Evidence map›Paper›PMID 42729617›Full record

ArticleUpsala journal of medical sciences2026

Multiple endocrine neoplasia type 1 with concurrent Cushing's disease, prolactinoma, and multifocal pancreatic neuroendocrine tumors including insulinoma: a case report.

Beatriz Tavares da Silva, Diogo Brandão Neves, Maria Teresa Pereira, Carolina Noronha, Isabel Ribeiro, Cláudia Amaral

Abstract readCase Reports
In one paragraph

Article in Upsala journal of medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Beatriz Tavares da SilvaClinical Outpatient of Endocrinology, Unidade Local de Saúde de Santo António, Porto, Portugal.
Diogo Brandão NevesClinical Outpatient of Endocrinology, Unidade Local de Saúde de Santo António, Porto, Portugal.
Maria Teresa PereiraClinical Outpatient of Endocrinology, Unidade Local de Saúde de Santo António, Porto, Portugal.
Carolina NoronhaClinical Outpatient of Neurosurgery, Unidade Local de Saúde de Santo António, Porto, Portugal.
Isabel RibeiroClinical Outpatient of Neurosurgery, Unidade Local de Saúde de Santo António, Porto, Portugal.
Cláudia AmaralClinical Outpatient of Endocrinology, Unidade Local de Saúde de Santo António, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple Endocrine Neoplasia type 1 Case presentation: A 28-year-old man presented with adrenocorticotropic hormone-dependent hypercortisolism and progressive cushingoid features. Pituitary Magnetic Resonance Imaging revealed a microadenoma, confirmed as a PitNET on histopathology. Concurrent PHPT and genetically confirmed MEN1 (splice-site pathogenic variant c.825-1G>A) were identified. Transsphenoidal surgery failed to achieve remission, and metyrapone provided partial control. Subtotal parathyroidectomy resulted in persistent PHPT. Imaging revealed multifocal pancreatic NETs with biochemically confirmed insulinoma. Lanreotide achieved complete resolution of hypoglycemia, while Conclusion: This case highlights the complexity of MEN1 with multiple functioning tumors and the clinical impact of hormonal interactions. It underscores the importance of multidisciplinary, individualized management, particularly when tumor multifocality limits surgical options. It also emphasizes the need to recognize complex endocrine syndromes in general clinical practice.

Indexed as

InsulinomaMultiple Endocrine Neoplasia Type 1Neuroendocrine TumorsPancreatic NeoplasmsPituitary ACTH HypersecretionPituitary NeoplasmsProlactinomaAdultHumansMagnetic Resonance ImagingMalePositron Emission Tomography Computed TomographyCushing’s diseasediagnostic imaginginsulinomaMultiple endocrine neoplasia type 1

Identifiers

PMID42729617
PMCPMC13563435

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