Article ; Online: Time to Recurrence as a Prognostic Factor in Parathyroid Carcinoma.
Journal of the Endocrine Society
2023 Volume 7, Issue 7, Page(s) bvad067
Abstract: Background: Parathyroid carcinoma (PC) is a rare and challenging disease without clearly understood prognostic factors. Adequate management can improve outcomes. Characteristics of patients treated for PC over time and factors affecting prognosis were ... ...
Abstract | Background: Parathyroid carcinoma (PC) is a rare and challenging disease without clearly understood prognostic factors. Adequate management can improve outcomes. Characteristics of patients treated for PC over time and factors affecting prognosis were analyzed. Methods: Retrospective cohort study including surgically treated patients for PC between 2000 and 2021. If malignancy was suspected, free-margin resection was performed. Demographic, clinical, laboratory, surgical, pathological, and follow-up characteristics were assessed. Results: Seventeen patients were included. Mean tumor size was 32.5 mm, with 64.7% staged as pT1/pT2. None had lymph node involvement at admission, and 2 had distant metastases. Parathyroidectomy with ipsilateral thyroidectomy was performed in 82.2%. Mean postoperative calcium levels were different between patients who developed recurrence vs those who did not ( Conclusion: Patients with PC can survive for decades and have indolent disease course. Free margins seem to be the most important factor in initial surgery. Recurrence was common (60%), but patients with disease recurrence within 36 months of initial surgery had a lower survival rate. |
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Language | English |
Publishing date | 2023-05-23 |
Publishing country | United States |
Document type | Journal Article |
ISSN | 2472-1972 |
ISSN (online) | 2472-1972 |
DOI | 10.1210/jendso/bvad067 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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