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<meta name="keywords" content="C0025267, endocrine adenomatosis multiple, endocrine adenomatosis, multiple, mea 1, mea i, mea type 1, mea type i, mea, type 1, men 1, men 1 - multiple endocrine neoplasia syndrome type 1, men 1 syndrome, men i, men type 1, men type i, men, type 1, men1, men1 multiple endocrine neoplasia, men1 somatic mutations, men1 syndrome, multiple endocrine adenomatosis type 1, multiple endocrine adenomatosis type i, multiple endocrine adenomatosis, type 1, multiple endocrine adenomatosis, type i, multiple endocrine neoplasia 1, multiple endocrine neoplasia caused by mutation in men1, multiple endocrine neoplasia syndrome type 1, multiple endocrine neoplasia type 1, multiple endocrine neoplasia type 1 syndrome, multiple endocrine neoplasia type i, multiple endocrine neoplasia, type 1, multiple endocrine neoplasia, type i, multiple endocrine neoplasms type 1, neoplasia, multiple endocrine type 1, neoplasms, multiple endocrine type 1, neoplasms, multiple endocrine type i, neoplastic process, wermer syndrome, wermer's syndrome, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Multiple endocrine neoplasia type 1 (MEN1) includes varying combinations of more than 20 endocrine and non-endocrine tumors. Endocrine tumors become evident either by overproduction of hormones by the tumor or by growth of the tumor itself. Parathyroid tumors are the most common MEN1-associated endocrinopathy; onset in 90% of individuals is between ages 20 and 25 years with hypercalcemia evident by age 50 years; hypercalcemia causes lethargy, depression, confusion, anorexia, constipation, nausea, vomiting, diuresis, dehydration, hypercalciuria, kidney stones, increased bone resorption/fracture risk, hypertension, and shortened QT interval. Pituitary tumors include prolactinoma (the most common), which manifests as oligomenorrhea/amenorrhea and galactorrhea in females and sexual dysfunction in males. Well-differentiated endocrine tumors of the gastroenteropancreatic (GEP) tract can manifest as Zollinger-Ellison syndrome (gastrinoma); hypoglycemia (insulinoma); hyperglycemia, anorexia, glossitis, anemia, diarrhea, venous thrombosis, and skin rash (glucagonoma); and watery diarrhea, hypokalemia, and achlorhydria syndrome (vasoactive intestinal peptide [VIP]-secreting tumor). Carcinoid tumors are non-hormone-secreting and can manifest as a large mass after age 50 years. Adrenocortical tumors can be associated with primary hypercortisolism or hyperaldosteronism. Non-endocrine tumors include facial angiofibromas, collagenomas, lipomas, meningiomas, ependymomas, and leiomyomas." /><meta name="robots" content="index,nofollow,noarchive" />
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<!--
UID=9957
ConceptID=C0025267
-->
<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Multiple endocrine neoplasia, type 1<span class="h1sub">(MEN1)</span></div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>9957</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information."><span class="highlight" style="background-color:">C0025267</span></a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonyms:</td>
<td>Endocrine adenomatosis multiple; MEA I; MEN 1; MEN I; MEN1; WERMER SYNDROME</td></tr>
<tr><td><span class="bold">SNOMED CT: </span></td>
<td>MEN 1 - Multiple endocrine neoplasia syndrome type 1 (30664006); MEN 1 syndrome (30664006); Multiple endocrine neoplasia syndrome type 1 (30664006); Multiple endocrine neoplasia, type 1 (30664006); MEN, type 1 (30664006); Wermer syndrome (30664006); MEA, type 1 (30664006); Multiple endocrine adenomatosis, type 1 (30664006)</td></tr>
<tr><td>Modes of inheritance:</td>
<td>
<div class="divPopper rprt" id="moi_141047"><div><strong>Autosomal dominant inheritance</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>141047</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0443147</a></dd><dt><span class="dotprefix"></span></dt><dd>Intellectual Product</dd></dl></div></div></div>
<div class="spaceAbove">Source: Orphanet</div>
<div class="spaceAbove">A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.</div></div>
<div class="divPopper rprt" id="moi_988794"><div><strong>Not genetically inherited</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>988794</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier assigned by MedGen (starting with CN) for terms&#10;that cannot be identified in NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">CN307044</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Source: Orphanet</div>
<div class="spaceAbove">clinical entity without genetic inheritance.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/988794">This record</a></div></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#moi_141047" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Autosomal dominant inheritance</a><span> (Orphanet)</span></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#moi_988794" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Not genetically inherited</a><span> (Orphanet)</span></div></td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td><a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#target-gene-loc">Gene (location):<img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a><div class="display-none" id="target-gene-loc">
Gene(s) directly associated with<br />
this condition or phenotype.</div></td>
<td><a target="_blank" title="MEN1 - ID: 4221 - NCBI Gene" href="/gene/4221" class="medgenPMinfo">MEN1</a> (11q13.1)</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>Monarch Initiative:</td>
<td><a href="https://monarchinitiative.org/disease/MONDO:0007540" target="_blank">MONDO:0007540</a></td></tr>
<tr><td>OMIM<span class="superscript">®</span>:</td>
<td><a href="https://omim.org/entry/131100" target="_blank">131100</a></td></tr>
<tr><td>Orphanet:</td>
<td><a target="_blank" title="Orphanet: The portal for rare diseases and orphan drugs" href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&amp;Expert=652">ORPHA652</a></td></tr></tbody></table></div><div class="rprt-body jig-ncbiinpagenav" data-jigconfig="smoothScroll: false, gotoTopLink: true, gotoTopLinkText: '', gotoTopLinkAttrs: {'title': 'Go to the top of the page'},allHeadingLevels: ['h1'], topOfPageTOC: true, tocId: 'my-toc'"><div id="rprt-tabs-1" class="rprt-tab"><div id="tb-termsProp-1"><div class="leftCol mgCol"><div>
<div class="portlet mgSection" id="ID_101">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Disease_characteristics">Disease characteristics</h1><a sid="101" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="excerpt">Excerpted from the <i>GeneReview: </i><a href="/books/NBK1538" target="_blank">Multiple Endocrine Neoplasia Type 1</a></div><div>Multiple endocrine neoplasia type 1 (MEN1) includes varying combinations of more than 20 endocrine and non-endocrine tumors. Endocrine tumors become evident either by overproduction of hormones by the tumor or by growth of the tumor itself. Parathyroid tumors are the most common MEN1-associated endocrinopathy; onset in 90% of individuals is between ages 20 and 25 years with hypercalcemia evident by age 50 years; hypercalcemia causes lethargy, depression, confusion, anorexia, constipation, nausea, vomiting, diuresis, dehydration, hypercalciuria, kidney stones, increased bone resorption/fracture risk, hypertension, and shortened QT interval. Pituitary tumors include prolactinoma (the most common), which manifests as oligomenorrhea/amenorrhea and galactorrhea in females and sexual dysfunction in males. Well-differentiated endocrine tumors of the gastroenteropancreatic (GEP) tract can manifest as Zollinger-Ellison syndrome (gastrinoma); hypoglycemia (insulinoma); hyperglycemia, anorexia, glossitis, anemia, diarrhea, venous thrombosis, and skin rash (glucagonoma); and watery diarrhea, hypokalemia, and achlorhydria syndrome (vasoactive intestinal peptide [VIP]-secreting tumor). Carcinoid tumors are non-hormone-secreting and can manifest as a large mass after age 50 years. Adrenocortical tumors can be associated with primary hypercortisolism or hyperaldosteronism. Non-endocrine tumors include facial angiofibromas, collagenomas, lipomas, meningiomas, ependymomas, and leiomyomas. [from <a title="GeneReviews" href="https://www.ncbi.nlm.nih.gov/books/NBK1116" class="defSource" target="_blank">GeneReviews</a>]</div><div class="spaceAbove"><strong>Full text