Endocrine Neoplasia MEN 1& 2, Succinate Dehydrogenase (SDH) B & D

Availability

North South North West Statewide

Pre-referral work-up

History

The clinic specifically caters for patients with Multiple Endocrine Neoplasia type 1 (MEN 1), mutations of Succinate Dehydrogenase gene B and D, Paraganglioma syndromes and non-thyroid endocrine malignancies. It also undertakes investigation, management and long-term follow-up of sporadic and familial endocrine neoplasms including pre-operative investigation, post-operative planning for radioiodine therapy and hormone replacement.

Referrals accepted from state-wide, long term follow-up will undertaken in patient's home region.

All referrals should comply to referral standards and also include:

  • Family history of condition
  • Onset of symptoms
  • Past and current investigations and treatments

Tests

  • U&E Cr, eGFr, LFTs
  • Ca2+, Mg2+, PO42-

Interim/GP management

To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.

These are complex conditions and usually require consultant opinion prior to initiating complex investigations.

For more information please see the Tasmanian Health Pathways website.

Emergency

Pheochromocytoma

Urgent / category 1

Insulinoma
Pituitary tumour
Gastrinoma
Cushings syndrome
Acromegaly 
Hypercalcaemia (CCa 2+ > 3.0 mmol/L, ICa 2+ > 1.5 mmol/L)

Semi-urgent / category 2

Screening and routine follow-up

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment