PMID- 32126984 OWN - NLM STAT- MEDLINE DCOM- 20200730 LR - 20200730 IS - 1471-2377 (Electronic) IS - 1471-2377 (Linking) VI - 20 IP - 1 DP - 2020 Mar 4 TI - p.L105Vfs mutation in a family with thymic neuroendocrine tumor combined with MEN1: a case report. PG - 76 LID - 10.1186/s12883-020-01659-7 [doi] LID - 76 AB - BACKGROUND: Multiple endocrine neoplasia type 1 (MEN1) is a rare autosomal dominant disorder arising from mutations of the MEN1 tumor suppressor gene on chromosome 11q13; MEN1 is characterized by the development of neuroendocrine tumors, including those of the parathyroid, gastrointestinal endocrine tissue and anterior pituitary. Additionally, thymic neuroendocrine tumors in MEN1 are also rarely reported. CASE PRESENTATION: This case report observed a family that presented with MEN1 p.L105Vfs mutation, and two of the family members had been diagnosed with thymic neuroendocrine tumor combined with MEN1. To the best of our knowledge, this is the first time such a mutation in the MEN1 gene has been reported. The proband presented with thymic neuroendocrine tumor, parathyroid adenoma and rectum adenocarcinoma. The son of the proband presented with thymic neuroendocrine tumor, gastrinoma, hypophysoma and parathyroid adenoma. Genetic testing revealed the frameshift mutation p.L105Vfs, leading to the identification of one carrier in the pedigree (the patient's younger sister). The proband then underwent parathyroidectomy at the age of 26 years (in 1980) for a parathyroid adenoma. Subsequently, the patient underwent thymectomy, radiotherapy and chemotherapy. The patient is now 64 years old, still alive and still undergoing Lanreotide therapy. CONCLUSION: Thymic neuroendocrine MEN1 is rare, but it accounts for almost 20% of MEN1-associated mortality. Consequently, we should focus on regular clinical screening of the thymus in MEN1 patients. FAU - Zheng, Hongjuan AU - Zheng H AD - Department of Medical Oncology, Jinhua Hospital, Zhejiang University School of Medicine, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, China. FAU - Zhou, Shishi AU - Zhou S AD - Department of Medical Oncology, Jinhua Hospital, Zhejiang University School of Medicine, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, China. FAU - Tang, Wanfen AU - Tang W AD - Department of Medical Oncology, Jinhua Hospital, Zhejiang University School of Medicine, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, China. FAU - Wang, Qinghua AU - Wang Q AD - Department of Medical Oncology, Jinhua Hospital, Zhejiang University School of Medicine, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, China. FAU - Zhang, Xia AU - Zhang X AD - Department of Medical Oncology, Jinhua Hospital, Zhejiang University School of Medicine, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, China. FAU - Jin, Xiayun AU - Jin X AD - Department of Medical Oncology, Jinhua Hospital, Zhejiang University School of Medicine, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, China. FAU - Yuan, Ying AU - Yuan Y AD - Department of Medical Oncology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China. FAU - Fu, Jianfei AU - Fu J AD - Department of Medical Oncology, Jinhua Hospital, Zhejiang University School of Medicine, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, China. 11218276@zju.edu.cn. LA - eng PT - Case Reports PT - Journal Article DEP - 20200304 PL - England TA - BMC Neurol JT - BMC neurology JID - 100968555 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Frameshift Mutation MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Neuroendocrine Tumors/*genetics MH - Pedigree MH - Proto-Oncogene Proteins/*genetics MH - Thymus Neoplasms/*genetics PMC - PMC7055077 OTO - NOTNLM OT - MEN1 OT - Mutation OT - Thymic neuroendocrine tumors COIS- The authors declare that they have no competing interests. EDAT- 2020/03/05 06:00 MHDA- 2020/07/31 06:00 PMCR- 2020/03/04 CRDT- 2020/03/05 06:00 PHST- 2019/09/27 00:00 [received] PHST- 2020/02/26 00:00 [accepted] PHST- 2020/03/05 06:00 [entrez] PHST- 2020/03/05 06:00 [pubmed] PHST- 2020/07/31 06:00 [medline] PHST- 2020/03/04 00:00 [pmc-release] AID - 10.1186/s12883-020-01659-7 [pii] AID - 1659 [pii] AID - 10.1186/s12883-020-01659-7 [doi] PST - epublish SO - BMC Neurol. 2020 Mar 4;20(1):76. doi: 10.1186/s12883-020-01659-7.