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Peak Incidence of Pheochromocytoma and Primary Hyperparathyroidism in Multiple Endocrine Neoplasia 2: Need for Age-Adjusted Biochemical Screening
Author(s) -
Andreas Machens,
Kerstin Lorenz,
Henning Dralle
Publication year - 2013
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2012-3192
Subject(s) - primary hyperparathyroidism , pheochromocytoma , incidence (geometry) , multiple endocrine neoplasia , medicine , endocrine system , hyperparathyroidism , endocrinology , urology , gastroenterology , biology , hormone , mathematics , biochemistry , geometry , gene
In multiple endocrine neoplasia type 2, American Thyroid Association (ATA) management guidelines recommend continuous biochemical screening for pheochromocytoma and/or primary hyperparathyroidism. This implicit assumption of linear tumor development is difficult to reconcile with current thinking that cells accrue somatic mutations stochastically, yielding a bell-shaped distribution.

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