of <i>GeneReview</i> (by section):</strong><br /><a class="medgenPMinfo" href="/books/NBK1538#men1.Summary" target="NBK1538">Summary</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Diagnosis" target="NBK1538">Diagnosis</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Clinical_Characteristics" target="NBK1538">Clinical Characteristics</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Genetically_Related_Allelic_Disorde" target="NBK1538">Genetically Related (Allelic) Disorders</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Differential_Diagnosis" target="NBK1538">Differential Diagnosis</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Management" target="NBK1538">Management</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Genetic_Counseling" target="NBK1538">Genetic Counseling</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Resources" target="NBK1538">Resources</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Molecular_Genetics" target="NBK1538">Molecular Genetics</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.Chapter_Notes" target="NBK1538">Chapter Notes</a>  |  <a class="medgenPMinfo" href="/books/NBK1538#men1.References" target="NBK1538">References</a></div><div class="spaceAbove"><strong>Authors:</strong><br />
Francesca Giusti  |  Francesca Marini  |  Maria Luisa Brandi   <a href="/books/NBK1538" target="NBK1538" title="NCBI Bookshelf: Multiple Endocrine Neoplasia Type 1">view full author information</a></div></div>
</div>
<div class="portlet mgSection" id="ID_117">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Additional_descriptions">Additional descriptions</h1><a sid="117" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="mgSection"><strong>From OMIM</strong><br />Multiple endocrine neoplasia type I (MEN1) is an autosomal dominant disorder characterized by varying combinations of tumors of parathyroids, pancreatic islets, duodenal endocrine cells, and the anterior pituitary, with 94% penetrance by age 50. Less commonly associated tumors include foregut carcinoids, lipomas, angiofibromas, thyroid adenomas, adrenocortical adenomas, angiomyolipomas, and spinal cord ependymomas. Except for gastrinomas, most of the tumors are nonmetastasizing, but many can create striking clinical effects because of the secretion of endocrine substances such as gastrin, insulin, parathyroid hormone, prolactin, growth hormone, glucagon, or adrenocorticotropic hormone (summary by Chandrasekharappa et al., 1997).&#13;
Familial isolated hyperparathyroidism (see 145000) occasionally results from the incomplete expression of MEN1 (summary by Simonds et al., 2004).&#13;
Genetic Heterogeneity of Multiple Endocrine Neoplasia&#13;
Other forms of multiple endocrine neoplasia include MEN2A (171400) and MEN2B (162300), both of which are caused by mutation in the RET gene (164761), and MEN4 (610755), which is caused by mutation in the CDKN1B gene (600778).  <a target="_blank" href="http://www.omim.org/entry/131100">http://www.omim.org/entry/131100</a></div><div class="mgSection"><strong>From MedlinePlus Genetics</strong><br />Multiple endocrine neoplasia is a group of disorders that affect the body's network of hormone-producing glands called the endocrine system. Hormones are chemical messengers that travel through the bloodstream and regulate the function of cells and tissues throughout the body. Multiple endocrine neoplasia typically involves tumors (neoplasia) in at least two endocrine glands; tumors can also develop in other organs and tissues. These growths can be noncancerous (benign) or cancerous (malignant). If the tumors become cancerous, the condition can be life-threatening.<br /><br />The major forms of multiple endocrine neoplasia are called type 1, type 2, and type 4. These types are distinguished by the genes involved, the types of hormones made, and the characteristic signs and symptoms.<br /><br />Many different types of tumors are associated with multiple endocrine neoplasia. Type 1 frequently involves tumors of the parathyroid glands, the pituitary gland, and the pancreas. Tumors in these glands can lead to the overproduction of hormones. The most common sign of multiple endocrine neoplasia type 1 is overactivity of the parathyroid glands (hyperparathyroidism). Hyperparathyroidism disrupts the normal balance of calcium in the blood, which can lead to kidney stones, thinning of bones, nausea and vomiting, high blood pressure (hypertension), weakness, and fatigue.<br /><br />The most common sign of multiple endocrine neoplasia type 2 is a form of thyroid cancer called medullary thyroid carcinoma. Some people with this disorder also develop a pheochromocytoma, which is an adrenal gland tumor that can cause dangerously high blood pressure. Multiple endocrine neoplasia type 2 is divided into three subtypes: type 2A, type 2B (formerly called type 3), and familial medullary thyroid carcinoma (FMTC). These subtypes differ in their characteristic signs and symptoms and risk of specific tumors; for example, hyperparathyroidism occurs only in type 2A, and medullary thyroid carcinoma is the only feature of FMTC. The signs and symptoms of multiple endocrine neoplasia type 2 are relatively consistent within any one family.<br /><br />Multiple endocrine neoplasia type 4 appears to have signs and symptoms similar to those of type 1, although it is caused by mutations in a different gene. Hyperparathyroidism is the most common feature, followed by tumors of the pituitary gland, additional endocrine glands, and other organs.  <a target="_blank" href="https://medlineplus.gov/genetics/condition/multiple-endocrine-neoplasia">https://medlineplus.gov/genetics/condition/multiple-endocrine-neoplasia</a></div></div>
</div>
<div class="portlet mgSection" id="ID_102">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Clinical_features">Clinical features</h1><a sid="102" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat"><strong>From HPO</strong><br />
<div class="divPopper rprt" id="clin_2838"><div><strong>Carcinoid tumor</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>2838</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0007095</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">A tumor formed from the endocrine (argentaffin) cells of the mucosal lining of a variety of organs including the stomach and intestine. These cells are from neuroectodermal origin.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/2838">Feature record</a> | <a href="/medgen?term=%22Carcinoid%20tumor%22%5BClinical%20Features%5D%20OR%202838%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_4908"><div><strong>Glucagonoma syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>4908</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0017689</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">An endocrine tumor of the pancreas that secretes excessive amounts of glucagon.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/4908">Feature record</a> | <a href="/medgen?term=%22Glucagonoma%20syndrome%22%5BClinical%20Features%5D%20OR%204908%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_43907"><div><strong>Pancreatic insulinoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>43907</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0021670</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">A type of tumor of the pancreatic beta cells that secretes excess insulin and can result in hypoglycemia.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/43907">Feature record</a> | <a href="/medgen?term=%22Pancreatic%20insulinoma%22%5BClinical%20Features%5D%20OR%2043907%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_45933"><div><strong>Pituitary adenoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>45933</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0032000</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">A benign epithelial tumor derived from intrinsic cells of the adenohypophysis (anterior pituitary).