Full text PDF (3.9MB) - Jurnalul de Chirurgie
Full text PDF (3.9MB) - Jurnalul de Chirurgie
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Articole Multimedia <strong>Jurnalul</strong> <strong>de</strong> <strong>Chirurgie</strong>, Iaşi, 2008, Vol. 4, Nr. 2 [ISSN 1584 – 9341]<br />
Parathyroid Carcinoma<br />
Parathyroid Carcinoma<br />
OUR EXPERIENCE (23 cases)<br />
Results<br />
OUR EXPERIENCE<br />
Site of metastases<br />
Median disease-free period:<br />
15 months<br />
(range 2-742<br />
months)<br />
3-years survival: 43%<br />
3-years survival: 43%<br />
5-years survival: 24%<br />
15 died<br />
2 lost FU<br />
6 alive (3 with<br />
recurr)<br />
26<br />
20<br />
18<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
15<br />
Lung<br />
5 4<br />
Bone Neck<br />
2 1<br />
Med. Retr.<br />
Lung<br />
Bone<br />
Neck<br />
Mediastinum<br />
Retroperitoneum<br />
27<br />
Parathyroid Carcinoma<br />
Parathyroid Carcinoma<br />
Results<br />
variable for different<br />
biological behavior of the tumor<br />
Biological<br />
behaviour<br />
of the tumor<br />
Aggressive course<br />
Slow, indolent progression<br />
28<br />
Once a patient shows a recurrence<br />
it is more likely to have others with<br />
a shorter disease-free periods, like a<br />
figure of<br />
“BUNCH RECURRENCES”<br />
Favia, , W J S 1998<br />
29<br />
Parathyroid Carcinoma<br />
RECURRENCES and REOPERATIONS<br />
Parathyroid Carcinoma<br />
RECURRENCES<br />
OUR EXPERIENCE<br />
n. patients n. reoperations<br />
3 1<br />
3 2<br />
4 3 or more<br />
10/23 patients<br />
had one ore more operations for recurrence<br />
REOPERATIONS<br />
30<br />
31<br />
132
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