MEN2 Database Submission Form

To submit, please send the following information to Genevieve Pont-Kingdon at ARUP Laboratories. You may also contact us here to update clinical information or to clarify phenotype of RET sequence variation already in the database:

Sequence Change 1

  • Locations
  • Codon Sequence Change
  • Protein Change
  • Genotype (cDNA)

Sequence Change 2

  • Locations
  • Codon Sequence Change
  • Protein Change
  • Genotype (cDNA)

Clinical Consequences

  • Patient’s age of onset, in years (If patient was affected, but age of onset is unknown, mark with an X. If patient was not affected, mark with an NA.)
  • MTC
  • Metatastic MTC
  • Pheo
  • Hyperparathyroidism
  • Other Clinical Symptoms

Family History

  • Family History
  • Family Diagnosis
  • Family Members
  • Number of Each Gender (Please include the patient, as well as any family members for whom you are providing clinical descriptions. Our current IRB requires tracking the total number of males and females included in MEN2 RET database submissions.)
    • Male
    • Female
    • Unknown

Additional Information

  • Clinical Significance
  • Publication Information
  • Contributors
  • Any Additional Comments and Information

Contact Information

  • Name
  • Institution Name
  • Address, City, State, Zip/Postal code
  • Country
  • Phone Number
  • Fax Number
  • Email Address

Submissions will be reviewed before they are added to the database and the submitter may be contacted for clarification or additional information. For this reason, valid contact information is required to make a submission. If you have any questions or concerns about the submission process please send an email to Genevieve Pont-Kingdon at ARUP Laboratories.