علاج ورم غدة جار الدرق مع فرط كالسيوم الدم الشديد وارتفاع ملحوظ في هرمون الغدة الجار درقية

References

DOI: 10.1001/jamasurg.2016.2310

• The diagnosis of PCA should be considered in patients with pHPT with markedly elevated PTH levels and severe hypercalcemia.
• With intraoperative suspicion of parathyroid carcinoma, complete resection avoiding capsular disruption improves the likelihood of cure and may require en bloc resection of adherent tissues.
• Parathyroidectomy is the only curative treatment for PCA.
• Cure after parathyroidectomy is defined as the reestablishment of normal calcium homeostasis lasting a minimum of 6 months.