TY - JOUR TI - Bilateral adrenocortical carcinoma in a patient with multiple endocrine neoplasia type 1 (MEN1) and a novel mutation in the MEN1 gene AU - Griniatsos, J.E. AU - Dimitriou, N. AU - Zilos, A. AU - Sakellariou, S. AU - Evangelou, K. AU - Kamakari, S. AU - Korkolopoulou, P. AU - Kaltsas, G. JO - World Journal of Surgical Oncology PY - 2011 VL - 9 TODO - null SP - null PB - SN - 1477-7819 TODO - 10.1186/1477-7819-9-6 TODO - dopamine receptor stimulating agent; insulin glargine; MEN1 protein, human; oncoprotein, abdominal obesity; adrenal cortex carcinoma; adrenalectomy; adult; article; case report; dexamethasone suppression test; diabetes mellitus; exon; female; gene mutation; hemangiofibroma; human; hypophysis adenoma; lipid storage; menstrual irregularity; moon face; multiple endocrine neoplasia; nephrectomy; nuclear magnetic resonance imaging; pancreas carcinoma; parathyroid hyperplasia; prolactinoma; adrenal cortex carcinoma; adrenal cortex tumor; genetics; multiple endocrine neoplasia; mutation; pathology; prognosis, Adrenal Cortex Neoplasms; Adrenocortical Carcinoma; Adult; Exons; Female; Germ-Line Mutation; Humans; Multiple Endocrine Neoplasia Type 1; Prognosis; Proto-Oncogene Proteins TODO - The incidence of adrenal involvement in MEN1 syndrome has been reported between 9 and 45%, while the incidence of adrenocortical carcinoma (ACC) in MEN1 patients has been reported between 2.6 and 6%. In the literature data only unilateral development of ACCs in MEN1 patients has been reported. We report a 31 years-old female MEN1-patient, in whom hyperplasia of the parathyroid glands, prolactinoma, non functioning pancreatic endocrine carcinoma and functioning bilateral adrenal carcinomas were diagnosed. Interestingly, a not previously described in the literature data, novel germline mutation (p.E45V) in exon 2 of MEN1 gene, was detected. The association of exon 2 mutation of the MEN1 gene with bilateral adrenal carcinomas in MEN1 syndrome, should be further investigated. © 2011 Griniatsos et al; licensee BioMed Central Ltd. ER -