Atypical MEN Type 2B Associated with Two Germline RET Mutations on the Same Allele Not Involving Codon 918
Fred H. Menko,
Rob B. van der Luijt,
Irene A. J. de Valk,
Arno W. F. T. Toorians,
Jan M. Sepers,
Paul J. van Diest and
Cornelis J. M. Lips
Departments of Clinical Genetics and Human Genetics (F.H.M.), Pathology (P.J.v.D.), and Internal Medicine (A.W.F.T.T.), Vrije Universiteit Medical Center, 1007 MB Amsterdam, The Netherlands; Department of Internal Medicine (J.M.S.), Medical Center Alkmaar, Alkmaar, The Netherlands; and Departments of Medical Genetics (R.B.v.d.L., I.A.J.d.V.) and Internal Medicine (C.J.M.L.), University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands
Address all correspondence and requests for reprints to: Fred H. Menko, M.D., Ph.D., Department of Clinical Genetics and Human Genetics, Vrije Universiteit Medical Center, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands. E-mail: fh.menko.humgen{at}med.vu.nl
A kindred was diagnosed with atypical MEN type 2B characterizedby medullary thyroid cancer and mucosal neurilemmomas in multiplefamily members. Mutation analysis revealed a double RET germlinemutation, Val804Met and Ser904Cys, in affected individuals.The clinical phenotype, the functional effect of the mutations,and the clinical implications of our findings are discussed.
Abbreviations: FMTC, Familial MTC; MEN 2, MEN type 2; MTC, medullarythyroid cancer.
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