A 28-year-old man presents with recurrent nephrolithiasis and refractory peptic ulcer disease. Vital signs are stable (BP 128/82, HR 88, RR 16, Temp 37°C). Laboratory studies reveal hypercalcemia (10.8 mg/dL), elevated fasting gastrin (450 pg/mL), and normal glucose (95 mg/dL). Serum PTH is elevated. MRI brain demonstrates a 1.2-cm pituitary lesion. He denies thyroid symptoms. Which gene is most likely mutated in this patient?
- A)TP53 tumor suppressor gene
- B)NF1 tumor suppressor gene
- C)MEN1 tumor suppressor gene encoding meninGABARITO
- D)VHL tumor suppressor gene
- E)RET proto-oncogene
Explicação
MEN 1 is characterized by the 3 Ps: parathyroid tumors, pancreatic endocrine tumors, and pituitary adenomas, caused by germline MEN1 mutation. Ver explicação completa e trilha adaptativa →