Interní Med. 2014; 16(1): 11-14

Absolute alcohol sclerotherapy under ultrasonographic control in the treatment of primary hyperparathyroidism

MUDr.Milan Halenka, Ph.D.¹, doc.MUDr.David Karásek, Ph.D.¹, doc.MUDr.Zdeněk Fryšák, CSc.¹, doc.MUDr.Pavel Koranda, Ph.D.²

¹ III. interní klinika &ndash, nefrologická, revmatologická, endokrinologická, FN a LF UP

² Klinika nukleární medicíny, FN a LF UP v Olomouci

Primary hyperparathyroidism ranks third in frequency of endocrine diseases. More frequent testing ensues is why it is currently the

primary hyperparathyroidism revealed at a time when no clinical symptoms, the disease is asymptomatic form. The most common

cause is a solitary parathyroid adenoma. The basic method of treatment is surgery of course – parathyroidectomy. In some very specific

situations can be patients as an alternative to offer non-surgical intervention – absolute alcohol sclerotherapy under ultrasonographic

control. First of all, it can be recommended in severely ill patients, significantly less often after unsuccessful surgical exploration of the

neck or in the choice of the patient. The condition is good ultrasonography visualization od the adenoma and a physician erudite in the

implementation of this method. The method has been used since 1985 and therapeutic success is between 33–89 %.

Keywords: primary hyperparathyroidism, parathyroid adenoma, Percutaneous Ethanol Injection Therapy (PEIT)

Published: March 1, 2014  Show citation