PMID- 28811298 OWN - NLM STAT- MEDLINE DCOM- 20180508 LR - 20180725 IS - 1479-6821 (Electronic) IS - 1351-0088 (Linking) VI - 24 IP - 10 DP - 2017 Oct TI - The future: surgical advances in MEN1 therapeutic approaches and management strategies. PG - T243-T260 LID - 10.1530/ERC-17-0285 [doi] AB - Multiple endocrine neoplasia type 1 (MEN1) is a hereditary autosomal dominant disorder associated with numerous neuroendocrine tumors (NETs). Recent advances in the management of MEN1 have led to a decrease in mortality due to excess hormones; however, they have also led to an increase in mortality from malignancy, particularly NETs. The main challenges are to localize these tumors, to select those that need therapy because of the risk of aggressive behavior and to select the appropriate therapy associated with minimal morbidity. This must be applied to a hereditary disease with a high risk of recurrence. The overall aim of management in MEN1 is to ensure that the patient remains disease- and symptom-free for as long as possible and maintains a good quality of life. Herein, we review the changes that occurred in the last 20 years in the surgical management of MEN1-associated functional and non-functional pancreatico-duodenal NETs and thymic and bronchial NETs. CI - (c) 2017 Society for Endocrinology. FAU - Sadowski, S M AU - Sadowski SM AD - Thoracic and Endocrine Surgery and Faculty of MedicineUniversity Hospitals of Geneva, Geneva, Switzerland. FAU - Cadiot, G AU - Cadiot G AD - Gastroenterology and HepatologyUniversity Hospital of Reims, Reims, France. FAU - Dansin, E AU - Dansin E AD - OncologyOscar Lambret Cancer Center, University of Lille, Lille, France. FAU - Goudet, P AU - Goudet P AD - Endocrine SurgeryUniversity Hospital of Dijon, and INSERM, U866, Epidemiology and Clinical Research in Digestive Oncology Team, and INSERM, CIC1432, Clinical Epidemiology Unit, University Hospital of Dijon, Clinical Investigation Centre, Clinical Epidemiology/Clinical Trials Unit, Dijon, France. FAU - Triponez, F AU - Triponez F AD - Thoracic and Endocrine Surgery and Faculty of MedicineUniversity Hospitals of Geneva, Geneva, Switzerland frederic.triponez@hcuge.ch. LA - eng PT - Journal Article PT - Review DEP - 20170815 PL - England TA - Endocr Relat Cancer JT - Endocrine-related cancer JID - 9436481 SB - IM MH - Humans MH - Multiple Endocrine Neoplasia Type 1/pathology/*surgery MH - Neuroendocrine Tumors/pathology/*surgery OTO - NOTNLM OT - lung NET OT - multiple endocrine neoplasia type 1 (MEN1) OT - neuro-endocrine tumors (NET) OT - pancreatico-gastro-intestinal NET OT - thymic NET EDAT- 2017/08/16 06:00 MHDA- 2018/05/09 06:00 CRDT- 2017/08/17 06:00 PHST- 2017/08/07 00:00 [received] PHST- 2017/08/15 00:00 [accepted] PHST- 2017/08/16 06:00 [pubmed] PHST- 2018/05/09 06:00 [medline] PHST- 2017/08/17 06:00 [entrez] AID - ERC-17-0285 [pii] AID - 10.1530/ERC-17-0285 [doi] PST - ppublish SO - Endocr Relat Cancer. 2017 Oct;24(10):T243-T260. doi: 10.1530/ERC-17-0285. Epub 2017 Aug 15.