ArticleSurgery today2026
Combined use of iPTH and D/W ratio in preoperative diagnosis of parathyroid carcinoma.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors.
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Abstract
purposeParathyroid carcinoma is an extremely rare malignancy, with an unfavorable clinical outcome and a high recurrence rate after initial surgery. Because surgical removal without tumor cells is the only curative treatment, a preoperative diagnosis is important to develop a strategy for complete removal of tumor cells. This study aimed to examine preoperative methods to differentiate parathyroid carcinoma from parathyroid adenoma.
methodsWe retrospectively analyzed the clinical and pathological features of patients with parathyroid carcinoma or parathyroid adenoma who were undergoing treatment at our hospital between 2011 and 2021.
resultsThe statistical analysis included 7 patients with parathyroid carcinoma and 132 patients with parathyroid adenoma. For the preoperative diagnosis of parathyroid carcinoma, we found that the serum intact parathyroid hormone (iPTH) level was the most useful indicator, showing a significant positive correlation with depth to width (D/W) ratio (r
conclusionThe combination of the serum iPTH level and D/W ratio may be useful in the differential diagnosis of parathyroid carcinoma.
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