ISSN: 1859 - 2872
Initial result of radiofrequency ablation in treatment of parathyroid adenoma in primary hyperparathyroidism
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Keywords
RFA, parathyroid, hyperparathyroidism
Abstract
We pressent two case with hyperparathyroidism, treated with ultrasound-guided percutaneous RFA using moving-shot technique with positive result. Some discussions on dianogsis and techniques of RFA procedure were given. RFA assisted by cold glucose 5% dissection to separate the parathyroid adenoma from RLN, is a safe technique that prevents burn injury to the nerve. The completeness of tissue ablation was evaluated based on Doppler ultrasound imaging. There were no complications associated with RFA. Serum PTH, Calci-Ion, Phosphat level normalized after 2 months follow-up. RFA is safe and effective in treatment of parathyroid adenoma in primary hyperparathyroidism.
Article Details
References
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7. Zeng Z et al (2020) Efficacy of ultrasound-guided radiofrequency ablation of parathyroid hyperplasia: single session vs. two-session for effect on hypocalcemia. Sci Rep 10(1): 6206.
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10. Kim JH et al (2018) 2017 thyroid radiofrequency ablation guideline: Korean society of thyroid radiology. Korean J Radiol 19(4): 632-655.
11. Lew JI, I.G (2009) Focused parathyroidectomy guided by intra-operative parathormone monitoring does not miss multiglandular disease in patients with sporadic primary hyperparathyroidism: A 10-year outcome. Surgery 146(6): 1021-1027.
2. Sharma, S.A.W.S. (2020) Parathyroid Adenoma. NCBI.
3. Ha EJ, Baek JH, and Baek SM (2020) Minimally invasive treatment for benign parathyroid lesions: treatment efficacy and safety based on nodule characteristics. Korean J Radiol 21(12): 1383-1392.
4. Kim BS et al (2001) Radiofrequency ablation of parathyroid adenoma in primary hyperparathyroidism. J Med Ultrason 41(2): 239-243.
5. Korkusuz H, Wolf T, and Grunwald F (2018) Feasibility of bipolar radiofrequency ablation in patients with parathyroid adenoma: A first evaluation. Int J Hyperthermia 34(5): 639-643.
6. Sormaz IC et al (2017) The results of ultrasonography-guided percutaneous radiofrequency ablation in hyperparathyroid patients in whom surgery Is not feasible. Cardiovasc Intervent Radiol 40(4): 596-602.
7. Zeng Z et al (2020) Efficacy of ultrasound-guided radiofrequency ablation of parathyroid hyperplasia: single session vs. two-session for effect on hypocalcemia. Sci Rep 10(1): 6206.
8. Mackenzie-Feder J et al (2011) Primary hyperparathyroidism: an overview. Int J Endocrinol 251410.
9. Ross Morton A, E.A.I., and James WL Wilson, Nephrology: 1. Investigation and treatment of recurrent kidney stones. CMA Journal 166: 213-218.
10. Kim JH et al (2018) 2017 thyroid radiofrequency ablation guideline: Korean society of thyroid radiology. Korean J Radiol 19(4): 632-655.
11. Lew JI, I.G (2009) Focused parathyroidectomy guided by intra-operative parathormone monitoring does not miss multiglandular disease in patients with sporadic primary hyperparathyroidism: A 10-year outcome. Surgery 146(6): 1021-1027.
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Published
Dec 12, 2021
Section
Articles
How to Cite
Thế ĐứcP., Khắc HoàngN., Văn Quyền Đỗ, An GiangM., Đức NguyênB., Thanh OaiP., & Thị Thúy HằngN. (2021). Initial result of radiofrequency ablation in treatment of parathyroid adenoma in primary hyperparathyroidism. Tạp Chí Y Dược lâm sàng 108, 16(DB4). https://doi.org/10.52389/ydls.v16iDB4.1038