Radiofrequency Ablation of Parathyroid Adenoma: A Novel Treatment Option for Primary Hyperparathyroidism
Autor: | Jules Aljammal, Iram Hussain, Shahzad Ahmad |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
PHPT
primary hyperparathyroidism Parathyroidectomy medicine.medical_specialty Adenoma endocrine system diseases Radiofrequency ablation D5W dextrose 5% in water medicine.medical_treatment Osteoporosis Parathyroid hormone Case Report 030209 endocrinology & metabolism Diseases of the endocrine glands. Clinical endocrinology law.invention hyperparathyroidism 03 medical and health sciences 0302 clinical medicine parathyroid adenoma law medicine PTH parathyroid hormone RFA radiofrequency ablation Parathyroid adenoma Hyperparathyroidism business.industry iPTH intact parathyroid hormone General Medicine medicine.disease RC648-665 030220 oncology & carcinogenesis Radiology radiofrequency ablation business Primary hyperparathyroidism |
Zdroj: | AACE Clinical Case Reports, Vol 7, Iss 3, Pp 195-199 (2021) AACE Clinical Case Reports |
ISSN: | 2376-0605 |
Popis: | Objective To present radiofrequency ablation (RFA) of parathyroid adenomas as a safe and effective management strategy for primary hyperparathyroidism in patients who are not eligible for surgery or those who do not want surgery. Methods The diagnosis of primary hyperparathyroidism was confirmed by laboratory investigations. A bone density scan showed osteoporosis, which was an indication for the surgical treatment of primary hyperparathyroidism. Ultrasonography of the neck was done to localize the parathyroid adenoma, after which RFA was performed to shrink the adenoma. Laboratory investigations were performed 10 days, 6 months, and 12 months after the procedure. A literature review was also conducted, and other reports of primary hyperparathyroidism cases treated with RFA were identified. Results Biochemical cure of primary hyperparathyroidism was achieved by normalization of calcium levels, resolution of symptoms, elimination of complications, and decrease in the volume of the parathyroid adenoma. Conclusion RFA of parathyroid adenomas is a viable alternative to parathyroidectomy in patients who do not meet the criteria for surgery or do not wish to undergo surgery. |
Databáze: | OpenAIRE |
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