Radiofrequency Ablation RFA for Parathyroid Adenoma PTA: May Replace Surgery in Select Cases

Radiofrequency Ablation RFA for Parathyroid Adenoma PTA: May Replace Surgery in Select Cases

Endocrine Practice 27(2021) 1205-1211

Tufano R. et al

Example from the paper.
A. Parathyroid scan positive at arrow.
B. Ultrasound image of the PTA.
C. Contrast-enhanced US No enhancing seen after the RFA. Suggests complete ablation.
D. E F
Progressive decrease in size at 1,3,6 months.

DR.Guttler’s Comments:

  1. 25 patients were treated with RFA for PTA.
  2. 29 enlarged glands were RFA treated.
  3. 22 had one session. 3 had 2 sessions.
  4. 84% cure rate.
  5. 12 month volume reduction in 26 glands >70%.
  6. Minor complications included post RF pain in 4/25 cases ( 16% )
  7. 1/25 had transient hypocalcemia ( 4% ).
  8. Parathyroid RFA is a safe treatment for selected cases of PTA. This is another potential replacement for surgery in patients that don’t want surgery.
  9. If you have a PTA and want to explore an alternative minimally invasive RF treatment call me at 310-393-8860 or email to thyroid.manager@thyroid.com.
  10. Ask for Alicia.
  11. DR.G.
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