Nebenschilddrüsenkarzinom
Deterministische Ansicht der Quelle YAML Entität. Klinische Autorität bleibt mit den zitierten Quell-IDs und Rezensenten Sign-off Zustand.
| ID | DIS-PARATHYROID-CARCINOMA |
|---|---|
| Art | Erkrankung |
| Aliase | CDC73-assoziiertes NebenschilddrüsenkarzinomHRPT2-assoziiertes NebenschilddrüsenkarzinomMEN1-assoziiertes Nebenschilddrüsenkarzinom (selten)NebenschilddrüsenkrebsКарцинома прищитоподібної залози |
| Status | reviewed 2026-05-18 | pending_clinical_signoff |
| Erkrankungen | None declared |
| Quellen | SRC-NCCN-NET-2025 SRC-NCCN-THYROID-2025 |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 8140/3 |
|---|---|
| icd_o_3_topography | ["C75.0"] |
| icd_10 | C75.0 |
| who_classification | WHO Endokrine und Neuroendokrine Tumore 5 ed (2022): Parathyreoidkarzinom — diagnostische Kriterien erfordern Anzeichen einer Invasion (Kapsular / Gefäß / Weichgewebe / Lymphknoten / Metastasen) und nicht nur atypische Histologie |
Anmerkungen
Diagnosis is histologic-plus-invasive (capsular / vascular / soft- tissue invasion or metastasis) — atypical adenoma alone is not parathyroid carcinoma. Germline CDC73 / HRPT2 testing recommended at diagnosis for any parathyroid carcinoma (HPT-JT cascade). Treatment: en-bloc resection of parathyroid + ipsilateral thyroid lobe + central lymph nodes (R0 is the strongest prognostic factor; do NOT shell out the tumor at index surgery). Recurrent / metastatic disease: re- resection where feasible; calcimimetic (cinacalcet) for hypercalcemia control; bisphosphonates / denosumab for skeletal disease; pembrolizumab in MSI-H / TMB-high subset. No standard cytotoxic regimen with consistent activity.
Verwendet von
Therapeutische Relevanz
BMA-CDC73-GERMLINE-HPT-JT- CDC73 (HRPT2) keimbahnpathogene Varianten Antrieb Hyperparathyreoidism–Jaw Tumor (HPT-JT) s...
Algorithmen
ALGO-MEN2-CARRIER-PROPHYLACTIC-THYROIDECTOMY-TIMING- ALGO-MEN2-CARRIER-PROPHYLACTIC-THYROIDECTOMY-TIMINGALGO-PARATHYROID-CARCINOMA-1L- ALGO-PARATHYROID-CARCINOMA-1L
Erkrankung
DIS-PITUITARY-ADENOMA- Hypophysisches Adenom
Arzneimittel
DRUG-CINACALCET- Cinacalcet
Anwendungsgebiet
IND-PARATHYROID-CARCINOMA-1L-RESECTION- IND-PARATHYROID-CARCINOMA-1L-RESECTIONIND-PARATHYROID-CARCINOMA-2L-CINACALCET- IND-PARATHYROID-CARCINOMA-2L-CINACALCETIND-PARATHYROID-CARCINOMA-2L-PEMBROLIZUMAB-MSI- IND-PARATHYROID-CARCINOMA-2L-PEMBROLIZUMAB-MSI
Warnhinweis
RF-PARATHYROID-CARCINOMA-MSI-TMB-HIGH-ACTIONABILITY- MSI-high/dMMR ODER TMB-high (≥10 Mut/Mb) rezidivierende, persistente oder metastasierende Nebenschilddrüse...
Therapieschema
REG-CINACALCET-HYPERCALCEMIA- Cinacalcet zur Hyperkalzämie des Nebenschilddrüsenkarzinoms