Diagnosis and treatment of parathyroid carcinoma：A report of 30 cases        CHEN Hai-zhen, XUE Song, CHEN Xi, et al. Department of General Surgery, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine，Shanghai200025, China
Corresponding auther: CHEN Xi, E-mail: chz11011@rjh.com.cn
Abstract    Objective    To evaluate the diagnosis and surgical treatment of parathyroid carcinoma (PC). Methods    The clinical data of 30 cases of PC admitted from January 2000 to December 2013 in Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine were analyzed retrospectively. Results    There were 10 men and 20 women, which accounted for 8.22% of cases of primary hyperparathyroidism (PHPT)．Thirty cases were all treated by operation and 8 cases developed recurrence in 1—11 years postoperatively. The initial operation was closely related with the prognosis. Conclusion    The preoperative and intraoperative diagnosis of PC should be combined with clinical manifestations, imaging data, laboratory data and intraoperative exploration, etc. PC cases should be performed pathological parathyroid resection plus homolateral total thyroid resection. For PC cases performed pathological parathyroid resection or plus homolateral partial thyroid resection in the initial operation, supplementary operation should be taken in 2—3 weeks after initial operation.