ENDOCRINOLOGIA 2010

8/19/2019 ENDOCRINOLOGIA 2010

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ENDOCRINO

HIPÓFISIS


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RESUMEN PREGUNTAS ENDOCRINO (11/AÑO)

HIPÓFISIS (1/AÑO)

TIROIDES (2-3/AÑO)PARATIROIDES (0-1/ AÑO)SUPRARRENALES (2-3/ AÑO)TUMORES PANCREÁTICOS (0/AÑO)

GÓNADAS (2/AÑO)TUMORES TESTICULARES (1/AÑO)MEN-SPI (1-2/AÑO)


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PREGUNTAS ÚLTIMOS AÑOSENDOCRINO ENERO 2010 (10)

CASOS CLÍNICOS-GRAES !ASEDO" (2 PREGUNTAS # UNA FOTO)

PREGUNTAS$

CÁNCER TIROIDESINSUFICIENCIA SUPRARRENALPROLACTINOMAHIPERALDOSTERONISMO

TUMOR TESTICULAR INSUFICIENCIA SUPRARRENAL (DERMA)HIPOCRECIMIENTOCRIPTOR%UIDIA


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HORMONAS


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HORMONAS


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TUMORES

http://www.radpod.org/2008/05/27/craniopharyngioma-2/


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TUMORES


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TUMORES

http://grupos.emagister.com/ficheros/dspfichero?idFichero=388959http://grupos.emagister.com/ficheros/dspfichero?idFichero=388959


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TUMORES

http://shutterbug.ucsc.edu/lobosmarinos/view_photo.php?full=1&set_albumName=album85&id=pituitary_closeup_Photoshop


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TUMORES


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HIPERPROLACTINEMIA

PROLACTINA > 20


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ENDOCRINO

HIPÓFISIS


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ENDOCRINO

HIPÓFISIS


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TRATAMIENTO

CABERGOLINA-MENOS EFECTOS SECUNDARIOS

BROMOCRIPTINA- MEJOR SI SE PLANEA EMBARAZO


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TUMORES


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ENDOCRINO

HIPÓFISIS

http://images.google.es/imgres?imgurl=http://4.bp.blogspot.com/_d8RAUkX89h8/Sv4leOrXz3I/AAAAAAAACj0/DrpP-edq2Fo/s400/diabetesHoy.png&imgrefurl=http://jovenesdeltercermilenio.blogspot.com/2009/11/14-de-noviembre-dia-mundial-de-la.html&usg=__7SFRPzZBT5jVx3L32lEBBzJNMQM=&h=320&w=320&sz=71&hl=es&start=2&sig2=LPXD1bkw7aPEmmBEuQYWvQ&um=1&itbs=1&tbnid=C4ZxjBDfWpYxQM:&tbnh=118&tbnw=118&prev=/images%3Fq%3DDIABETES%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GGLL_es%26tbs%3Disch:1&ei=jNaUS-X0HdGD4Qb819SFDQ


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http://images.google.es/imgres?imgurl=http://4.bp.blogspot.com/_d8RAUkX89h8/Sv4leOrXz3I/AAAAAAAACj0/DrpP-edq2Fo/s400/diabetesHoy.png&imgrefurl=http://jovenesdeltercermilenio.blogspot.com/2009/11/14-de-noviembre-dia-mundial-de-la.html&usg=__7SFRPzZBT5jVx3L32lEBBzJNMQM=&h=320&w=320&sz=71&hl=es&start=2&sig2=LPXD1bkw7aPEmmBEuQYWvQ&um=1&itbs=1&tbnid=C4ZxjBDfWpYxQM:&tbnh=118&tbnw=118&prev=/images%3Fq%3DDIABETES%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GGLL_es%26tbs%3Disch:1&ei=jNaUS-X0HdGD4Qb819SFDQhttp://images.google.es/imgres?imgurl=http://www.arturosuch.com/movimentisalut/wp-content/uploads/2009/10/tunel-carpiano.jpg&imgrefurl=http://www.arturosuch.com/movimentisalut/%3Fp%3D145&usg=__v-CMmveOIzCP0_FFuf_ekXVWKQA=&h=300&w=287&sz=32&hl=es&start=1&sig2=d1k1Y70-GhHNpcYIamGLOA&um=1&itbs=1&tbnid=JhO8YcepPLBgaM:&tbnh=116&tbnw=111&prev=/images%3Fq%3DTUNEL%2BCARPO%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GGLL_es%26tbs%3Disch:1&ei=UNaUS4rfEJOk4Qa5u9mMDQ


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NOVEDADES ENDOCRINO

• PÁGINA 33:

• En Harr!"n #an $"%" &a'"r n"r%a' (ra!!)*r+!,n $"n 75 gramos #+ ')$"!a "ra'.

n&+'+! n/+r"r+! a %$1'(r " n1%'• PÁGINA 34:

• En +' (ra(a%+n(" #+ 'a a$r"%+a'a

a5a#%"! +' PEGVISOMANT an(a"n!(a #+'"! r+$+*("r+!

