PMID- 32754318 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2049-9450 (Print) IS - 2049-9469 (Electronic) IS - 2049-9450 (Linking) VI - 13 IP - 3 DP - 2020 Sep TI - Multiple endocrine neoplasia type 1 in patients with gastroenteropancreatic neuroendocrine tumors: An opportunity for early diagnosis and appropriate management. PG - 4 LID - 10.3892/mco.2020.2074 [doi] LID - 4 AB - Gastroenteropancreatic neuroendocrine tumors (GEPNET) are rare tumors that may be sporadic or develop as part of multiple endocrine neoplasia type 1 syndrome (MEN1). The aim of the present study was to report the experience of a Brazilian multidisciplinary outpatient neuroendocrine tumor clinic regarding the clinical diagnosis of MEN1 in a cohort of GEPNET patients. Patient data, including clinical characteristics and the lag time from the onset of symptoms to diagnosis of the first tumor, and further lag time until the diagnosis of MEN1, were retrospectively reviewed. Among 44 GEPNET patients, 6 had a clinical diagnosis of MEN1. Primary hyperparathyroidism and GEPNET were present in all patients in the cohort, and pituitary neuroendocrine tumors were present in 33.3%. The median time interval from the onset of initial symptoms to the diagnosis of the first tumor was 42 months (range, 0-204 months). The median time interval between the diagnosis of the first tumor and the diagnosis of MEN1 was 22 months (range, 1-109 months). The prolonged lag time between the onset of initial symptoms and MEN1 diagnosis may result in substantial morbidity and loss of opportune interventions for the patients. Therefore, greater efforts should be made to shorten these times and improve the care of patients with MEN1. CI - Copyright (c) 2020, Spandidos Publications. FAU - Pereira Brabo, Eloa AU - Pereira Brabo E AD - Oncology Unit and Neuroendocrine Section, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro 21941-913, Brazil. FAU - Barbosa Moraes, Aline AU - Barbosa Moraes A AD - Department of Internal Medicine, Endocrine Unit, Medical School and Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro 21941-913, Brazil. FAU - Dos Santos Marijuan Cabezas, Bethania Soares AU - Dos Santos Marijuan Cabezas BS AD - Oncology Unit and Neuroendocrine Section, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro 21941-913, Brazil. FAU - Vieira Neto, Leonardo AU - Vieira Neto L AD - Department of Internal Medicine, Endocrine Unit, Medical School and Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro 21941-913, Brazil. LA - eng PT - Journal Article DEP - 20200618 PL - England TA - Mol Clin Oncol JT - Molecular and clinical oncology JID - 101613422 PMC - PMC7391838 OTO - NOTNLM OT - delay in diagnosis OT - gastroenteropancreatic neuroendocrine tumor OT - multiple endocrine neoplasia type 1 OT - pituitary adenoma OT - pituitary neuroendocrine tumor OT - primary hyperparathyroidism EDAT- 2020/08/06 06:00 MHDA- 2020/08/06 06:01 PMCR- 2020/06/18 CRDT- 2020/08/06 06:00 PHST- 2019/10/20 00:00 [received] PHST- 2020/04/10 00:00 [accepted] PHST- 2020/08/06 06:00 [entrez] PHST- 2020/08/06 06:00 [pubmed] PHST- 2020/08/06 06:01 [medline] PHST- 2020/06/18 00:00 [pmc-release] AID - MCO-0-0-02074 [pii] AID - 10.3892/mco.2020.2074 [doi] PST - ppublish SO - Mol Clin Oncol. 2020 Sep;13(3):4. doi: 10.3892/mco.2020.2074. Epub 2020 Jun 18.