Pregnancy planning and management in patients with multiple endocrine neoplasia type 1

Mokrysheva N.G., Krupinova Yu.A., Eremkina A.K., Dobreva E.A., Podluzhnyi D.V., Melnichenko G.A.

1) National Medical Research Center of Endocrinology, Ministry of Health of Russia, Moscow, Russia; 2) N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia, Moscow, Russia
Background. Each case of pregnancy in patients with multiple endocrine neoplasia type 1 (MEN-1) should be followed up by an interdisciplinary team of physicians, which is a prerequisite for the effective control of outcomes for both the mother and the fetus. Publications on this topic are quite limited in foreign literature, and Russian articles have not yet been submitted.
Description. The paper gives two cases of successful pregnancy management in patients with the classical phenotype of MENP-1, which was verified before conception with a favorable outcome for the mother and the baby. One of the patients was recorded during pregnancy to have progressive pancreatic tumor growth, which required subtotal resection after delivery.
Conclusion. The main therapeutic goal in the planning and managing of pregnancy in patients with MEN-1 is to correctly and consistently control its associated diseases, by analyzing the risk/benefit ratio for the chosen tactics.

Keywords

multiple endocrine neoplasia type 1
pregnancy
primary hyperparathyroidism
pancreatic neuroendocrine tumors

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Received 04.06.2019

Accepted 21.06.2019

About the Authors

About the authors:
Natalia G. Mokrysheva, Sc.D., Professor, Endocrinology Research Centre, ORCID:0000-0002-9717-9742, eLibrary SPIN:5624-3875; 8(495)500-00-63; e-mail: parathyroid.enc.@gmail.com. 11 Dm. Ulyanova street, 117036 Moscow.
Julia A.Krupinova MD, researcher of Endocrinology Research Centre, ORCID:0000-0001-7963-5022;SPIN-код:6279-8247;e-mail: j.krupinova@gmail.com; 11Dm. Ulyanova street, Moscow.
Anna K. Eremkina, Ph.D., researcher, Endocrinology Research Centre, ORCID: 0000-0001-6667-062X; e-mail:parathyroid.enc.@gmail.com11 Dm.Ulyanova street, 117036 Moscow, Russian Federation.
Ekaterina A. Dobreva, Ph.D, researcher, Endocrinology Research Centre, ORCID: 0000-0002-8916-7346; eLibrary SPIN: 3405-2467; e-mail: dobrevae@mail.ru 11 Dm.Ulyanova street, 117036 Moscow.
Danil V. Podluzhnyi, Ph.D, Blokhin Russian Cancer Research Center, Moscow ORCID: 0000-0001-7375-3378; eLibrary SPIN-код: 3537-3436; e-mail: dr.podluzhny@mail.ru.
Galina A. Melnichenko, MD, PhD, Professor, Endocrinology Research Centre, eLibrary SPIN-код: 8615-0038; ORCID: 0000-0002-5634-7877; e-mail: teofrast2000@mail.ru 11 Dm.Ulyanova street, 117036 Moscow, Russian Federation.

For citations: Mokrysheva N.G., Krupinova Yu.A., Eremkina A.K., Dobreva E.A., Podluzhnyi D.V., Melnichenko G.A. Pregnancy planning and management in patients with multiple endocrine neoplasia type 1.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 11: 226-32. (In Russian).
https://dx.doi.org/10.18565/aig.2019.11.226-232

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