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TUMORES


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PHP

GOLFITA


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ENDOCRINO

HIPÓFISIS


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ENDOCRINO

HIPÓFISIS

http://4.bp.blogspot.com/__AuwUApfRb4/SchIfPlVD7I/AAAAAAAAEy4/Hd6Ry0QkmTQ/s1600-h/hypothalamus.jpghttp://4.bp.blogspot.com/__AuwUApfRb4/SchIfPlVD7I/AAAAAAAAEy4/Hd6Ry0QkmTQ/s1600-h/hypothalamus.jpghttp://4.bp.blogspot.com/__AuwUApfRb4/SchIfPlVD7I/AAAAAAAAEy4/Hd6Ry0QkmTQ/s1600-h/hypothalamus.jpg


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SIADEH6

7778a)'a%r8+!1ar$9&"!0CARPETA CANCIONES;8 SIADEH6



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NOVEDADES ENDOCRINO

• PÁGINA


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SIADEH6


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SIADEH6


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SEE rT3


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SIADEH6


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SIADEH6


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SIADEH6

http://images.google.es/imgres?imgurl=http://2.bp.blogspot.com/_3VwTXk6CAjI/SwPYS0ydLvI/AAAAAAAAAvU/HYMbMhqqU54/s400/miocardiopatia_dilatada_radiografia.jpg&imgrefurl=http://sdcidad.blogspot.com/2009/11/coracao-aumentado.html&usg=__gxD7oi7vVBiazsYzYEm_JMPYcRA=&h=383&w=376&sz=25&hl=es&start=1&sig2=QxDXkqbNvAU-V_y-PTFJxQ&um=1&itbs=1&tbnid=JILEoxO7tuREfM:&tbnh=123&tbnw=121&prev=/images%3Fq%3Dmiocardiopatia%2Bdilatada%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GGLL_es%26tbs%3Disch:1&ei=BASeS6DxJ8r64AbMjrDOBwhttp://www.mdconsult.com/das/patient/body/0/0/10041/1214_es.jpg


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NOVEDADES ENDOCRINO

• PÁGINA @0:

• E' @0 #+ '"! *a$+n(+! $"n En/+r%+#a# #+Gra&+! *)+#+n (+n+r (a%n an($)+r*"!

TPO ?)+. +n "$a!"n+!. *)+#+ $"n#)$r'+! a'a 'ara a 9*"(r"#!%"8

• PÁGINA @:

• En 'a *a("+na #+ 'a "/(a'%"*a(a #+' Gra&+!!+ #$+ ?)+ +' r+$+*("r *ara 'a TSH *)+#++!(ar *r+!+n(+ +n 'a ,r(a = $"%*"r(ar!+$"%" )n a)("an(+n"8

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OTROS HIPERT3

http://www.hospitales.nisa.es/nuclear/medinuc/endocrinologia/fig3.jpg


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SIADEH6



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NOVEDADES ENDOCRINO

• PÁGINA :

• La (r"#(! $r,n$a $"n (r"("$"!! (ran!("ra+! 3 &+$+! %! /r+$)+n(+ +n %)J+r+! $"n

Da+(+! M+''()! (*" 8• PÁGINA K:

• Ha!(a )n 20 #+ *a$+n(+! $"n Ha!9%"("*)+#+n (+n+r an($)+r*"! an( r+$+*("r #+ 'aTSH ?)+. a #/+r+n$a #+' Gra&+!. +n 'a%a="ra #+ '"! $a!"! n" +!(%)'an a' r+$+*("r.!n" '" '"?)+an8

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NOVEDADES ENDOCRINO

• PÁGINA <• Ha= a#+n"%a! *ara(r"#+"! a!"$a#"! a

()%"r+! %an#)'ar+! +nn"! ?)+ (+n+n

ar+a$,n /a%'ar = +!(n 'a#"! a%)(a$"n+! +n +' +n HRPT28


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NOVEDADES ENDOCRINO

• PÁGINA 4


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CUSHING


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ENFERMEDADES

DE LAS GÓNADAS

FISIOLOGA TESTCULO


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FISIOLOGA TESTCULOP)'!"! #+ LHRH

LH

LEYDIG TESTOSTERONA

(-)

FSH

SERTOLI ESPERMATOGÉNESIS(túbulossemin!e"os)

"e#ul$n

(%)

in&ibin$(-)

(%)

(%)

'-Al!$-"eut$s$(te*+ ,e"i!"ios)

DIHIDROT.

