Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Papillary Thyroid Cancer

Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Papillary Thyroid Cancer

Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Papillary Thyroid Cancer

Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent  Thyroid cancer .thyroid-surgery-complications

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):512-518.

Dr.Guttler’s comments:

  1. Reoperation for recurrent papillary thyroid cancer (PTC) can be associated with a high rate of complications and failure to provide lasting remission.
  2. Percutaneous ethanol injection (PEI) may be an effective nonsurgical management option for locally recurrent PTC.
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  4. Recurrent thyroid cancer in a neck lymph node for PEI.
  5.  27 studies met the inclusion criteria.
  6. .A total of 1617 patients were included in this analysis.
  7. 168 (11.4%) were treated with PEI, and 1449 (88.6%) were treated with reoperation.
  8. Re-operation was successful in 94.8% of cases.
  9.  87.5% success rate for PEI
  10. The recurrence rates for PEI and re-operation at the site of the treated lesion or elsewhere in the neck were also similar.
  11.  Re-operation was associated with a 3.5% pooled risk of complications.
  12.  PEI incurred a pooled risk of 1.2%.
  13.  Although presently inferior to re-operation, PEI has the potential to be a widely accepted and effective nonsurgical treatment option for limited recurrent PTC in poor surgical candidates or patients seeking to avoid multiple re-operations.
  14. I do PEI for not only benign thyroid nodules but also for recurrent local lymph node recurrence without surgery.
  15. Call me at 310-393-8860 or thyroid.manager@protonmail.com for details before you have another neck dissection.
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