書誌事項
- タイトル別名
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- A Case of MEN 2B Initially Suspected in Jaw-Deformity Surgery
- 臨床 顎変形症の手術を契機に発見された多発性内分泌腺腫症2B型(MEN 2B)例
- リンショウ ガク ヘンケイショウ ノ シュジュツ オ ケイキ ニ ハッケン サレタ タハツセイ ナイブンピツ センシュショウ 2Bガタ MEN 2B レイ
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抄録
Multiple endocrine neoplasia type 2B (MEN 2B), an autosomal dominant syndrome, involves endocrine tumors caused by RET protooncogene germ-line mutations in chromosome 10. The case we report, initially suspected in jaw deformity surgery, was a 19-year-old man whose malocclusion was found in a school health checkup. In surgery, his somewhat abnormal buccal mucosa and mandible were biopsied and pathological findings indicated multiple mandibular and buccal mucosal neuromas suggesting de novo MEN 2B. Whole-body examination confirmed diagnosis, showing medullary thyroid carcinoma, megacolon, prominent corneal nerves, and mucosal tongue and lips neuromas. Gene examination showed germ-line mutations of the RET protooncogene affecting codon 918 in exon 16.<br> Medullary thyroid carcinoma was treated by total thyroidectomy with central compartment and bilateral neck dissection. Pathological analysis revealed multiple bilateral lobe cancer foci and one central-compartment lymph-node metastasis were detected pathologically. Normal calcitonin and CEA serum levels proved the biochemical cure for medullary thyroid carcinoma 7 months postoperatively.<br> MEN 2B-associated medullary thyroid carcinoma is more aggressive than that without known gene mutations, necessitating early diagnosis and close follow-up. Findings of multiple oral-cavity neuromas thus mandate examination for MEN 2B.<br>
収録刊行物
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- 耳鼻咽喉科臨床
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耳鼻咽喉科臨床 104 (5), 365-369, 2011
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390001204264164096
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- NII論文ID
- 10027972675
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- NII書誌ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL書誌ID
- 11102625
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
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- 抄録ライセンスフラグ
- 使用不可