.i"ili/$i0ne1te"n$ 2 m$u"$i0nse1u$l

ESTRÓGENOS

A"om$t$s$

(te*+$i,oso)

EM3RIOG4NESIS5• T 6 7ol8 •DHT 6

FISIOLOGA OVARIO


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FISIOLOGA OVARIO

Teca

GranulosaLDL

9oleste"ol

An"ostenion$LH

An"ostenion$

EstradiolFSH

FASE FOLI9:LAR FASE L;TEA

9oleste"ol

ProgesteronLH


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FISIOLOGA OVARIOLH

FSH

ESTRÓGENOS


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PUERTAD $"n$+*("!NIÑAS

• 6- AÑOS! A"r#$ar%&'a↑ andrógenos suprarrenales

(DHEAs) ACTH independiente.

Pulsos nocturnos de LHRH

• ()-(( AÑOS! Cara*+#r#s ,os T+'ar?)a '" *r%+r"%a%a+!(r,+n"!

2 P)ar?)a = a'ar?)aan#r,+n"!

• (, AÑOS! MENARUIA .#s+'r/$0

Un"! 2 a5"! (ra! +' "(,n%a%ar"8 D+!*)! +n "+!a!8E' +!(ra#"' $+rra +*/!!8

NIÑOS

I)a'

()-(( AÑOS! Cara*+#r#s ,os!↑V"')%+n (+!($)'ar '" *r%+r"8

T+!("!(+r"na:- V" ra&+. %)!$)'ar. 7"'//.

+!*+r%a("n+!!. "!/$a$,nD9#r"(+!("!(+r"na:- G+n(a'+! +(+rn"!. &+''".

*r,!(a(a. a$n. $a#a #+' *+'"8


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PUERTAD PRECO

• CENTRAL O 1ERDADERA 2L3R3-DEPENDIENTE4

A$(&a$,n *r+$" #+' +J+ LHRH : FSH1LH

• PERIFRICA O L3R3-INDEPENDIENTE

S+$r+$,n #+ +!(r,+n"! " (+!("!(+r"naa*ar(+:

QFSH1LH

PP GnRH DEPENDIENTE "


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PP GnRH DEPENDIENTE "$+n(ra'

NIÑOS

• a5"!8 FSH1LH

• A#+'an(" #+ +#a# ,!+a

• T+!("!(+r"na (+!($)'"!

• Trastornos del SNC(a!arto!as" in#ecciones"

!asas$).• An'""! #+ 'a

LHRH*r+&+nr (a''a aJa "$"rr+$$,n #+ 'a $a)!a8

NIÑAS

• @ a5"!8 FSH1LH

• A#+'an(" #+ +#a# ,!+a8

• E!(r,+n"! a)%+n(a#"!%+n!(r)a$,n8

• %diop&tica. Despu's lasalteraciones del SNC

• An'""! #+ 'a LHRH*r+&+nr (a''a aJa "$"rr+$$,n #+ 'a $a)!a8

PP LHRH

•Isose1u$l5 > se1o ,"o,io


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PP LHRHINDEPENDIENTE

NIÑOS

• an#r,+n"!: QFSH1LH• Causas típicas:- T)%"r+!19*+r*'a!a

(+!($)'ar+! '+=#8

- T)%"r+! !+$r+("r+!"na#"(r"*na! HCG8- T+!("("$"!!8

NIÑAS

• +!(r,+n"!: QFSH1LH

• Causas típicas:

• )!(+! " ()%"r+! "&r$"!

()%"r+! $'! (+$a " ran)'"!a.#!+r%n"%a!. (+ra("%a!.$!("a#+n"%a! = $ar$n"%a!

