Multiple endocrine neoplasia type 2: achievements and current challenges.

Clinics
A Machens, H Dralle

Abstract

Incremental advances in medical technology, such as the development of sensitive hormonal assays for routine clinical care, are the drivers of medical progress. This principle is exemplified by the creation of the concept of multiple endocrine neoplasia type 2, encompassing medullary thyroid cancer, pheochromocytoma, and primary hyperparathyroidism, which did not emerge before the early 1960s. This review sets out to highlight key achievements, such as joint biochemical and DNA-based screening of individuals at risk of developing multiple endocrine neoplasia type 2, before casting a spotlight on current challenges which include: (i) ill-defined upper limits of calcitonin assays for infants and young children, rendering it difficult to implement the biochemical part of the integrated DNA-based/biochemical concept; (ii) our increasingly mobile society in which different service providers are caring for one individual at various stages in the disease process. With familial relationships disintegrating as a result of geographic dispersion, information about the history of the origin family may become sketchy or just unavailable. This is when DNA-based gene tests come into play, confirming or excluding an individual's genetic predis...Continue Reading

Citations

Apr 18, 2018·The British Journal of Surgery·F P PreteUNKNOWN MEN2 in Children UK Collaborative Group
Dec 5, 2013·Current Opinion in Oncology·Rosemarie Metzger, Mira Milas
May 16, 2020·Frontiers in Endocrinology·Jes Sloth MathiesenMaria Rossing
Oct 24, 2019·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Abdolhamid AmooeeHossein Neamatzadeh

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