Puesta al día: carcinoma paratiroideo
Parathyroid carcinoma is a rare malignant disease that presents as a sporadic or familial primary hyperparathyroidism (PHP). The latter is associated with some genetic syndromes. It occurs with equal frequency in both sexes, unlike PHP caused by parathyroid adenoma that is more common in women. It s...
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Sociedad Médica de Santiago
2021
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oai:scielo:S0034-988720210003003992021-10-14Puesta al día: carcinoma paratiroideoBarberán,MarcelaCampusano,ClaudiaSalman,PatricioTrejo,PamelaSilva-Figueroa,AngélicaRivera,SandraFlorenzano,PabloVelasco,SoledadIllanes,FranciscaTrincado,PatricioCanessa,JoséSolar,AntonietaMoreno,MarcelaEugenin,DanielaJiménez,BeatrizArroyo,Patricia Diagnosis Hypercalcemia Hyperparathyroidism Parathyroid Neoplasms Parathyroid carcinoma is a rare malignant disease that presents as a sporadic or familial primary hyperparathyroidism (PHP). The latter is associated with some genetic syndromes. It occurs with equal frequency in both sexes, unlike PHP caused by parathyroid adenoma that is more common in women. It should be suspected in cases of severe hypercalcemia, with high parathyroid hormone levels and a palpable cervical mass. Given the difficulty in distinguishing between parathyroid carcinoma and adenoma prior to the surgery, the diagnosis is often made after parathyroidectomy. The only curative treatment is complete surgical resection with oncologic block resection of the primary tumor to ensure free margins. Adjuvant therapies with chemotherapy or radiation therapy do not modify overall or disease-free survival. Recurrences are common and re-operation of resectable recurrent disease is recommended. The palliative treatment of symptomatic hypercalcemia is crucial in persistent or recurrent disease after surgery since morbidity and mortality are more associated with hypercalcemia than with tumor burden.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.3 20212021-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300399es10.4067/s0034-98872021000300399 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Diagnosis Hypercalcemia Hyperparathyroidism Parathyroid Neoplasms |
spellingShingle |
Diagnosis Hypercalcemia Hyperparathyroidism Parathyroid Neoplasms Barberán,Marcela Campusano,Claudia Salman,Patricio Trejo,Pamela Silva-Figueroa,Angélica Rivera,Sandra Florenzano,Pablo Velasco,Soledad Illanes,Francisca Trincado,Patricio Canessa,José Solar,Antonieta Moreno,Marcela Eugenin,Daniela Jiménez,Beatriz Arroyo,Patricia Puesta al día: carcinoma paratiroideo |
description |
Parathyroid carcinoma is a rare malignant disease that presents as a sporadic or familial primary hyperparathyroidism (PHP). The latter is associated with some genetic syndromes. It occurs with equal frequency in both sexes, unlike PHP caused by parathyroid adenoma that is more common in women. It should be suspected in cases of severe hypercalcemia, with high parathyroid hormone levels and a palpable cervical mass. Given the difficulty in distinguishing between parathyroid carcinoma and adenoma prior to the surgery, the diagnosis is often made after parathyroidectomy. The only curative treatment is complete surgical resection with oncologic block resection of the primary tumor to ensure free margins. Adjuvant therapies with chemotherapy or radiation therapy do not modify overall or disease-free survival. Recurrences are common and re-operation of resectable recurrent disease is recommended. The palliative treatment of symptomatic hypercalcemia is crucial in persistent or recurrent disease after surgery since morbidity and mortality are more associated with hypercalcemia than with tumor burden. |
author |
Barberán,Marcela Campusano,Claudia Salman,Patricio Trejo,Pamela Silva-Figueroa,Angélica Rivera,Sandra Florenzano,Pablo Velasco,Soledad Illanes,Francisca Trincado,Patricio Canessa,José Solar,Antonieta Moreno,Marcela Eugenin,Daniela Jiménez,Beatriz Arroyo,Patricia |
author_facet |
Barberán,Marcela Campusano,Claudia Salman,Patricio Trejo,Pamela Silva-Figueroa,Angélica Rivera,Sandra Florenzano,Pablo Velasco,Soledad Illanes,Francisca Trincado,Patricio Canessa,José Solar,Antonieta Moreno,Marcela Eugenin,Daniela Jiménez,Beatriz Arroyo,Patricia |
author_sort |
Barberán,Marcela |
title |
Puesta al día: carcinoma paratiroideo |
title_short |
Puesta al día: carcinoma paratiroideo |
title_full |
Puesta al día: carcinoma paratiroideo |
title_fullStr |
Puesta al día: carcinoma paratiroideo |
title_full_unstemmed |
Puesta al día: carcinoma paratiroideo |
title_sort |
puesta al día: carcinoma paratiroideo |
publisher |
Sociedad Médica de Santiago |
publishDate |
2021 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300399 |
work_keys_str_mv |
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