Thyroid Cancer 101: Recurrent Thyroid Lymph Node Cancer Treated with Ethanol as Alternative to Another Neck Surgery.
The patient was told to have another modified radical neck dissection for recurrent local metastatic disease in a lymph node. She had total thyroid removed and neck dissection followed by radioiodine. The ” new” disease was seen one year after the surgery. She refused surgery recommended by her local surgeon and came to me for an opinion on ethanol ablation as an alternative.
She was hypothyroid on thyroid hormone and the neck revealed just the scar. US only revealed one lymph node that was abnormal. FNA cytology and needle washout was positive for thyroid cancer.
The patient returned to have ethanol ablation. She was taken to the ultrasound treatment room in my office. Prepped and after determining then size of the lymph node, the 200 proof ethanol was readied for injection. Under USG the #27 needle was placed in the center of the lymph node. 1 ml of ethanol injected slowly asking if there was any pain or voice change. The needle was removed slowly and there was slight transient pain as it came out The whole procedure took 10 minutes. After 30 minutes she left my office with a small circle band aide in place. She had no pain or complications and returned to work afterward. The follow up evaluations revealed that the Lymph node was reduced in size and no Doppler Blood flow.
- No hospital
- No surgery
- 10 minute treatment in my office.
- Reduced cost compared to surgery.
- Unlikely to cause serious complications compared to surgery.
Call me at 310-393-8860 or [email protected] for details.
Dr.Richard Guttler MD,FACE,ECNU