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[Prophylactic parathyroidectomy for familial parathyroid carcinoma].
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Martin-Luther-Universität Halle-Wittenberg, Germany.
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Martin-Luther-Universität Halle-Wittenberg, Germany.
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Martin-Luther-Universität Halle-Wittenberg, Germany.
Endokrinologie Klinik für Innere Medizin II, Martin-Luther-Universität Halle-Wittenberg, Germany.
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2006 (German)In: Der Chirurg, ISSN 0009-4722, E-ISSN 1433-0385, Vol. 77, no 1, 15-24 p.Article in journal (Refereed) Published
Abstract [de]

In contrast to primary hyperparathyroidism, parathyroid carcinoma is a rare disease. In patients with hyperparathyroidism jaw tumor (HPT-JT) syndrome, caused by germline mutations in HRPT2, the development of parathyroid carcinoma is estimated to be 10-15%. This review summarizes the clinical and molecular genetic data of about 100 patients in the literature and three of our own cases. Unfortunately, osteofibromas, which might enable timely diagnosis of HPT-JT syndrome, occur in only about 30% of patients; about 80% have uniglandular disease. Based on the current data, a general recommendation to perform prophylactic parathyroidectomy cannot be given. However, thorough screening of patients at risk is mandatory. Of note in patients thought to have sporadic parathyroid carcinoma, germline HRPT2 mutations are found in up to 20%. Hence, any patient with parathyroid carcinoma should undergo HRPT2 mutation analysis.

Place, publisher, year, edition, pages
2006. Vol. 77, no 1, 15-24 p.
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Medical and Health Sciences
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URN: urn:nbn:se:liu:diva-101423DOI: 10.1007/s00104-005-1110-2PubMedID: 16418876OAI: oai:DiVA.org:liu-101423DiVA: diva2:666197
Available from: 2013-11-22 Created: 2013-11-22 Last updated: 2017-12-06

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Gimm, O

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