Successful use of biotherapy with somatostatin analogues in the treatment of a patient with multiple endocrine neoplasia type 1
نویسندگان
چکیده
The syndrome of multiple endocrine neoplasia type I, MEN-1, or Wermer’s syndrome, occupies a separate place in the group neuroendocrine tumors. Being genetic, family-determined disease and having transmission rate 50%, it is manifested by neoplasms various malignant potential many organs. Given trend towards personalization treatment, specialists fields are constantly looking for improved diagnostics new methods treatment. We present our own experience treatment MEN-1 with somatostatin analogues. patient, born 1972, was observed an endocrinologist at age 22, when pituitary microadenoma detected. After 18 years, pancreatic tumor detected, which successfully removed. Histological immunohistochemical studies verified Grade 1 tumor. Control computed tomography revealed masses head tail pancreas. condition, patients since 2013 have been prescribed biotherapy analogue – octreotide. However, taking drug not regular, patient noted deterioration her condition. In 2019, decision council, Lanreotide prescribed. Even into account irregular examinations due to absenteeism, control examination 2022 showed normalization levels chromogranin A serotonin, absence foci progression those during Positron emission tomography. Thus, multidisciplinary approach appointment adequate therapy helps improve quality life stabilize syndrome.
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15 صفحه اولMultiple endocrine neoplasia type 1
Combined clinical and laboratory investigations of MEN-1 have resulted in an increased understanding of this disorder, which may be inherited as an autosomal dominant condition. Defining the features of each disease manifestation in MEN-1 has improved patient management and treatment and has facilitated a screening protocol. Application of the techniques of molecular biology has enabled the ide...
متن کاملMultiple endocrine neoplasia type 1.
Multiple endocrine neoplasia-1 (MEN-1) is an autosomal dominant inherited syndrome that occurs due to inactivating mutations of the MEN1 gene locus, coding for a tumor-suppressor protein, menin. The components of MEN-1 are hyperparathyroidism due to multiple parathyroid adenomas, pancreatic neuroendocrine tumors, and pituitary adenomas, in addition to some less common neoplastic manifestations....
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ژورنال
عنوان ژورنال: ??????????? ?????
سال: 2023
ISSN: ['0235-1188', '2618-8961']
DOI: https://doi.org/10.21518/ms2023-242