PMID- 22563225 OWN - NLM STAT- MEDLINE DCOM- 20120831 LR - 20211021 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 27 IP - 5 DP - 2012 May TI - A rare case of primary hyperparathyroidism associated with primary aldosteronism, Hurthle cell thyroid cancer and meningioma. PG - 560-4 LID - 10.3346/jkms.2012.27.5.560 [doi] AB - Multiple endocrine neoplasia type 1 (MEN1) syndrome includes varying combinations of endocrine and non-endocrine tumors. There are also a considerable number of atypical MEN1 syndrome. In this case, a 68-yr-old woman was referred to the Department of Endocrinology for hypercalcemia. Five years ago, she had diagnosed as primary hyperaldosteronism and now newly diagnosed as parathyroid hyperplasia with laboratory and pathologic findings. Hurthle-cell thyroid cancer was also resected during the parathyroid exploration and small meningioma was found on brain MRI. Her general condition has markedly improved and her adrenal mass and meningioma are being closely observed now. We could find the loss of heterozygosity of the MEN1 locus in parathyroid glands, suggesting a MEN1-related tumor, but not a germline mutation. Considering a variety of phenotypic expression and a limitation of current molecular analysis, periodic follow up will be needed in patients with a MEN1-like phenotype. FAU - Kim, You Lim AU - Kim YL AD - Department of Internal Medicine, Eulji University School of Medicine, Seoul, Korea. FAU - Jang, Young Woo AU - Jang YW FAU - Kim, Jin Taek AU - Kim JT FAU - Sung, Su Ah AU - Sung SA FAU - Lee, Tae Seok AU - Lee TS FAU - Lee, Won Mi AU - Lee WM FAU - Kim, Hyo Jeong AU - Kim HJ LA - eng PT - Case Reports PT - Journal Article DEP - 20120425 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - Thyroid cancer, Hurthle cell SB - IM MH - Adenoma, Oxyphilic MH - Aged MH - Base Sequence MH - Brain/diagnostic imaging MH - Female MH - Humans MH - Hyperaldosteronism/complications/*diagnosis MH - Hyperparathyroidism, Primary/*diagnosis/etiology/pathology MH - Loss of Heterozygosity MH - Magnetic Resonance Imaging MH - Meningeal Neoplasms/complications/*diagnosis/diagnostic imaging MH - Meningioma/complications/*diagnosis/diagnostic imaging MH - Mutation MH - Parathyroid Glands/pathology MH - Proto-Oncogene Proteins/genetics/metabolism MH - Radionuclide Imaging MH - Sequence Analysis, DNA MH - Thyroid Neoplasms/complications/*diagnosis/pathology MH - Tomography, X-Ray Computed PMC - PMC3342551 OTO - NOTNLM OT - Hyperparathyroidism OT - Meningioma OT - Primary Hyperaldosteronism OT - Thyroid Cancer, Hurthle-cell EDAT- 2012/05/09 06:00 MHDA- 2012/09/01 06:00 PMCR- 2012/05/01 CRDT- 2012/05/08 06:00 PHST- 2011/10/30 00:00 [received] PHST- 2012/01/26 00:00 [accepted] PHST- 2012/05/08 06:00 [entrez] PHST- 2012/05/09 06:00 [pubmed] PHST- 2012/09/01 06:00 [medline] PHST- 2012/05/01 00:00 [pmc-release] AID - 10.3346/jkms.2012.27.5.560 [doi] PST - ppublish SO - J Korean Med Sci. 2012 May;27(5):560-4. doi: 10.3346/jkms.2012.27.5.560. Epub 2012 Apr 25.