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Multiple endocrine neoplasia in childhood

Publication at Faculty of Medicine in Pilsen |
2023

Abstract

Multiple endocrine neoplasia syndromes (MEN syndrome) are rare autosomal dominantly inherited diseases with the occurence of tumors of two or more endocrine glands, with possible manifestation in early childhood. A late diagnosis of MEN syndrome can be fatal for an individual.

Early identification of at-risk individuals is therefore crucial for the prevention and treatment of potentially life-threatening endocrine and non-endocrine neoplasias. MEN 2B syndrome has the most serious prognosis due to highly aggrressive medullary thyroid carcinoma with early postnatal development and a high prevalence of de novo mutations.

Knowledge of the non-endocrine features of this syndrome may lead to early diagnosis before the development of advanced malignant disease. We describe the latest knowledge about MEN syndromes with a focus on clinical symptoms, genetic background, genotype-phenotype correlation in MEN 2 syndromes, American Thyroid Association guedelines for screening of tumors and their treatment in children.