Successful Radiofrequency Ablation of Parathyroid Adenoma in an Older Patient with Primary Hyperparathyroidism.
10.3904/kjm.2017.92.3.291
- Author:
Moon Seung SOH
1
;
So Hee LEE
;
Yong Jun CHOI
;
Hae Jin KIM
;
Dae Jung KIM
;
Kwan Woo LEE
;
Seung Jin HAN
Author Information
1. Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea. hsj@aumc.ac.kr
- Publication Type:Case Report
- Keywords:
Hyperparathyroidism;
Radiofrequency catheter ablation;
Parathyroid neoplasms
- MeSH:
Aged;
Anesthesia, General;
Catheter Ablation*;
Comorbidity;
Endocrine System Diseases;
Humans;
Hypercalcemia;
Hyperparathyroidism;
Hyperparathyroidism, Primary*;
Hyperplasia;
Incidence;
Parathyroid Hormone;
Parathyroid Neoplasms*;
Parathyroidectomy
- From:Korean Journal of Medicine
2017;92(3):291-294
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary hyperparathyroidism is one of the most common endocrine diseases and is defined as the inappropriate overproduction of parathyroid hormone, resulting in hypercalcemia. It occurs mostly as a result of parathyroid adenoma or hyperplasia. The incidence of primary hyperparathyroidism increases with advancing age. The standard treatment of symptomatic primary hyperparathyroidism is parathyroidectomy; however, in older patients with multiple comorbidities, the risks associated with surgical treatment involving general anesthesia are high. Compared with surgery, radiofrequency abalation (RFA) is a minimally invasive procedure, in which the mass is removed. We here present a case of an elderly patient with primary hyperparathyroidism associated with parathyroid adenoma who was successfully treated with ultrasonography-guided RFA. RFA is an alternative therapeutic option for treatment of primary hyperparathyroidism for high-risk elderly patients, and further evaluation of its clinical value is warranted.
