Akademik Veri Yönetim Sistemi
European Conference on Interventional Oncology, Amsterdam, Hollanda, 13 - 16 Nisan 2025, ss.209, (Özet Bildiri)
Purpose:
Percutaneous ablation techniques are often utilized in parathyroid adenoma treatment. This study aimed to
compare the efficacy of cooled versus uncooled microwave ablation (MWA) methods in treating parathyroid
adenomas.
Materials and Methods:
A retrospective analysis was conducted on 40 patients diagnosed with parathyroid adenomas and treated with
ultrasound-guided MWA at our clinic between January 2023 and January 2024. The mean age of the patients
was 54.4 ± 14.6 years, and 67.5% were female. Of the patients, 19 (47.5%) underwent cooled MWA, while 21
(52.5%) received uncooled MWA. Serum PTH and calcium levels were measured and compared at six intervals
before and after the procedure.
Results:
Technical success was 100%. Both groups demonstrated a reduction in PTH and Ca levels over time, although
no statistically significant differences were identified between the two methods. Regarding major
complications, transient hoarseness developed in two patients (5%), one from each group. There was no
significant difference in major complications between the groups (p = 0.879). Minor complications included
persistent pain lasting up to a week after the procedure in one patient (5.3%) in the cooled group and three
patients (14.2%) in the uncooled group, with an overall minor complication rate of 10%. A significant
difference was observed between the groups in minor complications (p = 0.024).
Conclusions:
MWA is effective in treating parathyroid adenomas with both cooled and uncooled methods. However, it is
essential to consider that uncooled MWA may result in higher pain levels during the procedure.