PMID- 33564173 OWN - NLM STAT- MEDLINE DCOM- 20210422 LR - 20230129 IS - 1759-5037 (Electronic) IS - 1759-5029 (Linking) VI - 17 IP - 4 DP - 2021 Apr TI - Clinical aspects of multiple endocrine neoplasia type 1. PG - 207-224 LID - 10.1038/s41574-021-00468-3 [doi] AB - Multiple endocrine neoplasia type 1 (MEN1) is a rare syndrome characterized by the co-occurrence of primary hyperparathyroidism, duodenopancreatic neuroendocrine tumours (NETs) and/or pituitary adenomas. MEN1 can predispose patients to other endocrine and non-endocrine tumours, such as cutaneous tumours, central nervous system tumours and breast cancer. Endocrine tumours in patients with MEN1 differ from sporadic tumours in that they have a younger age at onset, present as multiple tumours in the same organ and have a different clinical course. Therefore, patients with overt MEN1 and those who carry a MEN1 mutation should be offered tailored biochemical and imaging screening to detect tumours and evaluate their progression over time. Fortunately, over the past 10 years, knowledge about the clinical phenotype of these tumours has markedly progressed, thanks to the implementation of national registries, particularly in France and the Netherlands. This Review provides an update on the clinical management of MEN1-related tumours. Epidemiology, the clinical picture, diagnostic work-up and the main lines of treatment for MEN1-related tumours are summarized. Controversial therapeutic aspects and issues that still need to be addressed are also discussed. Moreover, special attention is given to MEN1 manifestations in children and adolescents. FAU - Al-Salameh, Abdallah AU - Al-Salameh A AUID- ORCID: 0000-0002-7951-9926 AD - Assistance Publique-Hopitaux de Paris, Hopital de Bicetre, Service d'Endocrinologie et des Maladies de la Reproduction, Centre de Reference des Maladies Rares de l'Hypophyse, Le Kremlin-Bicetre, France. AD - Service d'Endocrinologie, Maladies Metaboliques et Nutrition, CHU Amiens Picardie, Amiens, France. FAU - Cadiot, Guillaume AU - Cadiot G AD - Service d'Hepato-Gastro-Enterologie et de Cancerologie Digestive, Hopital Robert Debre, Reims, France. FAU - Calender, Alain AU - Calender A AD - Unite Medicale des Cancers et Maladies Multifactorielles, Service de Genetique, Hospices Civils de Lyon, Lyon, France. FAU - Goudet, Pierre AU - Goudet P AD - Service de Chirurgie Endocrinienne, Hopital du Bocage, Dijon, France. FAU - Chanson, Philippe AU - Chanson P AUID- ORCID: 0000-0001-5096-5722 AD - Assistance Publique-Hopitaux de Paris, Hopital de Bicetre, Service d'Endocrinologie et des Maladies de la Reproduction, Centre de Reference des Maladies Rares de l'Hypophyse, Le Kremlin-Bicetre, France. philippe.chanson@aphp.fr. AD - Universite Paris-Saclay, Inserm, Physiologie et Physiopathologie Endocriniennes, Le Kremlin-Bicetre, France. philippe.chanson@aphp.fr. LA - eng PT - Journal Article PT - Review DEP - 20210209 PL - England TA - Nat Rev Endocrinol JT - Nature reviews. Endocrinology JID - 101500078 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Humans MH - Hyperparathyroidism/complications MH - Multiple Endocrine Neoplasia Type 1/*complications/*diagnosis/genetics/therapy MH - Neuroendocrine Tumors/complications MH - Proto-Oncogene Proteins/genetics EDAT- 2021/02/11 06:00 MHDA- 2021/04/23 06:00 CRDT- 2021/02/10 05:54 PHST- 2021/01/07 00:00 [accepted] PHST- 2021/02/11 06:00 [pubmed] PHST- 2021/04/23 06:00 [medline] PHST- 2021/02/10 05:54 [entrez] AID - 10.1038/s41574-021-00468-3 [pii] AID - 10.1038/s41574-021-00468-3 [doi] PST - ppublish SO - Nat Rev Endocrinol. 2021 Apr;17(4):207-224. doi: 10.1038/s41574-021-00468-3. Epub 2021 Feb 9.