Not All Cysts in or near the thyroid are thyroid cysts. Parathyroid Hormone PTH Needle Washout for Parathyroid Cysts PC.

Not All Cysts in or near the thyroid are thyroid cysts. Parathyroid Hormone PTH Needle Washout for Parathyroid Cysts PC.

Not All Cysts in or near the thyroid are thyroid cysts. Parathyroid Hormone PTH Needle Washout for Parathyroid Cysts PC.
Not All Cysts in or near the thyroid are thyroid cysts. Parathyroid Hormone PTH Needle Washout for Parathyroid Cysts PC.
Comments:
Parathyroid cysts are usually located in the neck next to the thyroid. They are usually filled with clear fluid. However some hemorrhage and are filled with red or brownish fluid similar to thyroid cysts. They can be found inside the thyroid. Any cyst can be check before treatment by collecting a needle washout for Thyroid origin Thyroglobulin Tg or PTH for parathyroid origin.
Ethanol ablation PEI is done as an outpatient in my office.If you don’t want surgery or a scar call Matt  for details.
310-393-8860 or [email protected]
This Study found
4/12 PC cured by aspiration alone. 6/12 PEI was successful and 2/12 needed a second session to be successful ablations.
images
Before PEI in my office
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Large parathyroid cyst
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Example of clear fluid not from my patient.
Why have surgery or scar when an outpatient PE treatment works.
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After PEI

Symptomatic nonfunctioning parathyroid cysts: role of simple aspiration and ethanol ablation.

Sung JY1Eur J Radiol. 2013 Feb;82(2):316-20.

Abstract

OBJECTIVES:

To evaluate the outcomes of simple aspiration and ethanol ablation in the management of symptomatic nonfunctioning parathyroid cyst (PC).

METHODS:

We performed simple aspirations for 12 PCs in 12 patients from March 1997 to June 2010. PC was diagnosed if the aspirated fluid was clear colorless and showed an elevated parathyroid hormone (PTH) level. Ethanol ablation (EA) was performed for recurrent PCs. Simple aspirations were performed using 23-gauge needles and EAs using 18-gauge needles with 99% ethanol under ultrasound (US) guidance. We evaluated cyst volume, cosmetic score, symptom score, and complications.

RESULTS:

Mean follow-up period of all patients was 19.2 ± 12.9 months (median, 15.0 months; range, 7-40 months). Simple aspiration was successful in four patients, and the mean volume reduction after simple aspiration was 98.2 ± 3.5% (range, 92.9-100%). In eight recurrent cases, EA resulted in a significant decrease in volume (P=0.012), as well as in cosmetic (P=0.011) and symptom (P=0.01) scores at last follow-up; however two cases of primary failure of EA was treated by repeat EA. No major complications occurred in any patient.

CONCLUSIONS:

For symptomatic nonfunctioning PCs, simple aspiration could be a first line procedure for diagnosis and treatment, while EA can be a subsequent treatment modality for recurrent cases.

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