Carcinoma da Paratiróide

Ana Luísa Castro Barbosa; João Capela Costa

Ana Luísa Castro Barbosa Faculdade de Medicina da Universidade do Porto
João Capela Costa Unidade de Cirurgia Endócrina e Cervical do Serviço de Cirurgia Geral do Hospital São João

Abstract

Parathyroid carcinoma (PC) is a very rare endocrine tumor, accounting for less than 1% of cases of primary hyperparathyroidism (P-HPT). As in many other tumors, its etiology is unknown, however, mutations in gene HRPT2/CDC73 have recently been found to play a key role in the pathogenesis of this neoplasm. PC is usually a sporadic disease but may occur in the context of genetic syndromes and is reported in patients with secondary hyperparathyroidism. Its diagnosis is a challenge, both clinically and histologically due to the absence of pathognomonic characteristics that allow early distinction between benign and malignant disease. The treatment with the best curative potential is the en bloc resection of the primary tumor with clear margins, so its success depends on the preoperative or intraoperative suspicion of carcinoma. PC has an extended clinical course with multiple recurrences, most of which occur locally, so patients should be monitored for the rest of their lives. Given the limited value of adjuvant therapies, the recommended treatment in cases of recurrence and metastasis is, a surgical resection, whenever possible.

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Author Biographies

Ana Luísa Castro Barbosa, Faculdade de Medicina da Universidade do Porto

Aluna do 6º ano de Medicina da Faculdade de Medicina da Universidade do Porto

João Capela Costa, Unidade de Cirurgia Endócrina e Cervical do Serviço de Cirurgia Geral do Hospital São João

MD MSc, Assistente Hospitalar Graduado da Unidade de Cirurgia Endócrina e Cervical do Serviço de Cirurgia Geral do Hospital São João, Porto, Portugal; Mestre em Medicina Molecular pela Faculdade de Medicina do Porto

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