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Living with Multiple endocrine neoplasia, type 2

An inherited condition in which thyroid, adrenal, or parathyroid glands become overactive or form tumors.

Understanding Multiple endocrine neoplasia, type 2

Multiple endocrine neoplasia, type 2 (MEN2) is an inherited condition in which one or more endocrine glands are overactive or form a tumor.

The thyroid is affected almost all of the time, the adrenal glands about half the time, and the parathyroid glands about 20 percent of the time. The adrenal tumor is a pheochromocytoma, and the thyroid tumor is a medullary carcinoma of the thyroid. Many tumors can appear in the same person, but not necessarily at the same time. Features are fairly consistent within a family.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Thyroid cancer (medullary thyroid carcinoma)
  • Adrenal tumor (pheochromocytoma)
  • Sudden high blood pressure
  • Headache, sweating, and palpitations
  • Anxiety and paleness
  • Enlarged parathyroid glands

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists, digestive system specialists, genetic specialists and hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Cancer specialists (oncologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Association for Multiple Endocrine Neoplasia Disorders and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the RET gene confirm this diagnosis?
What screening schedule do you recommend for the thyroid and adrenal glands?
Should my relatives be tested?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant

GARD says it is caused by a defect in the RET gene and is usually inherited in an autosomal dominant pattern, which means a changed copy of the gene from one parent can be enough to cause it.

GeneticEndocrineGastrointestinal

Also known as: familial chromaffinomatosis; mea, type 2; men, type 2; men2; multiple endocrine adenomatosis, type 2; multiple endocrine neoplasia type 2

Patient organizations

Source: NIH GARD · Multiple endocrine neoplasia, type 2GARD ID 3830 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Multiple endocrine neoplasia, type 2.

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