Inherited pancreatic endocrine tumor syndromes: Advances in molecular pathogenesis, diagnosis, management, and controversies

Pancreatic endocrine tumors (PETs) can occur as part of 4 inherited disorders, including Multiple Endocrine Neoplasia type 1 (MEN1), von Hippel‐Lindau disease (VHL), neurofibromatosis 1 (NF‐1) (von Recklinghausen disease), and the tuberous sclerosis complex (TSC). The relative frequency with which p...

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Veröffentlicht in:Cancer 2008-10, Vol.113 (S7), p.1807-1843
Hauptverfasser: Jensen, Robert T., Berna, Marc J., Bingham, David B., Norton, Jeffrey A.
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container_title Cancer
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creator Jensen, Robert T.
Berna, Marc J.
Bingham, David B.
Norton, Jeffrey A.
description Pancreatic endocrine tumors (PETs) can occur as part of 4 inherited disorders, including Multiple Endocrine Neoplasia type 1 (MEN1), von Hippel‐Lindau disease (VHL), neurofibromatosis 1 (NF‐1) (von Recklinghausen disease), and the tuberous sclerosis complex (TSC). The relative frequency with which patients who have these disorders develop PETs is MEN1>VHL>NF‐1>TSC. Over the last few years, there have been major advances in the understanding of the genetics and molecular pathogenesis of these disorders as well in the localization and the medical and surgical treatment of PETs in such patients. The study of PETs in these disorders not only has provided insights into the possible pathogenesis of sporadic PETs but also has presented several unique management and treatment issues, some of which are applicable to patients with sporadic PETs. Therefore, the study of PETs in these uncommon disorders has provided valuable insights that, in many cases, are applicable to the general group of patients with sporadic PETs. In this article, these areas are reviewed briefly along with the current state of knowledge of the PETs in these disorders, and the controversies that exist in their management are summarized briefly and discussed. Cancer 2008;113(7 suppl):1807–43. Published 2008 American Cancer Society.
doi_str_mv 10.1002/cncr.23648
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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>insulinomas</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Multiple Endocrine Neoplasia type 1</topic><topic>Multiple Endocrine Neoplasia Type 1 - diagnosis</topic><topic>Multiple Endocrine Neoplasia Type 1 - genetics</topic><topic>Multiple Endocrine Neoplasia Type 1 - therapy</topic><topic>neuroendocrine tumors</topic><topic>neurofibromatosis 1</topic><topic>Neurofibromatosis 1 - diagnosis</topic><topic>Neurofibromatosis 1 - genetics</topic><topic>Neurofibromatosis 1 - therapy</topic><topic>pancreatic endocrine tumors</topic><topic>Pancreatic Neoplasms - diagnosis</topic><topic>Pancreatic Neoplasms - genetics</topic><topic>Pancreatic Neoplasms - therapy</topic><topic>Prognosis</topic><topic>tuberous sclerosis</topic><topic>Tuberous Sclerosis - diagnosis</topic><topic>Tuberous Sclerosis - genetics</topic><topic>Tuberous Sclerosis - therapy</topic><topic>Tumors</topic><topic>von Hippel-Lindau Disease - diagnosis</topic><topic>von Hippel-Lindau Disease - genetics</topic><topic>von Hippel-Lindau Disease - therapy</topic><topic>von Hippel‐Lindau disease</topic><topic>Zollinger‐Ellison syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jensen, Robert T.</creatorcontrib><creatorcontrib>Berna, Marc J.</creatorcontrib><creatorcontrib>Bingham, David B.</creatorcontrib><creatorcontrib>Norton, Jeffrey A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jensen, Robert T.</au><au>Berna, Marc J.</au><au>Bingham, David B.</au><au>Norton, Jeffrey A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inherited pancreatic endocrine tumor syndromes: Advances in molecular pathogenesis, diagnosis, management, and controversies</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>113</volume><issue>S7</issue><spage>1807</spage><epage>1843</epage><pages>1807-1843</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>Pancreatic endocrine tumors (PETs) can occur as part of 4 inherited disorders, including Multiple Endocrine Neoplasia type 1 (MEN1), von Hippel‐Lindau disease (VHL), neurofibromatosis 1 (NF‐1) (von Recklinghausen disease), and the tuberous sclerosis complex (TSC). The relative frequency with which patients who have these disorders develop PETs is MEN1&gt;VHL&gt;NF‐1&gt;TSC. Over the last few years, there have been major advances in the understanding of the genetics and molecular pathogenesis of these disorders as well in the localization and the medical and surgical treatment of PETs in such patients. The study of PETs in these disorders not only has provided insights into the possible pathogenesis of sporadic PETs but also has presented several unique management and treatment issues, some of which are applicable to patients with sporadic PETs. Therefore, the study of PETs in these uncommon disorders has provided valuable insights that, in many cases, are applicable to the general group of patients with sporadic PETs. In this article, these areas are reviewed briefly along with the current state of knowledge of the PETs in these disorders, and the controversies that exist in their management are summarized briefly and discussed. Cancer 2008;113(7 suppl):1807–43. Published 2008 American Cancer Society.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18798544</pmid><doi>10.1002/cncr.23648</doi><tpages>37</tpages><oa>free_for_read</oa></addata></record>
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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Biological and medical sciences
gastrinomas
Gastroenterology. Liver. Pancreas. Abdomen
Humans
insulinomas
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Multiple Endocrine Neoplasia type 1
Multiple Endocrine Neoplasia Type 1 - diagnosis
Multiple Endocrine Neoplasia Type 1 - genetics
Multiple Endocrine Neoplasia Type 1 - therapy
neuroendocrine tumors
neurofibromatosis 1
Neurofibromatosis 1 - diagnosis
Neurofibromatosis 1 - genetics
Neurofibromatosis 1 - therapy
pancreatic endocrine tumors
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - genetics
Pancreatic Neoplasms - therapy
Prognosis
tuberous sclerosis
Tuberous Sclerosis - diagnosis
Tuberous Sclerosis - genetics
Tuberous Sclerosis - therapy
Tumors
von Hippel-Lindau Disease - diagnosis
von Hippel-Lindau Disease - genetics
von Hippel-Lindau Disease - therapy
von Hippel‐Lindau disease
Zollinger‐Ellison syndrome
title Inherited pancreatic endocrine tumor syndromes: Advances in molecular pathogenesis, diagnosis, management, and controversies
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