Ultrasound-Guided Ethanol Ablation PEI Safe fast way to get rid of big cystic nodules, recurrent cancer lymph nodes, and parathyroid cysts.

Percutaneous Ethanol Injection for Treatment of Cervical Lymph Node Metastases in Patients with Papillary Thyroid Carcinoma

The objective of this study was to evaluate the technique, efficacy, and side effects of percutaneous ethanol injection in patients with limited cervical nodal metastases from papillary thyroid carcinoma.

SUBJECTS AND METHODS. Fourteen patients who had undergone thyroidectomy for papillary thyroid carcinoma presented with limited nodal metastases (one to five involved nodes) in the neck between May 1993 and April 2000. All patients had received previous iodine-131 ablative therapy with a mean total dose per patient of 7,548 MBq. Ten of the patients either were considered poor surgical candidates or preferred not to have surgery, and all were unresponsive to iodine-131 therapy. Each metastatic lymph node was treated with percutaneous ethanol injection, and patients received both clinical and sonographic follow-up.

RESULTS.
Twenty-nine metastatic lymph nodes in our 14 patients were injected. Mean sonographic follow-up was 18 months (range, from 2 months to 6 years 5 months). All treated lymph nodes decreased in volume from a mean of 492 mm3 before percutaneous ethanol injection to a mean volume of 76 mm3 at 1 year and 20 mm3 at 2 years after treatment. Six nodes were re-treated 2-12 months after initial percutaneous ethanol injection because of persistent flow on color Doppler sonography (n = 4), stable size (n = 1), or increased size (n = 1). Two patients developed four new metastatic nodes during the follow-up period that were amenable to percutaneous ethanol injection. Two patients developed innumerable metastatic nodes that precluded retreatment with percutaneous ethanol injection. No major complications occurred. All patients experienced long-term local control of metastatic lymph nodes treated by percutaneous ethanol injection. In 12 of 14 patients, percutaneous ethanol injection was successful in controlling all known metastatic adenopathy.

CONCLUSION.
Sonographically guided percutaneous ethanol injection is a valuable treatment option for patients with limited cervical nodal metastases from papillary thyroid cancer who are not amenable to further surgical or radioiodine therapy.

Latest On PEI

Thyroid No Surgery: Thyroid Cystic Disease Can be Treated Without Surgery in my Office by PEI.

Thyroid No Surgery: Thyroid Cystic Disease Can be Treated Without Surgery in my Office by PEI.

Thyroid No Surgery: Thyroid Cystic Disease Can be Treated Without Surgery in my Office by PEI...

More info

What you need to know about when to get help from outside consultants before surgery

What you need to know about when to get help from outside consultants before surgery

What you need to know about when to get help from outside consultants before surgery...

More info

Thyroid Surgery Readmission Database: Things Your Surgeon Won’t Tell You.

Thyroid Surgery Readmission Database: Things Your Surgeon Won’t Tell You.

Thyroid Surgery Readmission Database: 23,000 thyroid surgeries in 2014 The indications for the...

More info

Thyroid No Surgery: PEI for Recurrent Papillary thyroid cancer

Thyroid No Surgery: PEI for Recurrent Papillary thyroid cancer

Thyroid No Surgery: PEI for Recurrent Papillary thyroid cancer Call me at 310-393-8860  or...

More info

Thyroid Cancer No More Surgery: Ethanol Ablation PEI

Thyroid Cancer No More Surgery: Ethanol Ablation PEI

Cancer No More Surgery: Ethanol Ablation PEI Ultrasound-guided percutaneous ethanol ablation of...

More info

DR.Guttler’s Published Video on PEI for thyroid cysts and cancer lymph nodes in VideoEndocrinology

DR.Guttler’s Published Video on PEI for thyroid cysts and cancer lymph nodes in VideoEndocrinology

DR.Guttler’s Published Video on PEI for thyroid cysts and cancer lymph node...

More info

Meet Richard Guttler of Santa Monica Thyroid Ablation Center

Meet Richard Guttler of Santa Monica Thyroid Ablation Center

September 25, 2017 Meet Richard Guttler of Santa Monica Thyroid Ablation Center VoyageLA Staff...

More info

Recurrent Thyroid Cancer in Neck Lymph Nodes 101: Ethanol Ablation PEI a safe alternative to Surgery. It is About Time!

Recurrent Thyroid Cancer in Neck Lymph Nodes 101: Ethanol Ablation PEI a safe alternative to Surgery. It is About Time!

Recurrent Thyroid Cancer in Neck Lymph nodes 101: Ethanol Ablation PEI a safe alternative to...

More info

Thyroid Nodules and Cancer 101: Does Size Matter?

Thyroid Nodules and Cancer 101: Does Size Matter?

Thyroid Nodules and Cancer 101: Does Size Matter? Yes, except when it does’t...

More info

Thyroid Cystic Nodules 101: What are you waiting for? Safe and effective Ethanol Ablation PEI is the treatment of choice not surgery!

Thyroid Cystic Nodules 101: What are you waiting for? Safe and effective Ethanol Ablation PEI is the treatment of choice not surgery!

Thyroid Cystic Nodules 101: What are you waiting for? Safe and effective Ethanol Ablation PEI is...

More info

Thyroid Cancer 101: Third World Thyroid Cancer Congress II : What did We learn about Monitoring after thyroid cancer surgery?

Thyroid Cancer 101: Third World Thyroid Cancer Congress II : What did We learn about Monitoring after thyroid cancer surgery?

Thyroid Cancer 101: Third World Thyroid Cancer Congress II : What did We learn about Monitoring...

More info
Contact Info
1328 16th Street, Santa Monica, CA 90404
Monday – Friday
9:00 AM to 5:00 PM
(310) 393-8860