Carcinoma paratiroideo
Vista determinista de la entidad fuente YAML. La autoridad clínica sigue con los ID de fuente citados y estado de firma del revisor.
| ID | DIS-PARATHYROID-CARCINOMA |
|---|---|
| Tipo | Enfermedad |
| Aliaces | Carcinoma paratiroideo asociado a CDC73Carcinoma paratiroideo asociado a la HRTP2Carcinoma paratiroideo asociado a MEN1 (raro)Cáncer de paratiroidesКарцинома прищитоподібної залози |
| Situación | reviewed 2026-05-18 | pending_clinical_signoff |
| Enfermedades | Ninguna declarada |
| Fuentes | 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 Endocrine and Neuroendocrine Tumours 5th ed (2022): Parathyroid carcinoma — diagnostic criteria require evidence of invasion (capsular / vascular / soft-tissue / lymph node / metastasis) and not just atypical histology |
Notas
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.
Utilizado por
Relevancia terapéutica
BMA-CDC73-GERMLINE-HPT-JT- Las variantes patógenas de la línea germinal del CDC73 (HRPT2) impulsan el hiperparatiroidismo-Tumor de Jaw (HPT-JT)...
Algoritmos
ALGO-MEN2-CARRIER-PROPHYLACTIC-THYROIDECTOMY-TIMING- ALGO-MEN2-CARRIER-PROPHYLACTIC-THYROIDECTOMY-TIMINGALGO-PARATHYROID-CARCINOMA-1L- ALGO-PARATHYROID-CARCINOMA-1L
Enfermedad
DIS-PITUITARY-ADENOMA- Adenoma de la pituitaria
Fármaco
DRUG-CINACALCET- Cinacalcet.
Indicación
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
Señal de alerta
RF-PARATHYROID-CARCINOMA-MSI-TMB-HIGH-ACTIONABILITY- MSI-alto/dMMR O TMB-alto (≥10 mut/Mb) recurrente, persistente o paratiroideo metastásico...
Esquema terapéutico
REG-CINACALCET-HYPERCALCEMIA- Cinacalcet para hipercalcemia de carcinoma paratiroideo