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/45933">Feature record</a> | <a href="/medgen?term=%22Pituitary%20adenoma%22%5BClinical%20Features%5D%20OR%2045933%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_10936"><div><strong>Prolactin-producing pituitary gland adenoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>10936</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0033375</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">AIP familial isolated pituitary adenoma (AIP-FIPA) is characterized by an increased risk of pituitary neuroendocrine tumors (PitNETs, also known as pituitary adenomas), including growth hormone (GH)-secreting PitNETs (somatotropinomas), prolactin-secreting PitNETs (prolactinomas), GH and prolactin cosecreting PitNETs (somatomammotropinomas), and clinically nonfunctioning PitNETs (NF-PitNETs). Rarely, thyroid-stimulating hormone (TSH)-secreting PitNETs (thyrotropinomas) are observed. Clinical findings result from excess hormone secretion, lack of hormone secretion, and/or mass effects (e.g., headaches, visual field loss). Within the same family, PitNETs can be of the same or different type. Age of diagnosis in AIP-FIPA is usually in the second or third decade.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/10936">Feature record</a> | <a href="/medgen?term=%22Prolactin-producing%20pituitary%20gland%20adenoma%22%5BClinical%20Features%5D%20OR%2010936%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_56228"><div><strong>Thyroid adenoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>56228</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0151468</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">The presence of a adenoma of the thyroid gland.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/56228">Feature record</a> | <a href="/medgen?term=%22Thyroid%20adenoma%22%5BClinical%20Features%5D%20OR%2056228%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_61654"><div><strong>Adrenocortical adenoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>61654</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0206667</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">Adrenocortical adenomas are benign tumors of the adrenal cortex.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/61654">Feature record</a> | <a href="/medgen?term=%22Adrenocortical%20adenoma%22%5BClinical%20Features%5D%20OR%2061654%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_75502"><div><strong>Parathyroid gland adenoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>75502</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0262587</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">A benign tumor of the parathyroid gland that can cause hyperparathyroidism.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/75502">Feature record</a> | <a href="/medgen?term=%22Parathyroid%20gland%20adenoma%22%5BClinical%20Features%5D%20OR%2075502%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_234674"><div><strong>Subcutaneous lipoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>234674</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1403035</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">The presence of subcutaneous lipoma.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/234674">Feature record</a> | <a href="/medgen?term=%22Subcutaneous%20lipoma%22%5BClinical%20Features%5D%20OR%20234674%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_342066"><div><strong>Pancreatic islet cell adenoma</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>342066</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1851697</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">The presence of an adenoma of the pancreas with origin in a pancreatic B cell.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/342066">Feature record</a> | <a href="/medgen?term=%22Pancreatic%20islet%20cell%20adenoma%22%5BClinical%20Features%5D%20OR%20342066%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_8360"><div><strong>Diarrhea</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>8360</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0011991</a></dd><dt><span class="dotprefix"></span></dt><dd>Sign or Symptom</dd></dl></div></div></div>
<div class="spaceAbove">Abnormally increased frequency (usually defined as three or more) loose or watery bowel movements a day.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/8360">Feature record</a> | <a href="/medgen?term=%22Diarrhea%22%5BClinical%20Features%5D%20OR%208360%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_4549"><div><strong>Esophagitis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>4549</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0014868</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Inflammation of the esophagus.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/4549">Feature record</a> | <a href="/medgen?term=%22Esophagitis%22%5BClinical%20Features%5D%20OR%204549%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_45384"><div><strong>Peptic ulcer</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>45384</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0030920</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">The term peptic ulcer refers to acid peptic injury of the digestive tract, resulting in mucosal break reaching the submucosa. Peptic ulcers are usually located in the stomach or proximal duodenum, but they can also be found in the esophagus or Meckel's diverticulum. Infection with Helicobacter pylori and the use of non steroidal antiinflammatory drugs (NSAIDs) or aspirin are the main risk factors of both gastric and duodenal peptic ulcers.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/45384">Feature record</a> | <a href="/medgen?term=%22Peptic%20ulcer%22%5BClinical%20Features%5D%20OR%2045384%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_53129"><div><strong>Zollinger-Ellison syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>53129</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0043515</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">A condition in which there is increased production of gastrin by a gastrin-secreting tumor (usually located in the pancreas, duodenum, or abdominal lymph nodes) that stimulates the gastric mucosa to maximal activity, with consequent gastrointestinal mucosal ulceration.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/53129">Feature record</a> | <a href="/medgen?term=%22Zollinger-Ellison%20syndrome%22%5BClinical%20Features%5D%20OR%2053129%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_1702649"><div><strong>Increased circulating prolactin concentration</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1702649</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C5200994</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">The presence of abnormally increased levels of prolactin in the blood. Prolactin is a peptide hormone produced by the anterior pituitary gland that plays a role in breast development and lactation during pregnancy.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/1702649">Feature record</a> | <a href="/medgen?term=%22Increased%20circulating%20prolactin%20concentration%22%5BClinical%20Features%5D%20OR%201702649%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_5686"><div><strong>Hypercalcemia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>5686</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0020437</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">An abnormally increased calcium concentration in the blood.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/5686">Feature record</a> | <a href="/medgen?term=%22Hypercalcemia%22%5BClinical%20Features%5D%20OR%205686%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_6979"><div><strong>Hypoglycemia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>6979</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0020615</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">A decreased concentration of glucose in the blood.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/6979">Feature record</a> | <a href="/medgen?term=%22Hypoglycemia%22%5BClinical%20Features%5D%20OR%206979%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_75563"><div><strong>Adenoma sebaceum</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>75563</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0265319</a></dd><dt><span class="dotprefix"></span></dt><dd>Neoplastic Process</dd></dl></div></div></div>