, ,•Hete"ose1u$l5 =i"ili/$i0nni?$s2 m$sulini/ ni?os+

Causas comunes:

-Hi,e",l$si$ su,"$""en$l- Tumo"es $"en$les-M9une Alb"i#&t-Hi,oti"oiismo ,"im$"iose=e"o-A o"te e10 eno &o"mon$l+

TRATAMIENTO5-In&ibio"es este"oio#nesis(@etoon$/ol o $et$to e me"o1i


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Pr+$"$#a# !+)a' n$"%*'+(a

• T#ar%&'a a'sa"a 2 7 a8os4- A)%+n(" (ran!("r" #+ +!(r,+n"!8- A)("'%(a#"8

- N" a)%+n(" #+ 'a +#a# ,!+a8• P&9ar%&'a o a:'ar%&'a ;r#*o*#s!- S+$r+$,n *r+$" #+ !)*rarr+na'+!8- D/$' #+ #!(n)r #+ *r+$"$#a#

9+(+r"!+)a' HSC " ()%"r+! !)*rarr+na'+!8N" $'("r%+a'a8

- N" *)+r(a# *r+$"8 N" (ra(a%+n("8- A!"$a#" a "+!#a#. n!)'n+%a = SOP8


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INCOMPLETA


67/89

INCOMPLETA• N5a 3 a8 " n5" 4 a8 $"%n +n n5"!8

CAUSAS:(4R#+raso *o$s+'+&*'o$a: HF. r+(ra!" +!(a()ra =

%a#)r+ ,!+a8 0,43';ogo$a"'smo 43';o0 3';#rgo$a"o+r/='*o:- 'n+/+'(+r. a*'a!a L+=#. ()rn+r. #!+n+!a "na#a'.an"r?)a. a#?)r#" RT. "r?)(!. $a!(ra$,nW

AMENORR


68/89

AMENORREA

ALTERACIONES ANAT?MICAS

• S# #+ Ma=+r R"X(an!X=• S# #+ A!9+r%an• O(ra!: 9%+n %*+r/"ra#". (a?)+! (ran!&+r!"!WINSUFICIENCIA O1@RICA 2


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AMENORREA) Des$"t$" emb$"$/oK) H9 2 e1,lo"$i0n !si$

"# MEDIR ESTR$GENOS

Muos$ moo+

DAR GESTGENOS Y S:S


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ALTERACIONES DE LADIFERENCIACIÓN SE[UAL

SE[O CROMOSÓMICO

• SD LINEFELTER• SD DEL VARÓN [[•

DISGENESIA GONADAL TURNER• DISGENESIA GONADAL MI[TA• HERMAFRODITISMO VERDADERO

LINEFELTER 2


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2 4

• E' %! /r+$ TDS 1


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CROMOSÓMICOSA+#ra*'/$ Cromosom

aG/$a"a G#$'+a#s

'$+#r$osG#$'+a#s#:+#r$os

Cara*+#-rs+'*as

'n+/+'(+r 4K [[\ "4[\14K[[\

Ha'na$,n (+!($)'"!

H"%r+ H"%r+ V+r an(+r"r

Var,n [[ 4 [[(ran!'"$a$,n SR\ "

[\

Ha'na$,n (+!($)'"!

H"%r+ H"%r+ ] 'n+!a'&":Ta''a aJa.

9*"!*a#a!. n" r+(ra!"8

T)rn+r 4< [O4< [O14[[

Cn(''a"na#a'

M)J+r In/an('!%"/+%+nn"

V+r an(+r"r

D!+n+!a

"na#a'%(a

4< [O14[\ T+!($)'"

Cn(''a$)#a#"()%"r+!

Vara'+ Vara'+

%)J+r

E(r*ar

+!(ra!"na#a'+! =(+!($)'"!a#"%na'+!8

H+r%a/8

&+r#a#+r"

4 [[

4 [\W

T+!("&ar"

O&"(+!(+

Vara'+ Vara'+ Man(+n+r

/+n"(*" #+

ALTERACIONES DE LA


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SE[O GONADAL:• DISGENESIA GONADAL PURA• Car"(*" n"r%a' 4 [\ " 4 [[ *"r %)(a$"n+! #+

+n+! +!+n$a'+! *ara +' #+!arr"''" "na#a'

?)+#an#" *"r #+/+$(" !+" /+%+nn"• ]#!8"na#a' T)rn+r $"n !)! an#a! /r"!a! !a'&"?)+ n" (+n+ %an/+!(a$"n+! !"%($a! n (a''a aJa8

