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Radiofrequency ablation of parathyroid adenoma in primary hyperparathyroidism

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Abstract

We present a case of a 32-year-old woman with hyperparathyroidism, treated with ultrasound-guided percutaneous radiofrequency ablation (RFA). RFA, assisted by saline injection inferomedial to the parathyroid, is a safe technique that prevents burn injury to the nerve. The saline injection technique shifted the parathyroid gland laterally, so that the distance between the nerve and the parathyroid gland was sufficient to prevent burn injury. The completeness of tissue ablation was evaluated based on Doppler ultrasound imaging and serum intact parathyroid hormone (iPTH) level immediately after RFA. There were no complications associated with RFA. Serum iPTH levels normalized during follow-up for 20 months. It was possible to perform RFA for primary parathyroid adenoma safely using a saline injection technique.

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Conflict of interest

There are no financial or other relations that could lead to a conflict of interest.

Ethical standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from the patient for being included in the study.

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Authors and Affiliations

  1. Department of Surgery, Chung-Ang University Hospital, 224-1, Heuk Seok-Dong, Dongjak-Ku, Seoul, 156-755, Republic of Korea

    Byung Seup Kim, Kyung Ho Kang & Sung Jun Park

  2. Department of Surgery, HiU Clinic, Suwon, Republic of Korea

    Tae Ik Eom

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  1. Byung Seup Kim
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  2. Tae Ik Eom
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  3. Kyung Ho Kang
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  4. Sung Jun Park
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Corresponding author

Correspondence to Kyung Ho Kang.

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Kim, B.S., Eom, T.I., Kang, K.H. et al. Radiofrequency ablation of parathyroid adenoma in primary hyperparathyroidism. J Med Ultrasonics 41, 239–243 (2014). https://doi.org/10.1007/s10396-013-0501-0

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  • DOI: https://doi.org/10.1007/s10396-013-0501-0

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