<div class="spaceAbove">The presence of a sebaceous adenoma with origin in the sebum secreting cells of the skin.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/75563">Feature record</a> | <a href="/medgen?term=%22Adenoma%20sebaceum%22%5BClinical%20Features%5D%20OR%2075563%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_113157"><div><strong>Cafe-au-lait spot</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>113157</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0221263</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Cafe-au-lait spots are hyperpigmented lesions that can vary in color from light brown to dark brown with smooth borders and having a size of 1.5 cm or more in adults and 0.5 cm or more in children.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/113157">Feature record</a> | <a href="/medgen?term=%22Cafe-au-lait%20spot%22%5BClinical%20Features%5D%20OR%20113157%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_377093"><div><strong>Confetti-like hypopigmented macules</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>377093</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1851705</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove nowrap">See: <a href="/medgen/377093">Feature record</a> | <a href="/medgen?term=%22Confetti-like%20hypopigmented%20macules%22%5BClinical%20Features%5D%20OR%20377093%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_66732"><div><strong>Elevated circulating growth hormone concentration</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>66732</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0235986</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Acromegaly is a condition resulting from overproduction of growth hormone by the pituitary gland in persons with closed epiphyses, and consists chiefly in the enlargement of the distal parts of the body. The circumference of the skull increases, the nose becomes broad, the tongue becomes enlarged, the facial features become coarsened, the mandible grows excessively, and the teeth become separated. The fingers and toes grow chiefly in thickness.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/66732">Feature record</a> | <a href="/medgen?term=%22Elevated%20circulating%20growth%20hormone%20concentration%22%5BClinical%20Features%5D%20OR%2066732%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_871175"><div><strong>Increased circulating cortisol level</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>871175</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4025651</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Overproduction of the hormone of cortisol by the adrenal cortex, resulting in a characteristic combination of clinical symptoms termed Cushing syndrome, with truncal obesity, a round, full face, striae atrophicae and acne, muscle weakness, and other features.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/871175">Feature record</a> | <a href="/medgen?term=%22Increased%20circulating%20cortisol%20level%22%5BClinical%20Features%5D%20OR%20871175%5Buid%5D">Search on this feature</a></div></div><div class="TreeLite" data-jigconfig="closed: 1"><div class="concept-def"><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().openAll(); return false;">Show all</a><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().closeAll(); return false;">Hide all</a></div><ul><li><span class="TLline">Abnormality of head or neck</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_75563" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Adenoma sebaceum</a></span></li></ul></li><li><span class="TLline">Abnormality of metabolism/homeostasis</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_5686" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hypercalcemia</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_6979" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hypoglycemia</a></span></li></ul></li><li><span class="TLline">Abnormality of the digestive system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_8360" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Diarrhea</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_4549" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Esophagitis</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_45384" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Peptic ulcer</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_53129" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Zollinger-Ellison syndrome</a></span></li></ul></li><li><span class="TLline">Abnormality of the endocrine system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_66732" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Elevated circulating growth hormone concentration</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_871175" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Increased circulating cortisol level</a></span></li></ul></li><li><span class="TLline">Abnormality of the integument</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_113157" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Cafe-au-lait spot</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_377093" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Confetti-like hypopigmented macules</a></span></li></ul></li><li><span class="TLline">Abnormality of the nervous system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_1702649" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Increased circulating prolactin concentration</a></span></li></ul></li><li><span class="TLline">Neoplasm</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_61654" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Adrenocortical adenoma</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_2838" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Carcinoid tumor</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_4908" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Glucagonoma syndrome</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_43907" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pancreatic insulinoma</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_342066" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pancreatic islet cell adenoma</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_75502" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Parathyroid gland adenoma</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_45933" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pituitary adenoma</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_10936" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Prolactin-producing pituitary gland adenoma</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_234674" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Subcutaneous lipoma</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_56228" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Thyroid adenoma</a></span></li></ul></li></ul></div></div>
</div>
<div class="portlet mgSection" id="ID_118">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li><li><a href="#tabORDO">Orphanet</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test,  </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test,  </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM,  </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>,  </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar  </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C0025267[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=9957">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet Ocolor" title="OMIM"><a ref="ncbi_uid=9957" target="_blank" href="/omim/131100">O</a></span><span class="chiclet Gcolor" title="GeneReviews"><a target="_blank" href="/books/NBK1538/" ref="ncbi_uid=9957">G</a></span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=9957" ref="ncbi_uid=9957">V</a></span></span><span class="TLline">Multiple endocrine neoplasia, type 1</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/1842530" ref="tree=MeSH" title="MedGen record for Disease with Cushing syndrome as a major feature">Disease with Cushing syndrome as a major feature</a></span><ul><li><span class="matched_ds">Multiple endocrine neoplasia, type 1</span></li></ul></li></ul></div></div><div id="tabORDO">Follow <a target="_blank" href="http://www.orpha.net/consor/cgi-bin/Disease_Classif.php?lng=EN&amp;data_id=156&amp;PatId=121&amp;search=Disease_Classif_Simple&amp;new=1" class="ital bold">this link</a> to review classifications for <span class="ital">Multiple endocrine neoplasia, type 1</span> in Orphanet.</div></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/30098717">Gastrinomas: Medical or Surgical Treatment.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Norton JA,
