Multiple Endocrine Neoplasia Flashcards
what inheritance is MEN?
autsomal dominant
what is MEN type I?
3 P’s
* Parathyroid (95%)
* Pituitary (70%)
* Pancreas (50%)
what is MEN type IIa?
MEDULLARY THYROID cancer (70%)
2 P’s
* Parathyroid (60%)
* Phaeochromocytoma
what is MEN type IIb?
MEDULLARY THYROID cancer
1 P’s
* Phaeochromocytoma
NEUROMAS
what parathyroid pathology is seen in MEN I?
primary hyperparathyroidism –> HYPERCALCAEMIA
what abnormalities can be seen in pituitary adenoma in MEN I?
- prolactinoma
- raised GH
- raised ACTH
- raised TSH
what pancreatic pathology is seen in MEN I?
- gastrinoma
- insulinoma
- glucagonoma
what is seen in gastrinoma?
recurrent peptic ulcers + abdo pain + vomiting
caused by raised gastrin –> raised HCl (increased acid)
what is seen in insulinomas?
- hypoglycaemia
- hyperinsulinaemia
what is seen in glucagonoma?
hyperglycaemia
what is the cause of MEN I?
MEN I gene mutation
located on chromosome 11
which type of MEN II is most common?
MEN IIa
what type of thyroid cancer is seen in MEN IIa and b?
medullary
what is phaeochromocytoma?
adrenal medullary tumour
arises from chromaffin cells
how does phaeochromocytoma?
- perspiration
- palpitation
- pallor
- pain (e.g. headache)
- pressure = raised BP