Thyroid Cancer Ethanol Ablation 101: PEI is an acceptable Alternative to more Neck surgery or radioiodine. It is about time it is getting recognized as a first line treatment alternative to more neck surgery
Endocrinol Metab Clin North Am.
Management of recurrent cervical papillary thyroid cancer.
Papillary thyroid cancer is one of the most common endocrine malignancies, and it is often associated with an excellent prognosis. However, it has been shown to recur in the lymph nodes in the neck. The management of these lymph nodes remains controversial, and current treatment strategies include observation, surgery, radioactive iodine ablation, and percutaneous ethanol injection. These various treatment modalities are discussed in this article.
Comments: DR.Ian Hay and his group at Mayo Clinic have been the first to recognize the value of PEI for cervical recurrent papillary thyroid cancer. He has recently presented data at the World Thyroid Cancer Congress in Boston on PEI treatment of primary micro-papillary cancer as alternative to surgery or active surveillance.It has taken a long time for ethanol ablation to be considered main stream medical treatment for thyroid cysts nodules and cancer lymph node disease. A review in an important endocrine journal by Dr.Burman’s group has mentioned ethanol ablation along with other more invasive methods. Each PEI treatment saves >$35-50,000 over a hospital repeat neck dissection. Also the morbidity and complications are worse with surgery or radioiodine than ethanol.Thyroid cancer is one of the leading causes of bankruptcy due to on going expenses including repeated surgery and radioiodine therapy and long term medical follow up.
I treat thyroid cancer with in patients with recurrent neck lymph node disease after they have had prior neck dissections and radioiodine.
Call Matt at 1-310-393-8860 for details.
Richard Guttler MD,FACE,ECNU