Treatment of secondary hyperparathyroidism with ultrasonographically guided percutaneous radiofrequency thermoablation.
We present a case of a 63-year-old woman with a recurrent secondary hyperparathyroidism hyperplasia with absolute contraindication for surgery, treated in 2 sessions with percutaneous ultrasonographically guided radiofrequency tissue ablation. The complete pathologic tissue ablation was confirmed by contrast-enhanced ultrasonography performed before and after the treatment and by clinical and laboratory follow-up. Furthermore in work progress, the percutaneous ultrasonographically guided radiofrequency tissue ablation can be considered a feasible and effective nonsurgical alternative treatment for symptomatic secondary hyperparathyroidism in high-risk patients.
Carrafiello
Gianpaolo
G
Department of Radiology, University of Insubria, Varese, Italy.
Laganà
Domenico
D
Mangini
Monica
M
Dionigi
Gianlorenzo
G
Rovera
Francesca
F
Carcano
Giulio
G
Cuffari
Salvatore
S
Fugazzola
Carlo
C
D017115:Catheter Ablation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000000981:diagnostic imaging* / Q000601:surgery*; D008875:Middle Aged; D016105:Parathyroidectomy / Q000379:methods*; D014463:Ultrasonography