Parathyroid cancer (patient information)
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
Overview
- Parathyroid cancer is a rare disorder. The cause of parathyroid cancer has not been identified. The most common symptoms of parathyroid cancer include weight loss, muscle weakness, fractures, constipation, fatigue, and bone pain.
What are the symptoms of parathyroid cancer?
What are the symptoms of parathyroid cancer?
- Symptoms of parathyroid cancer are mainly caused by a high level of calcium in the blood (hypercalcemia), and may affect different parts of the body. They include:
- Bone pain
- Constipation
- Fatigue
- Fractures
- Frequent thirst
- Frequent urination
- Kidney stones
- Muscle weakness
- Nausea
- Poor appetite
- Vomiting
What causes parathyroid cancer?
What causes parathyroid cancer?
- The cause of parathyroid cancer has not been identified.
Who is at highest risk?
Who is at highest risk?
- Positive family history of the following:
- Multiple endocrine neoplasia type 1
- Hyperparathyroidism–jaw tumour syndrome
- Familial isolated hyperparathyroidism
Diagnosis
Diagnosis
- The following tests may be used to diagnose parathyroid cancer
- Blood calcium
- Blood parathyroid hormone
When to seek urgent medical care?
When to seek urgent medical care?
Treatment options
Treatment options
- Treatment of parathyroid cancer includes:
- Intravenous (IV) fluids
- Diuretics
- Antiresorptive agents such as biphosphonates, gallium, or mithramycin
- Calcimimetic agents that directly block secretion of the parathyroid hormone from the gland
- Gallium nitrate is used to reduce the calcium level.
- Calcitonin is used to control the calcium levels.
Where to find medical care for parathyroid cancer?
Where to find medical care for parathyroid cancer?
What to expect (Outlook/Prognosis)?
What to expect (Outlook/Prognosis)?
- Prognosis of the parathyroid cancer depends on the stage at which it is diagnosed. Early diagnosis and treatment is associated with better prognosis.
Possible complications
Possible complications
- Metastasis
- Osteoporosis
- Kidney stones
- Fractures
- Hypoparathyroidism from parathyroidectomy
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