PMID- 23569534 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130410 LR - 20211021 IS - 1941-5923 (Electronic) IS - 1941-5923 (Linking) VI - 13 DP - 2012 TI - Multiple endocrine neoplasia type 1- presenting multiple lipomas and hypoglycemia onset. PG - 224-9 LID - 10.12659/AJCR.883383 [doi] AB - BACKGROUND: Multiple endocrine neoplasia type 1 (MEN1), also called Wermer syndrome, is an autosomal dominant disorder characterized by tumors of the parathyroid glands, the anterior pituitary, and the endocrine pancreas. CASE REPORT: Here, we report a case of MEN1. Our patient was a 44-year-old woman who manifested typical features of MEN1, including insulinoma, pituitary tumors, and parathyroidoma, and exhibited multiple lipomas and a gastrinoma with duodenal ulcers. She was admitted to our hospital because of recurrent massive bleeding of the upper gastrointestinal tract and hypoglycemia. The first operation for pituitary tumors was performed when she was 40 years old. According to these examinations and her clinical course, the patient was diagnosed with insulinoma and gastrinoma. She subsequently underwent surgery for the pancreatic tumors. The majority of these tumor cells were immunohistochemically positive for insulin and negative for glucagon. CONCLUSIONS: This case suggests that multiple lipomas, insulinoma and gastrinoma may provide clues for a diagnosis of MEN1. FAU - Li, Jianzhong AU - Li J AD - Department of Gastroenterology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. FAU - Zeng, Lixian AU - Zeng L FAU - Yang, Yidong AU - Yang Y FAU - Zhan, Yashi AU - Zhan Y FAU - Tao, Jin AU - Tao J FAU - Wu, Bin AU - Wu B LA - eng PT - Journal Article DEP - 20120910 PL - United States TA - Am J Case Rep JT - The American journal of case reports JID - 101489566 PMC - PMC3616096 OTO - NOTNLM OT - gastrinoma OT - insulinoma OT - multiple endocrine neoplasia type 1 OT - multiple lipomas OT - upper gastrointestinal bleeding EDAT- 2012/01/01 00:00 MHDA- 2012/01/01 00:01 PMCR- 2012/09/10 CRDT- 2013/04/10 06:00 PHST- 2011/10/26 00:00 [received] PHST- 2011/12/20 00:00 [accepted] PHST- 2013/04/10 06:00 [entrez] PHST- 2012/01/01 00:00 [pubmed] PHST- 2012/01/01 00:01 [medline] PHST- 2012/09/10 00:00 [pmc-release] AID - 883383 [pii] AID - 10.12659/AJCR.883383 [doi] PST - ppublish SO - Am J Case Rep. 2012;13:224-9. doi: 10.12659/AJCR.883383. Epub 2012 Sep 10.