Multiple Endocrine Neoplasia Flashcards
How does MEN affect multiple sites?
Tumors arise from common amine precursor uptake and decarboxylation cells
MEN 1
Tumor Sites and Associated Conditions
The 3 P’s:
Parathyroid: hyperPTH causing hypercalcemia
Pancreas: Zollinger Ellison syndrome causing ulcers
Pituitary: Hyperprolactinemia causing amenorrhea/impotence
MEN 2A
Tumor Sites and Associated Conditions
Medullary Thyroid Carcinoma: C cell tumor
Pheochromocytoma
Hyperparathyroidism
Can see cutaneous lichen amyloidosis
MEN 2B
Tumor Sites and Associated Conditions
Medullary Thyroid Carcinoma: C cell tumor
Pheochromocytoma
Mucosal Neuromas
Can see Marfanoid Body Habitus
MEN Gene Defects
Type 1 and Type 2
Type 1: Men1 menin gene
Type 2: RET protooncogene for tyrosine kinase