350V, exon 7). This is the first case of MEN1 accompanied with multiple leiomyomas, parathyroid adenoma, pituitary adenoma, pancreatic tumor, and adrenal tumor. FAU - Choi, Heekyoung AU - Choi H AD - Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Sehyun AU - Kim S FAU - Moon, Jae-Hoon AU - Moon JH FAU - Lee, Yoon Hee AU - Lee YH FAU - Rhee, Yumie AU - Rhee Y FAU - Kang, Eun Seok AU - Kang ES FAU - Ahn, Chul Woo AU - Ahn CW FAU - Cha, Bong Soo AU - Cha BS FAU - Lee, Eun Jig AU - Lee EJ FAU - Kim, Kyung Rae AU - Kim KR FAU - Lee, Hyun Chul AU - Lee HC FAU - Jeong, Seon Yong AU - Jeong SY FAU - Kim, Hyun Ju AU - Kim HJ FAU - Lim, Sung-Kil AU - Lim SK LA - eng PT - Case Reports PT - Journal Article PL - Korea (South) TA - Yonsei Med J JT - Yonsei medical journal JID - 0414003 SB - IM MH - Base Sequence MH - Female MH - Humans MH - Leiomyomatosis/diagnostic imaging/genetics/*metabolism/*pathology MH - Magnetic Resonance Imaging MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/genetics/*metabolism MH - Mutation/genetics MH - Radiography PMC - PMC2615294 EDAT- 2008/08/30 09:00 MHDA- 2008/10/11 09:00 PMCR- 2008/08/30 CRDT- 2008/08/30 09:00 PHST- 2008/08/30 09:00 [pubmed] PHST- 2008/10/11 09:00 [medline] PHST- 2008/08/30 09:00 [entrez] PHST- 2008/08/30 00:00 [pmc-release] AID - 200808655 [pii] AID - 10.3349/ymj.2008.49.4.655 [doi] PST - ppublish SO - Yonsei Med J. 2008 Aug 30;49(4):655-61. doi: 10.3349/ymj.2008.49.4.655.