Fig. 1

Clinical Characteristics of the Patient (a) Thickened lips. (b) Neuromas affecting the gingival tissue, tongue and oral mucosa (as yellow arrows indiated). (c) Thyroid nodule. (d) Multiple metastatic lymph nodes .(e) Thyroid enlargement (with multiple calcifications). (f)(g) Colon dilatation.(h) Colon wall thickening