Table 3.
PNET-associated genetic disorders
| Syndrome | Gene/ inheritance | Incidence of PNETs | Associated features | Differences from incidental |
|---|---|---|---|---|
| Multiple Endocrine Neoplasia Type 1 | MEN1 / AD | ~60% | Hyperparathyroidism 95%; pituitary adenoma 40%; duodenal NET, adrenal adenoma, lung & thymus NET, lipoma, angiofibroma |
Multifocal microadenomas |
| Von Hippel-Lindau | VHL / AD | ~15% | Cranial and retinal hemangioblastoma 70%; renal cell carcinoma 90%; pheochromocytoma 15%; endolymphatic cell tumor 10%. |
|
| Neurofibromatosis Type 1 | NF1 /AD | <10% | Neurofibroma, optic glioma, café au lait spot, Lisch nodule | Somatostatinomas |
| Tuberous Sclerosis | TSC1 / AD | Rare | Multiorgan hamartoma, epilepsy, angiofibroma, mental retardation | |
| Glucagon cell hyperplasia and neoplasia | GCGR / AR | Rare | Nesidioblastosis with α cell hyperplasia; High plasma glucagon without diarrhea, rash or diabetes 39 |
AD: autosomal dominant; GCGR: glucagon receptor gene; MEN1: multiple endocrine neoplasia type 1; NF1: neurofibromatosis type 1; TSC1: tuberous sclerosis complex subunit 1; VHL: Von Hippel-Lindau.