PMID- 21225407 OWN - NLM STAT- MEDLINE DCOM- 20110422 LR - 20211020 IS - 1863-6713 (Electronic) IS - 1863-6705 (Linking) VI - 59 IP - 1 DP - 2011 Jan TI - Simultaneous double thymic carcinoids: a rare initial manifestation of multiple endocrine neoplasia type 1. PG - 68-72 LID - 10.1007/s11748-010-0606-y [doi] AB - A 53-year-old man was referred to our hospital for treatment of two anterior mediastinal tumors. The anterior mediastinal tumors were resected by thymectomy under the probable diagnosis of double thymomas. The final pathological diagnosis was multiple thymic carcinoids. Although 20%-25% of patients with thymic carcinoid have a family history of multiple endocrine neoplasia type 1 (MEN-1), radiographic screening just after the operation did not detect any endocrine tumors. However, the patient had a urinary calculus 4 months 7 months after the operation. Endocrinological examination then revealed mild hypercalcemia, hypophosphatemia, hyperinsulinemia, and hyperprolactinemia. Radiologically, a parathyroid tumor and a pancreatic tumor were found. The patient was referred to a university hospital and a mutation of MEN-1 gene was detected. The diagnosis of MEN-1 was confirmed about 1 year after the operation. FAU - Kikuchi, Ryutaro AU - Kikuchi R AD - Division of Thoracic Surgery, Fukui Red Cross Hospital, 2-4-1 Tsukimi, Fukui 918-8506, Japan. cfaqq207@gmail.com FAU - Mino, Nobuya AU - Mino N FAU - Okamoto, Taku AU - Okamoto T FAU - Matsukura, Tadashi AU - Matsukura T FAU - Hirai, Takashi AU - Hirai T LA - eng PT - Case Reports PT - Journal Article DEP - 20110112 PL - Japan TA - Gen Thorac Cardiovasc Surg JT - General thoracic and cardiovascular surgery JID - 101303952 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Biopsy MH - Carcinoid Tumor/*diagnosis/genetics/pathology/surgery MH - DNA Mutational Analysis MH - Delayed Diagnosis MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*diagnosis/genetics/pathology/surgery MH - Mutation MH - Pancreatic Neoplasms/diagnosis MH - Parathyroid Neoplasms/diagnosis MH - Predictive Value of Tests MH - Proto-Oncogene Proteins/genetics MH - Radiotherapy, Adjuvant MH - Thymectomy MH - Thymus Neoplasms/*diagnosis/genetics/pathology/surgery MH - Tomography, X-Ray Computed MH - Treatment Outcome EDAT- 2011/01/13 06:00 MHDA- 2011/04/26 06:00 CRDT- 2011/01/13 06:00 PHST- 2009/11/18 00:00 [received] PHST- 2010/02/22 00:00 [accepted] PHST- 2011/01/13 06:00 [entrez] PHST- 2011/01/13 06:00 [pubmed] PHST- 2011/04/26 06:00 [medline] AID - 10.1007/s11748-010-0606-y [doi] PST - ppublish SO - Gen Thorac Cardiovasc Surg. 2011 Jan;59(1):68-72. doi: 10.1007/s11748-010-0606-y. Epub 2011 Jan 12.