Percutaneous ethanol injection of parathyroid tumors under US guidance: treatment for secondary hyperparathyroidism.

• DOI: 10.1148/radiology.155.3.3889999
• Publication Date: 2014-07-08T21:15:06Z
• Authors: L Solbiati; A Giangrande; L De Pra; E Bellotti; P Cantù; C Ravetto
• Keywords: Percutaneous ethanol injection; Percutaneous biopsy; Aspiration biopsy

In 12 patients with secondary hyperparathyroidism, 13 parathyroid tumors detected the use of sonography and confirmed by fine-needle aspiration biopsy were treated percutaneous injection absolute ethanol under ultrasonographic guidance. Indications for this procedure recurrence after previous subtotal surgery, high surgical risk, or refusal surgery. Significant volume reductions recorded larger glands; in smaller ones, structural changes observed as well. Clinical biochemical therapeutic effects obtained most cases single hyperplastic glands treated. Percutaneous alcoholic ablation enlarged can be used hyperparathyroidism when surgery is contraindicated problematic; it also improve responsiveness to medical therapy, delaying need