title: Long-term follow-up of a kindred with multiple endocrine neoplasia type IIA.
abstract: A kindred with multiple endocrine neoplasia type IIA was studied. In four of five fully documented cases, patients presented with adrenal medullary disease during the second or third decade; in three cases, medullary thyroid carcinoma was not diagnosed until the fourth decade. This kindred seems to have an aggressive variant of adrenal medullary disease in which clinical presentation is early, metastasis occurs, and oncological cure is uncommon. Early detection and operation were important, and symptoms were controlled with operations and alpha- and beta-adrenergic blockade in uncured members.
authors.affiliation: Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.
authors.forename: S R
authors.initials: SR
authors.lastname: Munn
authors.forename: J A
authors.initials: JA
authors.lastname: van Heerden
authors.forename: G W
authors.initials: GW
authors.lastname: Sizemore
authors.forename: J A
authors.initials: JA
authors.lastname: Carney
authors.forename: E
authors.initials: E
authors.lastname: Paloyan
authors.forename: F C
authors.initials: FC
authors.lastname: Gau
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000235:genetics; D000328:Adult; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009377:Multiple Endocrine Neoplasia / Q000235:genetics* / Q000473:pathology; D010375:Pedigree; D010673:Pheochromocytoma / Q000235:genetics; D013964:Thyroid Neoplasms / Q000235:genetics