Thyroid No Surgery 101: Post Ethanol Ablation Ultrasound Patterns for Thyroid Cysts: Some Mimic Cancer Changes

Thyroid No Surgery 101: Post Ethanol Ablation Ultrasound Patterns for Thyroid Cysts: Some Mimic Cancer Changes

Thyroid No Surgery 101: Post Ethanol Ablation Ultrasound Patterns for Thyroid Cysts: Some Mimic Cancer Changes

Thyroid No Surgery 101: Post Ethanol Ablation PEI Ultrasound Patterns for Thyroid Cysts: Some Mimic Cancer Changes.

Comments on this Study by DR.G.by Noh Hyuck Park et al

 onlinelibrary.wiley.com/…0.1002/jcu.20861

1.Long-term ultrasound (US) findings after US-guided percutaneous ethanol ablation (PEI) in benign thyroid cysts and predominantly cystic thyroid nodules.

2. 40 patients with thyroid cysts (n = 14) and predominantly cystic thyroid nodules (n = 26) underwent long-term US follow-up (range, 12–36 months; mean, 18.2 months) after PEI.

3.US images of 40 post-PEI nodules were retrospectively investigated to study the reduction in nodule volume and detailed US appearance.

4. Ultrasound features post PEI were Marked hypoechogenicity (n = 28), spiculated margin (n = 7), microcalcifications (n = 6), taller-than-wide shape (n = 2),

figure-4-classic-pattern-4-papillary-carcinoma-longitudinal-sonogram-of-the-thyroid

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centrally predominant vascularity (n = 3), no vascularity (n = 31), mixed vascularity (n = 3), and peripheral vascularity (n = 3).

4. Post-PEI nodules were diagnosed by US as benign (n = 3), probably benign (n = 2), borderline (n = 5), possibly malignant (n = 20), and malignant (n = 10).

5. A high incidence of findings that are usually associated with malignancy.

6. Recognizing these consequences of the procedure would help avoid unnecessary FNA on post-PEI nodules.

If you have a patient post PEI for a thyroid cyst remeber that the ultrsound can look like suspicious or definite cancer.These are just changes secondary to the PEI treatment and do not need a biopsy or surgery.

Call Matt at 310-393-8860 or email at thyroid.manager@protonmail.com for details on PEI treatment for solid and cystic benign thyroid nodules.

Richard Guttler M,FACE,ECNU

Interventional Thyroidologist

thyroid.com

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