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Background and Objectives:Multiple Endocrine Neoplasia type 2A (MEN 2A) is a syndrome that encompases medulary thyroid carcinoma, pheochromocytoma, and hyperparathyroidism. Since MEN 2A is inherited as autosomal dominant, early de-tection and treatment is crucial. A genetic analysis of RET proto-oncogene of the family members of an index patient diagnosed as MEN 2A is reported. Subjects and Method:A patient diagnosed as MEN 2A and his 13 family members acros two gener-ood leukocyte of family members and PCR amplification of exons 10, 11, 13, 14, 15, and 16 was performed, folowed by investigation of point mutation on the RET proto-oncogene using a DNA sequence analyzer. Cervical ultrasonography was caried out in the 3 nephews who were revealed to have RET proto-oncogene point mutation. Results:Point mutations of TGC (cys) to TG (Trp) at codon 634 of exon 11 at RET proto-oncogene was detected by using automatic DNA sequence analyzing method in the index patient. The same point mutation was point mutations of RET proto-oncogene. Conclusion:With the genetic analysis of RET proto-oncogene, limitations of the con-ventional calcitonin stimulation test may be overcome, and a more complete approach can be achieved through early diagnosis by carrying out this screening test for point mutations in family members of the patient with MEN 2A. (Korean J Otolaryngol 2007 ;50 :529-36)

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