Foster DS,
Ito T,
Jensen RT</span><br />
<span class="medgenPMjournal">Endocrinol Metab Clin North Am</span>
2018 Sep;47(3):577-601.
doi: 10.1016/j.ecl.2018.04.009.
<span class="bold">PMID: </span><a href="/pubmed/30098717" target="_blank">30098717</a><a href="/pmc/articles/PMC6092039" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28426491">Treatment of Pancreatic Neuroendocrine Tumors in Multiple Endocrine Neoplasia Type 1: Some Clarity But Continued Controversy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Jensen RT,
Norton JA</span><br />
<span class="medgenPMjournal">Pancreas</span>
2017 May/Jun;46(5):589-594.
doi: 10.1097/MPA.0000000000000825.
<span class="bold">PMID: </span><a href="/pubmed/28426491" target="_blank">28426491</a><a href="/pmc/articles/PMC5407310" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/22723327">Clinical practice guidelines for multiple endocrine neoplasia type 1 (MEN1).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Thakker RV,
Newey PJ,
Walls GV,
Bilezikian J,
Dralle H,
Ebeling PR,
Melmed S,
Sakurai A,
Tonelli F,
Brandi ML;
Endocrine Society</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2012 Sep;97(9):2990-3011.
Epub 2012 Jun 20
doi: 10.1210/jc.2012-1230.
<span class="bold">PMID: </span><a href="/pubmed/22723327" target="_blank">22723327</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22multiple%20endocrine%20neoplasia%2C%20type%201%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (123)</a></div><h3 class="subhead">Curated<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpCurated"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3><h3 class="nl vspace"><a href="https://www.nccn.org/professionals/physician_gls/pdf/neuroendocrine.pdf" target="_blank">NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Neuroendocrine and Adrenal Tumors, 2023</a></h3>
</div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_114">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Suggested_Reading">Suggested Reading</h1><a sid="114" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed</h3>
<div class="nl"><a target="_blank" href="/pubmed/26389271">Genetics of Endocrine and Neuroendocrine Neoplasias (PDQ®): Health Professional Version.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">PDQ Cancer Genetics Editorial Board</span><br />
2002
<span class="bold">PMID: </span><a href="/pubmed/26389271" target="_blank">26389271</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26389258">Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">PDQ Cancer Genetics Editorial Board</span><br />
2002
<span class="bold">PMID: </span><a href="/pubmed/26389258" target="_blank">26389258</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26389210">Genetics of Breast and Gynecologic Cancers (PDQ®): Health Professional Version.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">PDQ Cancer Genetics Editorial Board</span><br />
2002
<span class="bold">PMID: </span><a href="/pubmed/26389210" target="_blank">26389210</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=" title="PubMed search"></a></div></div>
</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/36952647">Insulinomatosis: new aspects.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Christ E,
Iacovazzo D,
Korbonits M,
Perren A</span><br />
<span class="medgenPMjournal">Endocr Relat Cancer</span>
2023 Jun 1;30(6)
Epub 2023 May 16
doi: 10.1530/ERC-22-0327.
<span class="bold">PMID: </span><a href="/pubmed/36952647" target="_blank">36952647</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35696052">Thymic neuroendocrine tumors in patients with multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Yliaska I,
Tokola H,
Ebeling T,
Kuismin O,
Ukkola O,
Koivikko ML,
Lesonen T,
Rimpiläinen J,
Felin T,
Ryhänen E,
Metso S,
Schalin-Jäntti C,
Salmela P</span><br />
<span class="medgenPMjournal">Endocrine</span>
2022 Sep;77(3):527-537.
Epub 2022 Jun 13
doi: 10.1007/s12020-022-03099-4.
<span class="bold">PMID: </span><a href="/pubmed/35696052" target="_blank">35696052</a><a href="/pmc/articles/PMC9385812" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35521764">Multiple endocrine neoplasia type 1 caused by mosaic mutation: clinical follow-up and genetic counseling?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Coppin L,
Giraud S,
Pasmant E,
Lagarde A,
North MO,
Le-Collen L,
Aubert V,
Mougel G,
Ladsous M,
Louboutin A,
Brixi H,
Haissaguerre M,
Scheyer N,
Klein M,
Tabarin A,
Delemer B,
Barlier A,
Odou MF,
Romanet P</span><br />
<span class="medgenPMjournal">Eur J Endocrinol</span>
2022 May 24;187(1):K1-K6.
doi: 10.1530/EJE-22-0171.
<span class="bold">PMID: </span><a href="/pubmed/35521764" target="_blank">35521764</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35319130">Update on the clinical management of multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pieterman CRC,
Valk GD</span><br />
<span class="medgenPMjournal">Clin Endocrinol (Oxf)</span>
2022 Oct;97(4):409-423.
Epub 2022 Apr 1
doi: 10.1111/cen.14727.
