Parathyroid cancer medical therapy: Difference between revisions

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Latest revision as of 20:54, 8 January 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

The predominant therapy for parathyroid cancer is surgical resection. Adjunctive supportive therapy, chemotherapy, and radiation may be required. Supportive therapy for parathyroid cancer includes IV fluids, diuretics, and calcimimetic agents.

Medical Therapy

There are different types of treatment for patients with parathyroid cancer.
Treatment includes the control of hypercalcemia among patients who have an overactive parathyroid gland.

Standard Therapy

Four types of standard treatment are used:

Surgery
Radiation therapy
Chemotherapy
Supportive care
Follow-up tests may be needed

Supportive Care

Supportive care is given to lessen the problems caused by the disease or its treatment. Supportive care for hypercalcemia caused by parathyroid cancer may include the following:

Intravenous (IV) fluids
Diuretics
Antiresorptive agents such as biphosphonates, gallium, or mithramycin

Calcimimetic agents that directly block secretion of the parathyroid hormone from the glands

Gallium nitrate to reduce the calcium levels
Calcitonin to control the calcium levels^[1]

References

↑ Parathyroid cancer. Cancer.gov (2015). http://www.cancer.gov/types/parathyroid/hp Accessed on December 29, 2015

Template:WikiDoc Sources

[1] Parathyroid cancer. Cancer.gov (2015). http://www.cancer.gov/types/parathyroid/hp Accessed on December 29, 2015

[1]

@@ Line 14: / Line 14: @@
 :* [[Supportive care]]
 :* Follow-up tests may be needed
-====Radiation therapy====
+====Supportive Care====
-* [[Radiation therapy]] is a cancer treatment that uses high-energy x-rays or other types of radiation to kill [[cancer cells]] or stop them from growing. There are two types of [[radiation therapy]]. [[External radiation therapy]] uses a machine outside the body to send radiation toward the [[cancer]]. Internal radiation therapy uses a radioactive substance sealed in [[needles]], seeds, wires, or [[catheters]] that are placed directly into or near the [[cancer]]. The way the [[radiation therapy]] is given depends on the type and stage of the cancer being treated.
-====Chemotherapy====
-* [[Chemotherapy]] is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. When [[chemotherapy]] is taken by [[mouth]] or injected into a [[vein]] or [[muscle]], the drugs enter the [[bloodstream]] and can reach cancer cells throughout the body (systemic chemotherapy). When [[chemotherapy]] is placed directly into the [[cerebrospinal fluid]], an [[organ]], or a [[body cavity]] such as the [[abdomen]], the drugs mainly affect cancer cells in those areas (regional chemotherapy). The way the [[chemotherapy]] is given depends on the type and stage of the cancer being treated.
-====Supportive care====
 * Supportive care is given to lessen the problems caused by the disease or its treatment. Supportive care for hypercalcemia caused by parathyroid cancer may include the following:
-:* [[Intravenous (IV) fluids]]
+:* Intravenous (IV) fluids
 :* [[Diuretics]]
 :* Antiresorptive agents such as [[biphosphonates]], [[gallium]], or [[mithramycin]]
-* [[Calcimimetic agents]] that directly block secretion of the parathyroid hormone from the glands
+* Calcimimetic agents that directly block secretion of the parathyroid hormone from the glands
-:* [[Gallium nitrate]] to reduce the [[calcium levels]]
+:* [[Gallium nitrate]] to reduce the calcium levels
 :* [[Calcitonin]] to control the calcium levels<ref> Parathyroid cancer. Cancer.gov (2015). http://www.cancer.gov/types/parathyroid/hp  Accessed on December 29, 2015</ref>