This protocol addresses patients with Multiple endocrine neoplasia type 1 (MEN1) who have developed a thymic neuroendocrine tumour — a recognised and particularly serious complication of MEN1.
Thymic neuroendocrine tumours occur in approximately 2–8% of individuals with MEN1, yet they account for a disproportionately high share of MEN1-related deaths due to their aggressive behaviour. Early recognition and appropriate management are therefore critical in this sub-population.
For locoregional thymic neuroendocrine tumour disease in MEN1, the evidence points to a surgical approach as the primary intervention — though the full clinical algorithm, patient selection criteria, and accompanying considerations are detailed in the complete protocol.
DOI: 10.1016/S2213-8587(25)00119-6
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