Multiple endocrine neoplasia type 1 with a frameshift mutation in its gene accompanied by a giant cervical lipoma and multiple fatty deposits in the pancreas: case report

摘要

(A) Contrast-enhanced brain MRI. Neoplastic lesion was observed in the pituitary fossa (red circle). Infiltration of the tumor to all directions was observed. Its maximal diameter was approximately 50 mm, and it was a mixture of solid and cystic lesion. The cystic lesion seemed to be hematoma. Invasion of the cavernous sinus and compression of the optic nerve were also observed. (B) (Left panel) A large elastic mass was observed in right cervical region (green circle). (Right panel) The mass was clearly observed in neck ultrasonography. The view in this ultrasound image was transverse. (C) In neck ultrasonography, two parathyroid tumors were observed which maximal diameters were 38 mm (arrows) and 14 mm (arrow heads), respectively. The view in this ultrasound image was transverse