中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (09): 759-762.

• 专题笔谈 • 上一篇    下一篇

多发性内分泌肿瘤Ⅰ型相关的胰腺内分泌肿瘤

陈    曦   

  1. 上海交通大学医学院附属瑞金医院外科,上海200025
  • 出版日期:2010-09-01 发布日期:2010-09-01

  • Online:2010-09-01 Published:2010-09-01

摘要:

多发性内分泌肿瘤Ⅰ型(MEN-1)由MEN-1抑癌基因突变所致,胰腺内分泌肿瘤是其主要病变之一,具有病理类型多样、发病早、多发等特点。基因测序是重要诊断方法,对基因突变携带者应定期筛查胰腺内分泌肿瘤。手术是控制激素过度分泌症状和预防转移的主要手段。

关键词: 多发性内分泌肿瘤Ⅰ型, 胰腺内分泌肿瘤, 基因

Abstract:

Multiple endocrine neoplasia type 1 related pancreatic endocrine tumors        CHEN Xi. Department of General Surgery, Ruijin Hospital,Shanghai Jiaotong University School of Medicine, Shanghai200025,China
Abstract    The endocrine pancreas-duodenum is often be involved in multiple endocrine neoplasia type 1 (MEN-1) which is an autosomal-dominant syndrome as a result of inactivating mutations of the MEN-1 tumor suppressor gene on chromosome 11q13 encoding for menin. The MEN-1 related pancreas-duodenum endocrinopathies are multicentric with early onset and lead to controversial strategy in management.  Gene consequence helps diagnosis. Surveillance and screening for pancreas-duodenum endocrine tumors are recommended in presymptomatic gene carriers. An aggressive surgical approach is intended to control the functional syndromes and malignant potential for nodal or distant metastasis.

Key words: multiple endocrine type 1, pancreas endocrine tumor, gene