Before and After Ethanol Ablation of a Large Benign Cystic Thyroid Nodule

Before and After Ethanol Ablation of a Large Benign Cystic Thyroid Nodule

Before and After Ethanol Ablation of a Large Benign Cystic Thyroid Nodule

55 Y/O female with symptomatic right thyroid cystic nodule.Multiple drainage procedures failed.She was referred for surgery. She saw me for evaluation of alternative ethanol ablation PEI. The repeat FNA and molecular markers and classifier were negative and the needle washout confirmed the thyroid origin ( Thyroiglobulin was 55,800, PTH was ND). The examination found the soft mass pushing her trachea way to the left.

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Right sided cyst visible in right lateral neck area with trachea deviated to left.

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55 ml thyroid cyst on the right lobe

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9 months post PEI  Normal appearing neck

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Ultrasound a residual cystic nodule 55 times smaller at <1 ml.

The PEI requires no pre-op pain medications. During the procedure the fluid was remove and 200 proof ethanol injected in a reduced amount than what cyst fluid was removed. 15 minutes later she was up and stated she had no pain. She left the office 30 minutes after the PEI.

Why have surgery when this is a first line therapy for your problem. Call Matthew at 310-393-8860 for details for evaluation.

Richard Guttler MD,FACE,ECNU

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