Medullary thyroid carcinoma: Including MEN 2A and MEN 2B syndromes

2005 ◽  
Vol 89 (3) ◽  
pp. 122-129 ◽  
Author(s):  
Frank J. Quayle ◽  
Jeffrey F. Moley
1998 ◽  
Vol 21 (6) ◽  
pp. 358-364 ◽  
Author(s):  
E. Chiefari ◽  
D. Russo ◽  
D. Giuffrida ◽  
G. A. Zampa ◽  
D. Meringolo ◽  
...  

1997 ◽  
Vol 43 (3) ◽  
pp. 453-457 ◽  
Author(s):  
Mark Siegelman ◽  
Ajay Mohabeer ◽  
Thomas J Fahey ◽  
Gail Tomlinson ◽  
Chris Mayambala ◽  
...  

Abstract Germline mutations in exons 10, 11, and 16 of the RET protooncogene are associated with the heritable cancer syndromes multiple endocrine neoplasia (MEN) type 2A, familial medullary thyroid carcinoma (FMTC), and MEN type 2B. Nonradioactive mutation analysis with nondenaturing Phastgels® and the Phast System™ was performed on DNA amplified by the polymerase chain reaction from exons 10, 11, and 16 of the RET protooncogene from patients with MEN 2A, MEN 2B, or FMTC. The analysis requires ∼45–90 min for electrophoresis and 35 min for staining. This assay detected 20 of 21 different mutations that represented ∼90% of all known mutations associated with these lesions. A rare silent polymorphism within exon 10 was also detected. This form of mutation analysis provides simple, rapid, and highly sensitive nonradioactive detection of mutations known to be associated with MEN 2A, FMTC, and MEN 2B.


2016 ◽  
Vol 146 (9) ◽  
pp. 419-420
Author(s):  
Jessica Ares ◽  
Lucía Díaz-Naya ◽  
Alicia Martín-Nieto ◽  
Joaquín Pertierra

1997 ◽  
Vol 82 (3) ◽  
pp. 897-899 ◽  
Author(s):  
Murat Faik Erdoğan ◽  
Sevim Güllü ◽  
Nilgün Başkal ◽  
Ali Riza Uysal ◽  
Nuri Kamel ◽  
...  

Abstract Medullary thyroid carcinoma (MTC) occurs sporadically but may also be inherited as part of the multiple endocrine neoplasia (MEN) type 2 syndrome. Screening of the patients and first degree relatives annually with basal and provocative tests for serum immunoreactive calcitonin (CT) levels is essential and enables potentially curative disease. Pentagastrin and calcium are the usual provocative agents used worldwide. We used endogenous gastrin (GT) release achieved by omeprazole, 20 mg b.i.d., to stimulate CT in 9 MTC, in 3 MEN 2A family members, and in 50 healthy control subjects. A steady and significant increase both in GT and CT levels was achieved in 9 MTC patients and 3 of the 14 family members tested, whereas in healthy controls the CT increase stimulated by GT was insignificant. Preliminary results showed that this new, safe, cheap, and outpatient-basis test can be used in MTC diagnosis, follow-up, and screening.


Author(s):  
Niamh M. Martin ◽  
Karim Meeran ◽  
Stephen R. Bloom

Multiple endocrine neoplasia type 2 (MEN 2) is a rare cancer susceptibility syndrome which has at least three distinct variants: MEN 2A, MEN 2B, and familial medullary thyroid carcinoma (FMTC). The syndrome was first described by John Sipple in 1961 (1). The features of MEN 2A and its clinical variants are outlined in Box 6.12.1. Medullary thyroid carcinoma (MTC) is seen in all variants of MEN 2A and is frequently the earliest neoplastic manifestation, reflecting its earlier and overall higher penetrance. MEN 2 is due to the autosomal dominant inheritance of a germline missense mutation in the ‘hot-spot’ regions of the rearranged during transfection (RET) (OMIM 164761) proto-oncogene (2, 3). MEN 2 has an estimated prevalence of 1:30 000, with MEN 2A accounting for more than 75% of cases. The introduction of RET screening in family members of affected individuals has significantly altered the clinical outcome of MEN 2, by allowing prophylactic surgery for MTC, and screening enabling early intervention for phaeochromocytoma (4, 5). Prior to the availability of genetic screening, more that half of MEN 2 affected individuals died before or during the fifth decade from metastatic MTC or cardiovascular complications from an underlying phaeochromocytoma.


1991 ◽  
Vol 14 (4) ◽  
pp. 261-264 ◽  
Author(s):  
H. R. Haak ◽  
C. J. Cornelisse ◽  
B. M. Goslings ◽  
G. J. Fleuren

PEDIATRICS ◽  
1982 ◽  
Vol 70 (2) ◽  
pp. 263-267
Author(s):  
Francine Ratner Kaufman ◽  
Thomas F. Roe ◽  
Hart Isaacs ◽  
Jordan J. Weitzman

Multiple endocrine neoplasia, type 2b (MEN 2b) is a disorder characterized by a distinct phenotype and a predisposition for medullary thyroid carcinoma (MTC) and pheochromocytoma. Two siblings aged 3 and 6 years with MEN 2b, who had elevated plasma calcitonin levels suggesting the presence of MTC are described. Microscopic foci of MTC were found in their thyroid glands and the glands were removed. In the younger child, a metastatic focus was present in a cervical lymph node. Of 12 previously reported children with MEN 2b and MTC who were less than 10 years of age at diagnosis, five had metastases. One of the present patients is the youngest described with this complication. The high frequency of metastases in very young patients with this syndrome has not been emphasized previously. These findings indicate the need for early diagnosis of MEN 2b and the importance of thyroidectomy at the earliest possible age when MTC is suspected by calcitonin screening tests.


The Lancet ◽  
1994 ◽  
Vol 344 (8929) ◽  
pp. 1084-1085 ◽  
Author(s):  
Funo Pacini ◽  
Enio Martino ◽  
Christina Romei ◽  
Isabella Ceccherini ◽  
Fulvio Basolo ◽  
...  

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