Multiple endocrine neoplasia (MEN) type IIa also known as Sipple syndrome, accounts for most cases of MEN II and is characterised by:
- pheochromocytomas : in 50% of patients, often bilateral, and can be extra-adrenal
- medullary thyroid cancer : 100% of patients. aggressive, and may elaborate calcitonin.
- parathyroid hyperplasia : only seen in 20% of patients, and often presents with hypercalcaemia and renal calculi.
Mnemonic : PMP
A small proportion of individuals have a ret 631 proto-oncogene mutation
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- 1. Scarsbrook AF, Thakker RV, Wass JA et-al. Multiple endocrine neoplasia: spectrum of radiologic appearances and discussion of a multitechnique imaging approach. Radiographics. 2006;26 (2): 433-51. Radiographics (full text) - doi:10.1148/rg.262055073 - Pubmed citation
- 2. Callender GG, Rich TA, Perrier ND. Multiple endocrine neoplasia syndromes. Surg. Clin. North Am. 2008;88 (4): 863-95, viii. doi:10.1016/j.suc.2008.05.001 - Pubmed citation
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