Massive Thyroid Cystic Goiter: 10 Year Search for Alternative Therapy Ends with Surgery.

Massive Thyroid Cystic Goiter: 10 Year Search for Alternative Therapy Ends with Surgery.

Massive Thyroid Cystic Goiter: 10 Year Search for Alternative Therapy Ends with Surgery.

Massive Thyroid Cystic Nodular Goiter in 2019. Papillary thyroid cancer diagnosed 10 years ago! Tried chemotherapy that failed. Came to me for Ethanol ablation.

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Left Massive thyroid cystic nodule on the right after Surgery.

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Came to me as last resort to prevent surgery with ethanol ablation.

Patient had a biopsy proven papillary thyroid cancer 10 years ago, and after massive amount of fluid ( 725 ml) was removed with still a very soft residual solid amount left. Fluid removed was equal to 73 10 ml red top tubes! The actual size was over 1000 cc.

The patient has avoided surgery for 10 years. During that time it continues to grow until now when the left lobe cystic nodule has caused her air pipe to be pushed way to the right. To cover her neck she presents with a scarf on.Her mass feels firm and is resilient to touch and is not tender.

She traveled to Germany 3 months prior to her visit for a treatment rarely if ever used for simple papillary thyroid cancer that surgery was the treatment of choice. Called Transarterial Chemoembolization or TACE.  She was treated with Mitomycin and Cisplatin injected into her thyroid arteries.

Chemotherapy is rarely needed for thyroid cancers, but never before surgery when is is found out to be an aggressive cancer.  3 months after that TACE procedure she still has hair loss from the chemotherapy!

What is TACE?

Transarterial Chemoembolization (TACE

 

It is never used for regular thyroid cancer in the US or Canada.

TACE failed and she is still left with a massive cystic goiter.

She wants ethanol ablation PEI to get rid of the cyst. Ultrasound guided biopsy, and mutation studies are pending to rule out cancer reported on a single biopsy done 10 years ago before considering PEI.

She was told alternative treatment was not indicated.Surgery was needed. I told her that if she continued to refuse surgery ethanol ablation could give short term relief only.

After months she finally had the surgery. She had thyroid cancer and at surgery the massive cyst was drained and the cancer found.

Alternative therapy with ethanol and radiofrequency is for  benign conditions but not for thyroid cancer cystic nodules.

Call me for PEI or RFA at 310-393-8860 or thyroid.manager@protonmail.com

Dr.G.

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