Seven sporadic and one MEN2A patient (6%) died due to distant metastases.
It is well-known that early PTx reduces cancer mortality to lower than 5% in MEN2A patients (27).
MEN2A is frequently caused by the mutations in codons 634, 620, 618, 611, 609.
Sanchez et al (34) reported that the most frequent RET mutation in MEN2A Spanish families was C634Y, occurring in 73% (22/30) of cases and this finding was attributed to founder effect.
Do the recent American Thyroid Association (ATA) Guidelines accurately guide the timing of prophylactic thyroidectomy in MEN2A? Surgery 2010;148:1302-1309.
RET proto-oncogene mutations are restricted to codons 634 and 918 in mainland Chinese families with MEN2A and MEN2B.