July - September 2016, Volume 12, Issue 3

Halenka M, Frysak Z, Koranda P, Schovanek J

Ultrasound-guided Percutaneous Ethanol Injection Therapy in a 92 Yearold Patient with Parathyroid Adenoma and with a History of Total Thyroidectomy for Papillary Thyroid Carcinoma

Acta Endo (Buc) 2016, 12 (3): 349-354
doi: 10.4183/aeb.2016.349

Percutaneous Ethanol Injection Therapy (PEIT) of parathyroid adenoma under ultrasound guidance is individually used as an alternative procedure in management of primary hyperparathyroidism in polymorbid elderly patients with increased surgical risk. The treatment is also suitable for patients who already underwent surgery of the thyroid gland, and any other surgery is associated with a higher risk of postsurgical complications. We present a case of a 92-year-old male patient, who underwent thyroidectomy for papillary thyroid carcinoma three years ago. Part of the regular annual followup visits was also ultrasonography, which showed a solitary parathyroid adenoma at the site of the removed thyroid gland. Given the underlying condition, polymorbidity and age of the patient, the PEIT method was successfully used in the therapy. The coincidence of adenoma and papillary thyroid carcinoma is also interesting.

Keywords: parathyroid adenoma, Percutaneous Ethanol Injection Therapy, papillary thyroid carcinoma

Correspondence: Milan Halenka, MD, PhD, University Hospital Olomouc, Department of Internal Medicine III - Nephrology, Rheumatology and Endocrinology, I.P. Pavlova 6, 779 00, Olomouc, Czech Republic, E-mail: milan.halenka@fnol.cz