Small Papillary Thyroid Cancers 101: Ethanol Ablation PEI is an Alternative to Surgery or Active Surveillance.

Small Papillary Thyroid Cancers 101: Ethanol Ablation PEI is an Alternative to Surgery or Active Surveillance.

Small Papillary Thyroid Cancers 101: Ethanol Ablation PEI is an Alternative to Surgery or Active Surveillance.

Percutaneous ethanol PEI effective for small papillary thyroid cancers SIPC.

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Small non-invasive papillary thyroid cancer for PEI.

thyroid-surgery-complications

Alternative to surgery

Dr.Guttler’s comments:

  1.  PEI is an outpatient procedure which may represent an efficacious and safe alternative to surgery for those patients with small papillary thyroid cancers who prefer definitive treatment over the “wait and watch” approach called active surveillance AS or thyroid surgery.
  2. 1-3 treatments may be needed but most have one treatment.
  3.  Performed under ultrasound guidance, and a 1.0 cc of ethanol was injected.
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  5.  Side effect include local neck tenderness resolved within a day or two.
  6. No reports of hoarseness or laryngeal nerve palsy with PEI for small thyroid cancer.
  7. Internationally, the approach to managing SIPC varies from lobectomy to near-total thyroidectomy to active surveillance.
  8. For patients who prefer definitive management of their tumors but are reluctant to have surgery or who may have significant comorbidities, PEI may represent a safe alternative, and at significant cost savings compared to surgery.
  9. Call me at 310-393-8860 or email to thyroid.manager@protonmail.com for details of PEI alternative to surgery or AS.
  10. Dr.G.
 

 

 

 

 

 

 

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