Suspicion for MEN1 is described as: parathyroid adenoma below the age of 30 years (or multiglandular parathyroid disease at any age); gastrinoma or multiple pancreatic NET at any age or individuals who have two or more MEN1-associated tumors that are not part of the classical triad of parathyroid, pancreatic islet and anterior pituitary tumors (e.g., parathyroid tumor plus adrenal tumor) (10). The gene discussed is MEN1; the disease is gastrin-producing neuroendocrine tumor.