The presence of 2 or more of the main MEN1-associated tumors (parathyroid adenoma/hyperplasia, enteropancreatic/GEP-NET, or pituitary adenoma).
The presence of 1 of the main MEN1-associated tumors in a first-degree relative of a patient with a clinical diagnosis of MEN1.
The identification of a germline MEN1 mutation in an individual who may or may not (yet) have developed clinical or biochemical features.
Primary hyperparathyroidism is the most common and often initial manifestation of MEN1, occurring in > 95% of patients by age 40–50.
Clinical practice guidelines for multiple endocrine neoplasia type 1 (MEN1).
MEN1 Staging