PHPT in children is rare, the commonest signs are urinary and bone tissue impairment, as well as non-specific signs. Evaluation of serum calcium and PTH levels is diagnostic in suspected patients. Preoperative localization is essential. Surgery is without significant complications. Surgical treatment of PHPT is curative and definitive.

HIFU exposure is effective in destroying the vascular targeted anomaly with no skin burns, bleeding, large vessel ruptures or other complications. HIFU is feasible, noninvasive and safe for the treatment of vascular anomalies, but clinical trials are necessary.