PMID- 19595004 OWN - NLM STAT- MEDLINE DCOM- 20100810 LR - 20090714 IS - 0529-5815 (Print) IS - 0529-5815 (Linking) VI - 47 IP - 5 DP - 2009 Mar 1 TI - [Diagnosis and treatment of multiple endocrine neoplasia type 1 related pancreatic endocrine tumors]. PG - 329-32 AB - OBJECTIVE: To summarize the experience on diagnosis and treatment of multiple endocrine neoplasia type 1 (MEN-1) related pancreatic endocrine tumors (PET). METHODS: From January 2004 to December 2007, there were 10 patients of MEN-1 related PET were treated in Shanghai Jiaotong University School of Medicine Affiliated Ruijin Hospital. There were 2 males and 8 females, aged from 11- to 49-years-old. They were diagnosed by laboratory tests, imaging examinations and genes sequencing. Drug therapy, surgery and follow-up were applied on the patients. RESULTS: There were 9 patients having insulinomas including 2 cases of multiple insulinomas and 1 case presenting an insulinoma, multiple nonfunctional PET and malignant duodenum gastrinoma with liver metastasis. The other patient was diagnosed as glucagonoma clinically. Five cases had family history and MEN-1 gene mutation was detected in 9 patients. Seven patients accepted nine operations. Twelve insulinomas, four nonfunctional PET and one duodenum gastrinoma were found in the operations. All patients were followed up from 1 month to 11 years, and 9 patients with good conditions and 1 patient died. CONCLUSIONS: Well recognizing PET and MEN-1, early diagnosing MEN-1 related PET, appropriately surgical intervention will prove patients' life quality and will help for prolonging patients' survival time. FAU - Yang, Jun AU - Yang J AD - Department of Surgery, Shanghai Jiaotong University School of Medicine Affiliated Ruijin Hospital, Shanghai 200025, China. FAU - Zhou, Guang-wen AU - Zhou GW FAU - Chen, Xi AU - Chen X FAU - Wei, Yao AU - Wei Y FAU - Peng, Cheng-hong AU - Peng CH FAU - Ning, Guang AU - Ning G FAU - Li, Hong-wei AU - Li HW LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Wai Ke Za Zhi JT - Zhonghua wai ke za zhi [Chinese journal of surgery] JID - 0153611 SB - IM MH - Adult MH - Child MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*diagnosis/*surgery MH - Pancreatic Neoplasms/*diagnosis/*surgery MH - Retrospective Studies EDAT- 2009/07/15 09:00 MHDA- 2010/08/11 06:00 CRDT- 2009/07/15 09:00 PHST- 2009/07/15 09:00 [entrez] PHST- 2009/07/15 09:00 [pubmed] PHST- 2010/08/11 06:00 [medline] PST - ppublish SO - Zhonghua Wai Ke Za Zhi. 2009 Mar 1;47(5):329-32.