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Title: [Multiple endocrine neoplasms associated with Zollinger-Ellison syndrome and hyperparathyroidism]. Author: Tellaroli JC, Charleux H, Semin AM, Parrot B, Fasano JJ, Cain P. Journal: Ann Gastroenterol Hepatol (Paris); 1984; 20(4):199-201. PubMed ID: 6152141. Abstract: We report the case of a 43 year old man with multiple endocrine neoplasia (Zollinger-Ellison syndrome-hyperparathyroidism) diagnosed during investigations for a severe ulcer with diarrhoea. The history suggested Zollinger-Ellison syndrome, especially as basal acid production and blood gastrin levels were high. Hypercalcaemia and low blood phosphate levels suggested hyperparathyroidism, which was confirmed by ultra-sound of the neck, showing two parathyroid adenomas. The aim of treatment was two-fold: suppress the hyperparathyroidism and treat the Zollinger-Ellison syndrome. The approach is surgical in most cases, but the tumour is often impossible to remove and total gastrectomy has become rare with the progress in anti-secretory therapy. When the tumour behind a case of Zollinger-Ellison syndrome cannot be found, complementary chemotherapy is indicated. Other endocrine lesions must always be sought and the family investigated to exclude Wermer syndrome.[Abstract] [Full Text] [Related] [New Search]