<span class="bold">PMID: </span><a href="/pubmed/35319130" target="_blank">35319130</a><a href="/pmc/articles/PMC9540817" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/22723327">Clinical practice guidelines for multiple endocrine neoplasia type 1 (MEN1).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Thakker RV,
Newey PJ,
Walls GV,
Bilezikian J,
Dralle H,
Ebeling PR,
Melmed S,
Sakurai A,
Tonelli F,
Brandi ML;
Endocrine Society</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2012 Sep;97(9):2990-3011.
Epub 2012 Jun 20
doi: 10.1210/jc.2012-1230.
<span class="bold">PMID: </span><a href="/pubmed/22723327" target="_blank">22723327</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Multiple%20endocrine%20neoplasia%2C%20type%201%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (687)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/33564173">Clinical aspects of multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Al-Salameh A,
Cadiot G,
Calender A,
Goudet P,
Chanson P</span><br />
<span class="medgenPMjournal">Nat Rev Endocrinol</span>
2021 Apr;17(4):207-224.
Epub 2021 Feb 9
doi: 10.1038/s41574-021-00468-3.
<span class="bold">PMID: </span><a href="/pubmed/33564173" target="_blank">33564173</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33249439">Multiple Endocrine Neoplasia Type 1: Latest Insights.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Brandi ML,
Agarwal SK,
Perrier ND,
Lines KE,
Valk GD,
Thakker RV</span><br />
<span class="medgenPMjournal">Endocr Rev</span>
2021 Mar 15;42(2):133-170.
doi: 10.1210/endrev/bnaa031.
<span class="bold">PMID: </span><a href="/pubmed/33249439" target="_blank">33249439</a><a href="/pmc/articles/PMC7958143" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32971521">Multiple Endocrine Neoplasia Type 1 and the Pancreas: Diagnosis and Treatment of Functioning and Non-Functioning Pancreatic and Duodenal Neuroendocrine Neoplasia within the MEN1 Syndrome - An International Consensus Statement.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Niederle B,
Selberherr A,
Bartsch DK,
Brandi ML,
Doherty GM,
Falconi M,
Goudet P,
Halfdanarson TR,
Ito T,
Jensen RT,
Larghi A,
Lee L,
Öberg K,
Pavel M,
Perren A,
Sadowski SM,
Tonelli F,
Triponez F,
Valk GD,
O'Toole D,
Scott-Coombes D,
Thakker RV,
Thompson GB,
Treglia G,
Wiedenmann B</span><br />
<span class="medgenPMjournal">Neuroendocrinology</span>
2021;111(7):609-630.
Epub 2020 Sep 24
doi: 10.1159/000511791.
<span class="bold">PMID: </span><a href="/pubmed/32971521" target="_blank">32971521</a></div>
<div class="nl"><a target="_blank" href="/pubmed/22723327">Clinical practice guidelines for multiple endocrine neoplasia type 1 (MEN1).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Thakker RV,
Newey PJ,
Walls GV,
Bilezikian J,
Dralle H,
Ebeling PR,
Melmed S,
Sakurai A,
Tonelli F,
Brandi ML;
Endocrine Society</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2012 Sep;97(9):2990-3011.
Epub 2012 Jun 20
doi: 10.1210/jc.2012-1230.
<span class="bold">PMID: </span><a href="/pubmed/22723327" target="_blank">22723327</a></div>
<div class="nl"><a target="_blank" href="/pubmed/18375361">Multiple endocrine neoplasia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">White ML,
Doherty GM</span><br />
<span class="medgenPMjournal">Surg Oncol Clin N Am</span>
2008 Apr;17(2):439-59, x.
doi: 10.1016/j.soc.2007.12.002.
<span class="bold">PMID: </span><a href="/pubmed/18375361" target="_blank">18375361</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Multiple%20endocrine%20neoplasia%2C%20type%201%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (1113)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/37925662">Approach to the Patient: Insulinoma.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Hofland J,
Refardt JC,
Feelders RA,
Christ E,
de Herder WW</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2024 Mar 15;109(4):1109-1118.
doi: 10.1210/clinem/dgad641.
<span class="bold">PMID: </span><a href="/pubmed/37925662" target="_blank">37925662</a><a href="/pmc/articles/PMC10940262" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/36961765">Molecular and Clinical Spectrum of Primary Hyperparathyroidism.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Jha S,
Simonds WF</span><br />
<span class="medgenPMjournal">Endocr Rev</span>
2023 Sep 15;44(5):779-818.
doi: 10.1210/endrev/bnad009.
<span class="bold">PMID: </span><a href="/pubmed/36961765" target="_blank">36961765</a><a href="/pmc/articles/PMC10502601" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26895682">Islet Cell Tumors of the Pancreas.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Amin S,
Kim MK</span><br />
<span class="medgenPMjournal">Gastroenterol Clin North Am</span>
2016 Mar;45(1):83-100.
Epub 2016 Jan 13
doi: 10.1016/j.gtc.2015.10.007.
<span class="bold">PMID: </span><a href="/pubmed/26895682" target="_blank">26895682</a></div>
<div class="nl"><a target="_blank" href="/pubmed/23363383">Pharmacotherapy of Zollinger-Ellison syndrome.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ito T,
Igarashi H,
Uehara H,
Jensen RT</span><br />
<span class="medgenPMjournal">Expert Opin Pharmacother</span>
2013 Feb;14(3):307-21.
Epub 2013 Jan 30
doi: 10.1517/14656566.2013.767332.
<span class="bold">PMID: </span><a href="/pubmed/23363383" target="_blank">23363383</a><a href="/pmc/articles/PMC3580316" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/18375361">Multiple endocrine neoplasia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">White ML,
Doherty GM</span><br />
<span class="medgenPMjournal">Surg Oncol Clin N Am</span>
2008 Apr;17(2):439-59, x.
doi: 10.1016/j.soc.2007.12.002.
