Ethanol ablation for giant thyroid cysts and parathyroid adenomas as an alternative to surgery in the elderly

Česká verzia

Authors: M. Halenka
Authors place of work: III. interní klinika – nefrologická, revmatologická a endokrinologická, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc
Published in the journal: Geriatrie a Gerontologie 2023, 12, č. 4: 186-192
Category:

Summary

Older adults can encounter a large nodular goiter with cysts causing mechanical complications. Another finding may be primary hyperparathyroidism with hypercalcemia. Both situations are usually treated surgically. For the senior population at increased surgical risk, ethanol ablation under ultrasonographic control can be performed as an alternative in selected situations. We present four cases of successful ethanol ablation in patients older than 80 years who no longer required surgery. In two patients with 240 ml and 170 ml huge thyroid cysts, we achieved volume reduction was 99.5 and 99 %, respectively. In two patients with large solitary parathyroid adenomas with severe hypercalcemia, the volume of large adenomas was reduced by 2.1 ml and 2.5 ml (91.5 % and 76 %) and a decrease in serum calcium from 3.1 mmol/l and 2.85 mmol/l to norm.

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