Carcinome parathyroïdien
Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.
| ID | DIS-PARATHYROID-CARCINOMA |
|---|---|
| Type | Maladie |
| Alias | Carcinome parathyroïdien associé au CDC73Carcinome parathyroïdien associé à HRPT2Carcinome parathyroïdien associé au MEN1 (rare)Cancer de la parathyroïdeКарцинома прищитоподібної залози |
| État | reviewed 2026-05-18 | pending_clinical_signoff |
| Maladies | Aucune déclaration |
| Sources | 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 |
Notes
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.
Utilisé par
Pertinence thérapeutique
BMA-CDC73-GERMLINE-HPT-JT- CDC73 (HRPT2), les variantes pathogènes génésiques conduisent à l'hyperparathyroïdisme-tumeur de Jaw...
Algorithmes
ALGO-MEN2-CARRIER-PROPHYLACTIC-THYROIDECTOMY-TIMING- ALGO-MEN2-CARRIER-PROPHYLACTIC-THYROIDECTOMY-TIMINGALGO-PARATHYROID-CARCINOMA-1L- ALGO-PARATHYROID-CARCINOMA-1L
Maladie
DIS-PITUITARY-ADENOMA- Adénome de la pituitaire
Médicament
DRUG-CINACALCET- Cinacalcet
Indication
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
Signal d’alerte
RF-PARATHYROID-CARCINOMA-MSI-TMB-HIGH-ACTIONABILITY- MSI-élevée / dMMR OU TMB-élevée (≥10 mut/Mb) récurrentes, persistantes, ou métastatiques parathyroïdes...
Protocole thérapeutique
REG-CINACALCET-HYPERCALCEMIA- Cinacalcet pour l'hypercalcémie du carcinome parathyroïdien