• SD DEL TESTCULO AUSENTE• 4 [\• E' (+!(+ #+!a*ar+$+ n" !+ !a+ *"r ?) = ?)+#a

$"%" /+n"(*" %)J+r *+r" !n +!(r)$()ra! %)''+rana!*"r 9"r%"na an(%)''+rana8

• S > ! #a (+%*" a ?)+ !+ #+!arr"''+ &ar,n8

ALTERACIONES DE LADIFERENCIACIÓN SE[UAL

RESUMEN TRASTORNOS CROMOS MICOS =GONADALES


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GONADALESA+#ra*'/$ Cromosoma G/$a"a G#$'+a#s

'$+#r$osG#$'+a#s#:+#r$os

Cara*+#-rs+'*as

'n+/+'(+r 4K [[\ "4 [\14K[[\

Ha'na$,n(+!($)'"!

H"%r+ H"%r+ V+r an(+r"r

Var,n [[ 4 [[(ran!'"$a$,nSR\ " [\

Ha'na$,n(+!($)'"!

H"%r+ H"%r+ ] 'n+ !a'&":Ta''a aJa.9*"!*a#a!. n"r+(ra!"8

T)rn+r 4< [O4< [O14[[

Cn(''a!"na#a'+!

M)J+r *"$"#+!arr"''a#a!

In/an('!%"/+%+nn"

V+r an(+r"r

D!+n+!a"na#a' %(a

4< [O14[\ T+!($)'" Cn(''a

$)#a#"()%"r+!

Vara'+ Vara'+ %)J+r

E(r*ar +!(ra!"na#a'+! =(+!($)'"!a#"%na'+!8

H+r%a/8&+r#a#+r"

4 [[4 [\W

T+!("&ar"O&"(+!(+

T+!(1"&ar"

Vara'+ Vara'+ Man(+n+r/+n"(*" #+

$ranaD!+n+!a"na#a' *)ra

N"r%a' 4 [[O 4 [\

Cn(''a!"na#a'+!

M)J+r *"$"#+!arr"''a#a!

In/an('!%"/+%+nn"

] T)rn+r !n%an/!"%($a! n(a''a aJa

S# #+' (+!($)'"a)!+n(+

4 [\ n"r%a' An"r?)a N" +!(r)$()ra!%)''+rana! n(+!($)'"!

In/an('!%"/+%+nn"&ar,n ! >!

F+n"(*" %)J+r

SE[O FENOTPICO9"omosom$s 2 #0n$$s


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SE[O FENOTPICO

PSEUDOHERMAFRODITISMO FEMENINO

• 3';#r;as'a s&;rarr#$a *o$g$'+a

• D/$( #+ 2-9#r"'a!a8• D/$( #+ 3-^-"'-#+!9#r"+na!a

• D/$( #+ -^-9#r"'a!a

• S'$ 3SC: R"X(an!X= 2 $a)!a #+ a%+n"rr+aY

no"m$les

SE[O FENOTPICO


76/89

SE[O FENOTPICOPSEUDOHERMAFRODITISMO MASCULINO

A4A+#ra*'o$#s "# a s$+#s's "# a$"r/g#$os!• C"n HSC: - D/$( #+ 20-22 #+!%"'a!a

- D/$( #+ K-OH a!a - D/$( #+ 3-^"'-#+!9#r"+na!a

• Sn HSC: - D/$( #+ K-20 #+!%"'a!a - D/$( #+ K-^-"'-DHB4 A+#ra*'o$#s "# a a**'/$ "# a$"r/g#$os!• D/$( #+


77/89

H*+r*'a!a !)*rarr+na'Pa+ooga E=#*+o F's'o;a+ooga C$'*a O+ras *osas

D='*'+ ,(-O3

(cro!oso!a *)

Vr'a$,n

n5a!P)+r(a#*r+$" n5"!

C"r(!"' =

a'#"!(+r"na Q An#r,+n"!

In!)/$+n$a

!)*rarr+na'

K-OH-PROG

T+!( ACTH) 3SCTTO: 2_8CTC8

D='*'+ "# >-Ho-

"#s


78/89

H"r%"na! !)*rarr+na'+!9oleste"ol

K-KK esmol$s$


79/89

9oleste"ol

K-KK esmol$s$


80/89

D='*'+ "# >-Ho-"#s


81/89

D='*'+ "# (( H


82/89

D='*'+ "# ,) ,, "#smoasa

9oleste"ol

K-KK esmol$s$


83/89

9oleste"ol

K-KK esmol$s$


84/89

ANDRÓGENOS• DFICIT 5REDUCTASA!

