{"id":2559,"date":"2009-02-28T23:37:40","date_gmt":"2009-02-28T23:37:40","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/endmen\/"},"modified":"2025-05-14T19:11:31","modified_gmt":"2025-05-14T19:11:31","slug":"endmen","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/endmen\/","title":{"rendered":"Diagn\u00f3stico de S\u00edndromes de Neoplasia Endocrina M\u00faltiple"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Los s\u00edndromes de neoplasia endocrina m\u00faltiple (MEN) son afecciones autos\u00f3micas dominantes poco frecuentes que predisponen a los individuos afectados a tumores benignos y malignos de la hip\u00f3fisis, tiroides, paratiroides, gl\u00e1ndulas suprarrenales, p\u00e1ncreas endocrino, paraganglios u \u00f3rganos no endocrinos.<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td width=\"155\"><strong>S\u00edndrome<\/strong><\/td>\n<td width=\"156\"><strong>Gen mutado<\/strong><\/td>\n<td width=\"287\"><strong>Manifestaciones<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"155\">MEN1<\/td>\n<td width=\"156\">MEN1<\/td>\n<td width=\"287\">Hiperparatiroidismo primario (usualmente hiperplasia de cuatro gl\u00e1ndulas), adenomas hipofisarios anteriores, tumores del p\u00e1ncreas endocrino y duodeno, carcinoides embrionarios<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">MEN subtipo 2A<\/td>\n<td width=\"156\">Proto-oncogen RET<\/td>\n<td width=\"287\">C\u00e1ncer medular de tiroides, feocromocitoma, hiperparatiroidismo primario (usualmente adenoma \u00fanico), amiloidosis liquen cut\u00e1neo, enfermedad de Hirschsprung<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">MEN subtipo 2B<\/td>\n<td width=\"156\">Proto-oncogen RET<\/td>\n<td width=\"287\">C\u00e1ncer medular de tiroides, feocromocitoma, h\u00e1bito corporal marfanoide, caracter\u00edsticas faciales que resultan de neuromas mucosos, ganglioneuromatosis del tracto gastrointestinal<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">C\u00e1ncer medular de tiroides familiar<\/td>\n<td width=\"156\">Proto-oncogen RET<\/td>\n<td width=\"287\">C\u00e1ncer medular de tiroides en al menos cuatro miembros de la familia, con ausencia documentada de otras endocrinopat\u00edas<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">S\u00edndrome de tumor hiperparatiroidismo-mandibular<\/td>\n<td width=\"156\">HRPT2<\/td>\n<td width=\"287\">Hiperparatiroidismo primario (usualmente adenoma \u00fanico), fibromas osificantes de maxilar o mand\u00edbula, quistes renales y hamartomas, 15% de riesgo de carcinoma paratiroideo<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">Hiperparatiroidismo familiar aislado<\/td>\n<td width=\"156\">MEN1, HRPT2, CASR, otro<\/td>\n<td width=\"287\">Hiperparatiroidismo primario no sindr\u00f3mico<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">Hipercalcemia hipocalci\u00farica familiar<\/td>\n<td width=\"156\">CASR<\/td>\n<td width=\"287\">Hipercalcemia benigna; de manejo m\u00e9dico \u00fanicamente<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">S\u00edndrome de von Hippel-Lindau (VHL)<\/td>\n<td width=\"156\">VHL<\/td>\n<td width=\"287\">Feocromocitoma, hemangioblastoma retinal y del sistema nervioso central, quistes renales y carcinoma de c\u00e9lulas claras, quistes pancre\u00e1ticos y tumores de c\u00e9lulas de islotes, tumores del saco endolinf\u00e1tico, cistadenomas papilares del epid\u00eddimio y ligamento ancho<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">Feocromocitoma familiar \/ s\u00edndrome paraganglioma<\/td>\n<td width=\"156\">SDHB, SDHC, SDHD<\/td>\n<td width=\"287\">Paragangliomas m\u00faltiples y feocromocitoma<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">Neurofibromatosis tipo I<\/td>\n<td width=\"156\">NF1<\/td>\n<td width=\"287\">Feocromocitoma, rasgos f\u00edsicos caracter\u00edsticos (por ejemplo, manchas caf\u00e9 con leche, neurofibromas, pecas axilares e inguinales)<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">S\u00edndrome Cowden<\/td>\n<td width=\"156\">PTEN<\/td>\n<td width=\"287\">C\u00e1ncer no medular de tiroides (usualmente folicular antes que papilar); tumores benignos y malignos de piel, mucosa oral, mamas, y \u00fatero<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">Poliposis adenomatosa familiar<\/td>\n<td width=\"156\">APC<\/td>\n<td width=\"287\">Cientos de p\u00f3lipos adenomatosos de colon, c\u00e1ncer de colon, variante morular cribriforme de c\u00e1ncer papilar de tiroides<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">Complejo Carney<\/td>\n<td width=\"156\">PRKAR1A<\/td>\n<td width=\"287\">Tumores endocrinos (incluyendo tiroideos, pituitarias, enfermedad adrenocortical nodular pigmentada primaria), caracter\u00edstica pigmentaci\u00f3n de la piel, mixomas, schwannomas melan\u00f3ticos<\/td>\n<\/tr>\n<tr>\n<td width=\"155\">C\u00e1ncer tiroideo no medular familiar<\/td>\n<td width=\"156\">Desconocido<\/td>\n<td width=\"287\">C\u00e1ncer tiroideo\u00a0no medular no sindr\u00f3mico<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Callender GG, Rich TA, Perrier ND. Multiple endocrine neoplasia syndromes. Surg Clin North Am. 2008 Aug;88(4):863-95\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18672144\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Nov 01, 2008<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Los s\u00edndromes de neoplasia endocrina m\u00faltiple (MEN) son afecciones autos\u00f3micas dominantes poco frecuentes que predisponen a los individuos afectados a tumores benignos y malignos de la hip\u00f3fisis, tiroides, paratiroides, gl\u00e1ndulas suprarrenales, p\u00e1ncreas endocrino, paraganglios u \u00f3rganos no endocrinos.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[123,13,1713,1712,1322,469,1711,1405,1710,1657],"class_list":["post-2559","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-diagnosis","tag-diagnostico","tag-endocrina","tag-endocrine","tag-endocrinology","tag-multiple","tag-neoplasia","tag-oncology","tag-sindromes","tag-syndromes"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2559","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2559"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2559\/revisions"}],"predecessor-version":[{"id":9089,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2559\/revisions\/9089"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}