Alcohol Injections for Goiters in 1890: 128 Years Later We Are “Back to Future”PEI For Goiter Cystic Nodules and Cancer.
Goiter treatment with alcohol
1.After the injection of alcohol there were the same results as iodine, but to a less degree.
2.After the injection of alcohol there was parenchymatous destruction.
3. Two or three days after the injections there was a serofibrous.
4. Exudation at the point of puncture with necrosis of the cells of the parenchyma.
5. After one or two weeks there was a formation of connective
The Old Becomes New Again
The injection of alcohol for goiters 128 years ago was a failure. They should have used it for cystic nodules. Also we are now beginning to inject ethanol again for inside the thyroid gland into small micro-papillary cancers <1.5 cm as alternative to surgery or active surveillance without surgery.
Present day revival of alcohol therapy for thyroid and parathyroid cysts and thyroid cancer is called ethanol ablation or PEI.
Clear fluid cyst from parathyroid cyst.