Korean J Med.  2017 Jun;92(3):291-294. 10.3904/kjm.2017.92.3.291.

Successful Radiofrequency Ablation of Parathyroid Adenoma in an Older Patient with Primary Hyperparathyroidism

• Soh MS
• Lee SH
• Choi YJ
• Kim HJ
• Kim DJ
• Lee KW
• Han SJ

• KMID: 2410190
• DOI: http://doi.org/10.3904/kjm.2017.92.3.291

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.

Keyword

Hyperparathyroidism; Radiofrequency catheter ablation; Parathyroid neoplasms

MeSH Terms

Aged
Anesthesia, General
Catheter Ablation*
Comorbidity
Endocrine System Diseases
Humans
Hypercalcemia
Hyperparathyroidism
Hyperparathyroidism, Primary*
Hyperplasia
Incidence
Parathyroid Hormone
Parathyroid Neoplasms*
Parathyroidectomy
Parathyroid Hormone