PMID- 8917740 OWN - NLM STAT- MEDLINE DCOM- 19961210 LR - 20230411 IS - 1460-2725 (Print) IS - 1460-2393 (Linking) VI - 89 IP - 9 DP - 1996 Sep TI - Clinical studies of multiple endocrine neoplasia type 1 (MEN1). PG - 653-69 AB - Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant disorder characterized by the combined occurrence of parathyroid, pancreatic islet and anterior pituitary tumours. To facilitate a screening programme for MEN1, we investigated 709 people (364 males and 345 females, age range 1-84 years) from 62 MEN1 families, and 36 non-familial MEN1 patients. Of those investigated, 220 (95 males and 125 females, age range 8-79 years) suffered from MEN1. Parathyroid, pancreatic and pituitary tumours occurred in 95%, 41% and 30% of the patients, respectively. Parathyroid tumours were the first manifestation of MEN1 in 87% of patients, and amongst the pituitary and pancreatic tumours, somatotrophinomas and gastrinomas were more common in patients above the age of 40 years, whilst insulinomas occurred more frequently in patients below the age of 40 years. Biochemical screening indicated that the penetrance of MEN1 by the ages of 20, 35 and 50 years was 43%, 85% and 94%, respectively, and that the development of MEN1 was confined to first-degree relatives in 91% of patients and to second-degree relatives in 9% of patients. These findings have helped to define a proposed screening programme for MEN1. FAU - Trump, D AU - Trump D AD - MRC Molecular Endocrinology Group, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK. FAU - Farren, B AU - Farren B FAU - Wooding, C AU - Wooding C FAU - Pang, J T AU - Pang JT FAU - Besser, G M AU - Besser GM FAU - Buchanan, K D AU - Buchanan KD FAU - Edwards, C R AU - Edwards CR FAU - Heath, D A AU - Heath DA FAU - Jackson, C E AU - Jackson CE FAU - Jansen, S AU - Jansen S FAU - Lips, K AU - Lips K FAU - Monson, J P AU - Monson JP FAU - O'Halloran, D AU - O'Halloran D FAU - Sampson, J AU - Sampson J FAU - Shalet, S M AU - Shalet SM FAU - Wheeler, M H AU - Wheeler MH FAU - Zink, A AU - Zink A FAU - Thakker, R V AU - Thakker RV LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - QJM JT - QJM : monthly journal of the Association of Physicians JID - 9438285 SB - IM EIN - QJM 1996 Dec;89(12):957-8 MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Hypercalcemia/complications MH - Hyperparathyroidism/complications MH - Infant MH - Male MH - Middle Aged MH - Models, Genetic MH - Multiple Endocrine Neoplasia Type 1/*diagnosis MH - Mutation MH - Pancreatic Neoplasms/complications MH - Parathyroid Neoplasms/complications MH - Pedigree MH - Pituitary Neoplasms/complications EDAT- 1996/09/01 00:00 MHDA- 1996/09/01 00:01 CRDT- 1996/09/01 00:00 PHST- 1996/09/01 00:00 [pubmed] PHST- 1996/09/01 00:01 [medline] PHST- 1996/09/01 00:00 [entrez] AID - 10.1093/qjmed/89.9.653 [doi] PST - ppublish SO - QJM. 1996 Sep;89(9):653-69. doi: 10.1093/qjmed/89.9.653.