• T n"r%a': 7"'//1+!*+r%a("n+!! 1-N" n+$"%a!(a• DHT #!%n)#a: #+/$+n(+ &r'a$,n = +!$a!a #/+r+n$a$,n

!+)a'8• ALT RECEPTORES:

• Morr's: a)!+n$a ("(a'8 F+%na$,n $"%*'+(a8 $a)!a #+ *!+)#"9+r%a/r"#(!%"Ma!$)'n"8 E(r*ar (+!($)'"! n+"!8"'//-1%)''+r-1+!*+r%a("n+!!-•

F#m'$'a*'/$ +#s+'*&ar '$*om;#+a: Vr'a$,n *ar$a'"'//-1%)''+r-1+!*+r%a("n+!!- 8• R#'=#$s+#'$! S%'ar a' an(+r"r8• S" Kar/$ #s+r'! %)''+r-17"'//1+!*+r%a("n+!! - 8G+n(a'+! +(+rn"! %a!$)'n"!

TUMORES TESTICULARES


85/89


EPIDEMIOLOGA \ GEN6TICA:

• N5"! = a#)'("!


86/89



87/89

TUMORES TESTICULARESDIAGN?STICO!

•C'n$a: %a!a. a)%+n(" #+ (a%a5". #"'"r • E$"ra/a

• "!a n)na' a'(a #-(("

TRATAMIENTO!

ESTADO SEMINOMA NO SEMINOMA

I +n (+!($)'" Or?)+$("%a OR Ra#"(+ra*aOR R+!+$$,nan'"! r+(r"*+r("n+a'+!

IIan'"!


88/89

IMPRESCINDI!LES - 1


LA INCIDENCIA ESTÁ DECRECIENDOMÁS FRECUENTE EN !LANCOSISOCROMOSOMA !RA&O CORTO CROM 12PRESENTACIÓN$ MASA INDOLORADIAGNÓSTICO$ ECOSI MASA$ OR%UIECTOMÍAMARCADORES$ LDH' ALFA FP (EM!RIO' S O SE)' HCG (CORIO' EM!RIO)

ESTADIOS (# TTO SEMINOMAS NO SEMINOMAS)IA$ TESTÍCULO (T1) R*T DGR (O!S+)I!$ IDEM CON INASIÓN ASCULAR/LINFÁTICA (T2)E*TENSIÓN A LA AL!UGÍNEA (T2)' CRODÓN ESPERMÁTICO (T3) O ESCROTO(T,) R*T - DGR IIA$ GANGLIOS MENORES 2 . R*T DGR %TII!$ DE 2 A . R*T DGR /- %T

IIC$ MA#ORES DE . %T %T (SEGUIDA DE DGR)III$ METÁSTASIS %T %T (C DE METÁSTASIS)

RESUMEN$ SEMINOMA GG . 4 R*T 5 . 4 %TRESUMEN$ NO SEMINOMA GG 2 . 4 DGR6 5 2 . %T DGR

NOTA DGR$ DISECCIÓN GG RETROPERITONEALES

IMPRESCINDI!LES - 2


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IMPRESCINDI!LES - 2MEN

GENESMEN 1$ MENINA (117)

MEN 2$ PROTOONCOG8N RET (9:;?= @:B@?> @ @@=B:9)

CLÍNICA$MEN 1$-HIPERPARATIROIDISMO (.9 ::=B:)-TUMORES DE PÁNCREAS-TUMORES HIPOFISARIOS-MÁS RAROS

-TUMORES ADRENALES (FEOCROMOCITOMA ES MU# RARO)

-TUMORES CARCINOIDES-LIPOMAS' LEIOMIOMAS CUTÁNEOS' ANGIOFI!ROMASJ

MEN 2$-CARCINOMA MEDULAR TIROIDEO (.9 ::=B:)-FEOCROMOCITOMA-HIPERPLASIA O ADENOMA DE PARATIROIDES-ARIANTES$

-MEN 2A CON LI%UEN AMILOIDÓTICO CUTÁNEO-MEN 2A CON ENFERMEDAD DE HIRCHSPRUNG-MEN 2! CON NEUROMAS MUCOSOS # DIGESTIOS # HÁ!ITO MARFANOIDE

SÍNDROMES MI*TOS-ON HIPPEL LINDAU$ CON FEOCROMOCITOMA TUMOR PÁNCREAS CÁNCER RENAL-NEUROFI!ROMATOSIS ASOCIADA A MEN 1 MEN 2

Ó Ó

ENDOCRINOLOGIA 2010

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