Thyroid Tumor and Nodule Ethanol PEI Ablation 101: What Can We do For You Now to Save an Unnecessary or Another Thyroid Surgery?
- Ethanol Ablation called PEI has several important uses that does not require surgery or a hospital stay.
- PEI is the treatment of choice for mostly cystic complex benign thyroid nodules.
- PEI is the treatment of choice for parathyroid cysts ( clear fluid ) that are non-functional.
- PEI is an alternative option for ablating recurrent nodal neck thyroid cancer in place of another modified radical neck dissection.
- Image of recurrent nodal lymph node disease after modified radical neck dissection treated with PEI without another surgery.
- PEI for cancer lymph nodes was first pioneered by Mayo clinic’s Ian Hay.
- PEI is an alternative option for patients with primary small micro-papillary cancers in the thyroid who refuse surgery, and do not want to follow the cancer for years while leaving it in the neck.This option is called Active Surveillance.
Image of a small micro-papillary cancer for surgery,active surveillance or
if you don’t like those options Dr.Hay has added a third arm using ethanol
to ablate these relative low risk “harmless” cancers.
- PEI is an option for thyroglossal duct cysts with negative FNA for thyroid cancer and the desire not to have surgery.
- PEI can be used in combination the radiofrequency ablationRFA for complex mixed cystic solid benign thyroid nodules.
Thyroid.com has covered all aspects of PEI therapy on previous blogs related to cancer and thyroid nodules.
My evaluation includes consultation,diagnostic endocrine neck ultrasound and USGFNA. If you are a candidate ethanol ablation can be done as an outpatient in my center in Santa Monica , or you can go in other US physicians like DR.Brittany Henderson in North Carolina.
For my evaluation call Matt at 310-393-8860 or email to [email protected]
The evaluation fee is $1875. and the PEI treatment if you are a candidate with one year follow up is also $1875.
Richard Guttler MD,FACE,ECNU