Ethanol Ablation of Benign Thyroid Cysts: Another Twist in the Treatment Plan ?

Ethanol Ablation of Benign Thyroid Cysts: Another Twist in the Treatment Plan ?

Ethanol Ablation of Benign Thyroid Cysts: Another Twist in the Treatment Plan ?
Ethanol Ablation PEI of Benign Thyroid Cysts: Another Twist in the Treatment Plan?
Comment:
When the first PEI left a solid Doppler positive component a second PEI was done.
9 had complete ablation, 7 had partial ablation. 4 had Radiofrequency RFA of the remnant with complete success.
I can evaluate you for PEI and with one and two step PEI can ablate the cysttic nodule without RFA or surgery.
Call my office 310-393-8860  or [email protected] at talk to Matt about the details.
Richard Guttler MD,FACE,ECNU
thyroid.com
kjr-18-461-g001-l
57-year-old man with right thyroid nodule. A. Ethanol ablation of 10.2-mL predominantly cystic nodule (white arrows) showing internal and peripheral
Usefulness of two-stage ethanol ablation in the treatment of benign predominantly cystic thyroid nodules.
Kim DW1.Endocr Pract. 2014 Jun;20(6):548-55.

OBJECTIVE:

The management of benign predominantly cystic thyroid nodules (PCTNs) differs depending on the institution or practitioner. This study aimed to assess the efficacy of two-stage ultrasound (US)-guided ethanol ablation (EA) in treating PCTNs.

METHODS:

Over a 1-year period, two-stage EA was performed on benign PCTNs for 25 patients. After EA, each patient was followed up with thyroid US. The two-stage EA treatment consisted of an initial EA for the cystic component of the PCTN and subsequent treatment for the remaining solid component, if needed.

RESULTS:

All 25 patients underwent EA for the cystic component of a PCTN and showed complete collapse of the cystic component on the follow-up US. Twenty patients were subsequently treated with one or more EA sessions because of the presence of a vascularized solid component, whereas 5 patients underwent no additional EA sessions because no vascularized solid component was detected on follow-up US. Of the 20 patients who underwent additional EA for a remaining solid component, complete ablation (n = 9), incomplete ablation (n = 7), and no response (n = 4) were observed on follow-up US. Of the 7 patients with incomplete ablation despite repeated EA, only 4 underwent radiofrequency ablation, and they showed complete ablation on follow-up US.

CONCLUSION:

Two-stage EA may be useful for the treatment of benign PCTNs.

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