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KMID : 0882420170920030291
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Korean Journal of Medicine
2017 Volume.92 No. 3 p.291 ~ p.294
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Successful Radiofrequency Ablation of Parathyroid Adenoma in an Older Patient with Primary Hyperparathyroidism
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Soh Moon-Seung
Lee So-Hee
Choi Yong-Jun
Kim Hae-Jin
Kim Dae-Jung
Lee Kwan-Woo
Han Seung-Jin
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Abstract
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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.
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KEYWORD
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Hyperparathyroidism, Radiofrequency catheter ablation, Parathyroid neoplasms
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