PMID- 19153518 OWN - NLM STAT- MEDLINE DCOM- 20090416 LR - 20130520 IS - 1423-0046 (Electronic) IS - 0301-0163 (Linking) VI - 71 Suppl 1 DP - 2009 Jan TI - Update on familial pituitary tumors: from multiple endocrine neoplasia type 1 to familial isolated pituitary adenoma. PG - 105-11 LID - 10.1159/000178050 [doi] AB - BACKGROUND: Pituitary adenomas occur in a familial setting in about 5% of all cases and over half of these are due to multiple endocrine neoplasia type 1 (MEN1) and Carney complex (CNC). Since the late 1990s, we have described non-MEN1/CNC familial pituitary tumors that include all tumor phenotypes and have named this condition 'familial isolated pituitary adenoma' (FIPA). Clinical features of FIPA differ from those of sporadic pituitary adenomas in that patients with FIPA are often younger and have larger tumors at diagnosis. About 15% of FIPA patients have mutations in the aryl hydrocarbon receptor interacting protein gene (AIP), which indicates that FIPA may have a diverse genetic pathophysiology. We review the clinical features of FIPA, the tumor pathologies found in this setting and the genetic/molecular data that have been recently reported. CONCLUSIONS: Clinically relevant pituitary adenomas are more common than previously thought and occur in a familial setting in about 5% of cases overall. Therefore, specific questioning regarding family history of pituitary disease should be part of the workup of all patients with pituitary adenomas, not just those with acromegaly. FIPA is a useful clinical framework to study the features of pituitary adenomas that occur in a familial setting since it encompasses all tumor phenotypes and heterogeneous/homogeneous expression among affected family members. CI - Copyright 2009 S. Karger AG, Basel. FAU - Daly, Adrian F AU - Daly AF AD - Department of Endocrinology, Centre Hospitalier Universitaire de Liege, University of Liege, Liege, Belgium. FAU - Tichomirowa, Maria A AU - Tichomirowa MA FAU - Beckers, Albert AU - Beckers A LA - eng PT - Journal Article PT - Review DEP - 20090121 PL - Switzerland TA - Horm Res JT - Hormone research JID - 0366126 RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (aryl hydrocarbon receptor-interacting protein) SB - IM EIN - Horm Res. 2009;71(5):297. Tichomirow, Maria A [corrected to Tichomirowa, Maria A] MH - Adenoma/*etiology/genetics MH - Humans MH - Intracellular Signaling Peptides and Proteins/genetics MH - Models, Biological MH - Multiple Endocrine Neoplasia Type 1/*complications/genetics MH - Mutation/physiology MH - Pituitary Neoplasms/*etiology/genetics RF - 38 EDAT- 2009/01/30 09:00 MHDA- 2009/04/17 09:00 CRDT- 2009/01/21 09:00 PHST- 2009/01/21 09:00 [entrez] PHST- 2009/01/30 09:00 [pubmed] PHST- 2009/04/17 09:00 [medline] AID - 000178050 [pii] AID - 10.1159/000178050 [doi] PST - ppublish SO - Horm Res. 2009 Jan;71 Suppl 1:105-11. doi: 10.1159/000178050. Epub 2009 Jan 21.