Evidence map›Paper›PMID 31142320›Full record

Trial reportBMC endocrine disorders2019

Current concepts in parathyroid carcinoma: a single Centre experience.

Valentina Ferraro, Lucia Ilaria Sgaramella, Giovanna Di Meo, Francesco Paolo Prete, Francesco Logoluso, Francesco Minerva, Marica Noviello, Giuseppina Renzulli, Angela Gurrado, Mario Testini

Open access · goldAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in BMC endocrine disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Diagnosing the silent: the molecular landscape of non-functional parathyroid carcinoma.Virchows Archiv : an international journal of pathology · 2025
    Review
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  19. Review
  20. Parathyroid carcinoma: lessons from a rare malignancy of head and neck-a case series.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Valentina FerraroDepartment of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University Medical School of Bari, Bari, Italy.
Lucia Ilaria SgaramellaDepartment of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University Medical School of Bari, Bari, Italy.
Giovanna Di MeoDepartment of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University Medical School of Bari, Bari, Italy.
Francesco Paolo PreteDepartment of Emergency and Organ Transplant, University Medical School of Bari, Bari, Italy.
Francesco LogolusoDepartment of Emergency and Organ Transplant, University Medical School of Bari, Bari, Italy.
Francesco MinervaDepartment of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University Medical School of Bari, Bari, Italy.
Marica NovielloDepartment of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University Medical School of Bari, Bari, Italy.
Giuseppina RenzulliInterdisciplinary Department of Medicine, University Medical School of Bari, Bari, Italy.
Angela GurradoDepartment of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University Medical School of Bari, Bari, Italy.
Mario TestiniDepartment of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University Medical School of Bari, Bari, Italy. mario.testini@uniba.it.ORCID http://orcid.org/0000-0002-9297-4894
University of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParathyroid carcinoma is a rare neoplasm that may present sporadically or in the context of a genetic syndrome. Diagnosis and management are challenging due to the lack of clinical and pathological features that may reliably distinguish malignant from benign disease.

methodsFrom January 2013 to December 2017, from 358 consecutive patients affected by parathyroid diseases, 3 patients with parathyroid carcinoma were treated at our academic Department of General Surgery. We present our experience as illustrative of the different features of clinical presentation of parathyroid carcinoma and review its management considering the recent relevant literature.

resultsCase 1: A 62-year-old man was hospitalized for left-sided palpable neck mass, hypercalcemia and elevated PTH. US-guided FNA was suspect for parathyroid carcinoma. A large cystic mass was excised in bloc with total thyroidectomy and central neck dissection. Genetic studies framed a pathologically confirmed parathyroid carcinoma within MEN1 syndrome. Case 2: A 48-year-old woman with hypothyroidism had total thyroidectomy performed for a suspect for right follicular thyroid lesion. Pathology revealed parathyroid carcinoma. Case 3: A 47 year-old man was admitted for hypercalcaemic crisis and renal failure in the context of PHPT. A lesion suggestive on US and MIBI scan for parathyroid adenoma in the right lower position was removed by mini-invasive approach. Pathology revealed parathyroid cancer and patient had completion hemythyroidectomy and central neck dissection.

conclusionParathyroid cancer is a particularly rare endocrine malignancy, however it should be suspected in patients with primary hyperparathyroidism when severe hypercalcemia is associated to cervical mass, renal and skeletal disease. Parathyroid surgery remains the mainstay of treatment. Radical tumour resection and expedited treatment in a dedicated endocrine Center represent crucial prognostic factors.

Indexed as

Combined Modality TherapyFemaleFollow-Up StudiesHumansHypercalcemiaHyperparathyroidism, PrimaryMaleMiddle AgedParathyroid NeoplasmsPrognosisRetrospective StudiesDiagnosisEndocrine surgeryHypercalcemiaHyperparparathyroidismMEN 1Parathyroid CarcinomaParathyroidectomy

Identifiers

PMID31142320
PMCPMC6541564
OpenAlexW2946889660

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.