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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Autores principales: 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
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300399
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spelling 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
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