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The liver and lung masses were confirmed as metastatic tumors. If clinicians better understand MEN1, they can obtain a detailed patient and family history during the initial visit, allowing earlier diagnosis and intervention and improved prognosis. If clinicians better understand MEN1, they can obtain a detailed patient and family history during the initial visit, allowing earlier diagnosis and intervention and improved prognosis.Background Developmental adaptive processes during gestation that are known to be involved in perm