ما هو علاج سرطان الغدة الجار درقية؟

References

DOI: 10.1007/s11864-011-0171-3

• Surgery is the primary mode of therapy.
• Complete surgical resection with microscopically negative margins is the recommended treatment and offers the best chance of cure.
• Upon intraoperative recognition of malignant features as described above, the surgeon should elect to perform en bloc resection of any involved tissues without compromising the tumor capsule.
• En bloc resection is defined as careful removal of the parathyroid lesion while preserving its capsule and resecting all tissues immediately involved with the parathyroid cancer, which can include the ipsilateral thyroid lobe, the trachea, and/or the esophageal wall.
• Any suspicious or enlarged ipsilateral regional lymph nodes should also be removed, especially those draining the central neck compartment.
• Abatement of hypercalcemia can be expected within 24 h post surgery in patients without distant metastases.
• It can sometimes take 2–3 days for the calcium levels to normalize, however.