<span class="bold">PMID: </span><a href="/pubmed/18375361" target="_blank">18375361</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Multiple%20endocrine%20neoplasia%2C%20type%201%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (212)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/36633525">Cancer statistics, 2023.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Siegel RL,
Miller KD,
Wagle NS,
Jemal A</span><br />
<span class="medgenPMjournal">CA Cancer J Clin</span>
2023 Jan;73(1):17-48.
doi: 10.3322/caac.21763.
<span class="bold">PMID: </span><a href="/pubmed/36633525" target="_blank">36633525</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35319130">Update on the clinical management of multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pieterman CRC,
Valk GD</span><br />
<span class="medgenPMjournal">Clin Endocrinol (Oxf)</span>
2022 Oct;97(4):409-423.
Epub 2022 Apr 1
doi: 10.1111/cen.14727.
<span class="bold">PMID: </span><a href="/pubmed/35319130" target="_blank">35319130</a><a href="/pmc/articles/PMC9540817" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33564173">Clinical aspects of multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Al-Salameh A,
Cadiot G,
Calender A,
Goudet P,
Chanson P</span><br />
<span class="medgenPMjournal">Nat Rev Endocrinol</span>
2021 Apr;17(4):207-224.
Epub 2021 Feb 9
doi: 10.1038/s41574-021-00468-3.
<span class="bold">PMID: </span><a href="/pubmed/33564173" target="_blank">33564173</a></div>
<div class="nl"><a target="_blank" href="/pubmed/22723327">Clinical practice guidelines for multiple endocrine neoplasia type 1 (MEN1).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Thakker RV,
Newey PJ,
Walls GV,
Bilezikian J,
Dralle H,
Ebeling PR,
Melmed S,
Sakurai A,
Tonelli F,
Brandi ML;
Endocrine Society</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2012 Sep;97(9):2990-3011.
Epub 2012 Jun 20
doi: 10.1210/jc.2012-1230.
<span class="bold">PMID: </span><a href="/pubmed/22723327" target="_blank">22723327</a></div>
<div class="nl"><a target="_blank" href="/pubmed/9735136">Insulinoma.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Grant CS</span><br />
<span class="medgenPMjournal">Surg Oncol Clin N Am</span>
1998 Oct;7(4):819-44.
<span class="bold">PMID: </span><a href="/pubmed/9735136" target="_blank">9735136</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Multiple%20endocrine%20neoplasia%2C%20type%201%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (566)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/35696052">Thymic neuroendocrine tumors in patients with multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Yliaska I,
Tokola H,
Ebeling T,
Kuismin O,
Ukkola O,
Koivikko ML,
Lesonen T,
Rimpiläinen J,
Felin T,
Ryhänen E,
Metso S,
Schalin-Jäntti C,
Salmela P</span><br />
<span class="medgenPMjournal">Endocrine</span>
2022 Sep;77(3):527-537.
Epub 2022 Jun 13
doi: 10.1007/s12020-022-03099-4.
<span class="bold">PMID: </span><a href="/pubmed/35696052" target="_blank">35696052</a><a href="/pmc/articles/PMC9385812" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35319130">Update on the clinical management of multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pieterman CRC,
Valk GD</span><br />
<span class="medgenPMjournal">Clin Endocrinol (Oxf)</span>
2022 Oct;97(4):409-423.
Epub 2022 Apr 1
doi: 10.1111/cen.14727.
<span class="bold">PMID: </span><a href="/pubmed/35319130" target="_blank">35319130</a><a href="/pmc/articles/PMC9540817" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/34131281">Therapeutic implications of menin inhibition in acute leukemias.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Issa GC,
Ravandi F,
DiNardo CD,
Jabbour E,
Kantarjian HM,
Andreeff M</span><br />
<span class="medgenPMjournal">Leukemia</span>
2021 Sep;35(9):2482-2495.
Epub 2021 Jun 15
doi: 10.1038/s41375-021-01309-y.
<span class="bold">PMID: </span><a href="/pubmed/34131281" target="_blank">34131281</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30220511">Menin Deficiency Leads to Depressive-like Behaviors in Mice by Modulating Astrocyte-Mediated Neuroinflammation.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Leng L,
Zhuang K,
Liu Z,
Huang C,
Gao Y,
Chen G,
Lin H,
Hu Y,
Wu D,
Shi M,
Xie W,
Sun H,
Shao Z,
Li H,
Zhang K,
Mo W,
Huang TY,
Xue M,
Yuan Z,
Zhang X,
Bu G,
Xu H,
Xu Q,
Zhang J</span><br />
<span class="medgenPMjournal">Neuron</span>
2018 Nov 7;100(3):551-563.e7.
Epub 2018 Sep 13
doi: 10.1016/j.neuron.2018.08.031.
<span class="bold">PMID: </span><a href="/pubmed/30220511" target="_blank">30220511</a></div>
<div class="nl"><a target="_blank" href="/pubmed/7978894">Genetics of multiple endocrine neoplasia type 1.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Larsson C,
Weber G,
Teh BT,
Lagercrantz J</span><br />
<span class="medgenPMjournal">Ann N Y Acad Sci</span>
1994 Sep 15;733:453-63.
doi: 10.1111/j.1749-6632.1994.tb17295.x.
<span class="bold">PMID: </span><a href="/pubmed/7978894" target="_blank">7978894</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Multiple%20endocrine%20neoplasia%2C%20type%201%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (445)</a></div></div>
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<div class="portlet_content ln">
<div class="nl"><a target="_blank" href="/pubmed/37668926">Thymoma in multiple endocrine neoplasia type 1: a case report and systematic review.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Gao Y,
Li R,
Wu L,
Yang H,
Mao J,
Zhao W</span><br />
<span class="medgenPMjournal">Endocrine</span>
2023 Nov;82(2):442-449.
Epub 2023 Sep 5
doi: 10.1007/s12020-023-03440-5.
<span class="bold">PMID: </span><a href="/pubmed/37668926" target="_blank">37668926</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35767091">Less Than Subtotal Parathyroidectomy for Multiple Endocrine Neoplasia Type 1 Primary Hyperparathyroidism: A Systematic Review and Meta-Analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Bouriez D,
Gronnier C,
Haissaguerre M,
Tabarin A,
Najah H</span><br />
<span class="medgenPMjournal">World J Surg</span>
2022 Nov;46(11):2666-2675.
Epub 2022 Jun 29
doi: 10.1007/s00268-022-06633-7.
