Division of Endocrinology, Endocrine Genetics Unit (LIM-25), Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil.
Clinics (Sao Paulo). 2013 Jul;68(7):1039-56. doi: 10.6061/clinics/2013(07)24.
Inherited endocrine tumors have been increasingly recognized in clinical practice, although some difficulties still exist in differentiating these conditions from their sporadic endocrine tumor counterparts. Here, we list the 12 main topics that could add helpful information and clues for performing an early differential diagnosis to distinguish between these conditions. The early diagnosis of patients with inherited endocrine tumors may be performed either clinically or by mutation analysis in at-risk individuals. Early detection usually has a large impact in tumor management, allowing preventive clinical or surgical therapy in most cases. Advice for the clinical and surgical management of inherited endocrine tumors is also discussed. In addition, recent clinical and genetic advances for 17 different forms of inherited endocrine tumors are briefly reviewed.
在临床实践中,已经越来越多地认识到遗传性内分泌肿瘤,尽管在将这些疾病与散发性内分泌肿瘤区分开来时仍然存在一些困难。在这里,我们列出了 12 个主要的主题,这些主题可以提供有帮助的信息和线索,以便进行早期鉴别诊断,区分这些疾病。遗传性内分泌肿瘤患者的早期诊断可以通过临床检查或高危个体的突变分析来进行。早期发现通常对肿瘤的管理有很大的影响,在大多数情况下可以进行预防性的临床或手术治疗。还讨论了遗传性内分泌肿瘤的临床和手术管理建议。此外,还简要回顾了 17 种不同形式的遗传性内分泌肿瘤的最新临床和遗传进展。