<span class="bold">PMID: </span><a href="/pubmed/35767091" target="_blank">35767091</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33008613">Optimal extent of initial parathyroid resection in patients with multiple endocrine neoplasia syndrome type 1: A meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Nastos C,
Papaconstantinou D,
Kofopoulos-Lymperis E,
Peppa M,
Pikoulis A,
Lykoudis P,
Palazzo F,
Patapis P,
Pikoulis E</span><br />
<span class="medgenPMjournal">Surgery</span>
2021 Feb;169(2):302-310.
Epub 2020 Sep 30
doi: 10.1016/j.surg.2020.08.021.
<span class="bold">PMID: </span><a href="/pubmed/33008613" target="_blank">33008613</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28940393">Clinical features and prognosis of thymic neuroendocrine tumours associated with multiple endocrine neoplasia type 1: A single-centre study, systematic review and meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ye L,
Wang W,
Ospina NS,
Jiang L,
Christakis I,
Lu J,
Zhou Y,
Zhu W,
Cao Y,
Wang S,
Perrier ND,
Young WF Jr,
Ning G,
Wang W</span><br />
<span class="medgenPMjournal">Clin Endocrinol (Oxf)</span>
2017 Dec;87(6):706-716.
Epub 2017 Oct 16
doi: 10.1111/cen.13480.
<span class="bold">PMID: </span><a href="/pubmed/28940393" target="_blank">28940393</a></div>
<div class="nl"><a target="_blank" href="/pubmed/19184636">Familial parathyroid tumors: diagnosis and management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Stålberg P,
Carling T</span><br />
<span class="medgenPMjournal">World J Surg</span>
2009 Nov;33(11):2234-43.
doi: 10.1007/s00268-009-9924-6.
<span class="bold">PMID: </span><a href="/pubmed/19184636" target="_blank">19184636</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Multiple%20endocrine%20neoplasia%2C%20type%201%22%20AND%20systematic%5Bsb%5D%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (12)</a></div></div>
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<div class="portlet_content ln"><ul id="my-toc"></ul></div>
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<div class="portlet_content ln"><ul><li><a href="/gtr/tests?term=C0025267%5bDISCUI%5d&amp;filter=method%3A2%5F8" target="_blank">Deletion/duplication analysis (73)</a></li>
<li><a href="/gtr/tests?term=C0025267%5bDISCUI%5d&amp;filter=method%3A2%5F18" target="_blank">Mutation scanning of select exons (4)</a></li>
<li><a href="/gtr/tests?term=C0025267%5bDISCUI%5d&amp;filter=method%3A2%5F17" target="_blank">Mutation scanning of the entire coding region (1)</a></li>
<li><a href="/gtr/tests?term=C0025267%5bDISCUI%5d&amp;filter=method%3A2%5F30" target="_blank">RNA analysis (2)</a></li>
<li><a href="/gtr/tests?term=C0025267%5bDISCUI%5d&amp;filter=method%3A2%5F9" target="_blank">Sequence analysis of select exons (7)</a></li>
<li><a href="/gtr/tests?term=C0025267%5bDISCUI%5d&amp;filter=method%3A2%5F7" target="_blank">Sequence analysis of the entire coding region (95)</a></li>
<li><a href="/gtr/tests?term=C0025267%5bDISCUI%5d&amp;filter=method%3A2%5F19" target="_blank">Targeted variant analysis (5)</a></li>
<li class="portletSeeAll portletSeeAllPad"><total><a href="/gtr/tests?term=C0025267%5bDISCUI%5d" target="_blank">See all (113)</a></total></li>
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<div class="portlet_content ln"><ul><li><a href="https://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=131100" target="_blank">OMIM</a></li><li><a href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=652" target="_blank">Orphanet</a></li><li><a href="https://clinicaltrials.gov/search?cond=Multiple%20endocrine%20neoplasia,%20type%201" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<div class="portlet_content ln"><ul class="a_poppers"><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22multiple%20endocrine%20neoplasia%2C%20type%201%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">PubMed</a><div class="help-popup">See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li><li><a target="_blank" href="/books/?term=((%22clinical%20guidelines%22%5BResource%20Type%5D)%20OR%20%22practice%20guideline%22%5BPublication%20Type%5D)%20AND%20(%22Multiple%20endocrine%20neoplasia%2C%20type%201%22)">Bookshelf</a><div class="help-popup">See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li></ul><h3 class="subhead">Curated</h3><ul class="a_poppers"><li><a target="_blank" href="https://www.nccn.org/professionals/physician_gls/pdf/neuroendocrine.pdf">NCCN, 2023</a><div>NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Neuroendocrine and Adrenal Tumors, 2023</div></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="http://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=613733" target="_blank">OMIM</a></li><li><a href="/clinvar/?term=4221[geneid]" target="_blank">View MEN1 variations in ClinVar</a></li><li><a href="/nuccore/211904120" target="_blank">RefSeqGene</a></li><li><a href="https://catalog.coriell.org/Search?q=131100" target="_blank">Coriell Institute for Medical Research</a></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="http://www.diseaseinfosearch.org/Multiple+endocrine+neoplasia+type+1/4955" target="_blank">Genetic Alliance</a></li><li><a href="https://www.malacards.org/card/multiple_endocrine_neoplasia_type_i" target="_blank">MalaCards</a></li><li><a href="https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v:project=medlineplus&amp;query=Multiple%20endocrine%20neoplasia,%20type%201" target="_blank">MedlinePlus</a></li><li><a href="https://medlineplus.gov/genetics/condition/multiple-endocrine-neoplasia" target="_blank">MedlinePlusGenetics (GHR)</a></li><li><a href="https://rarediseases.info.nih.gov/diseases/3829/disease" target="_blank">NCATS Office of Rare Diseases Research (GARD)</a></li></ul></div>
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