Parathyroid Benign Cystic Nodules 101: Ethanol Ablation is First Line Treatment Over Surgery
Patient was told to have surgery because of her enlarging parathyroid cystic nodule with local symptoms and becoming a cosmetic problem. She has refused surgery and had it drained 10 times which failed every time.
Ultrasound above shows a 13 ml 4.4 cm cystic nodule. Thyroid tests were normal and the biopsy was benign class II. The fluid was clear and the Parathyroid hormone in the needle washout was positive.
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 cyst the 200 proof ethanol was readied for injection after the cyst was evacuated. Under USG the #22 needle was placed in the center of the cyst cavity. 11 ml fluid removed and 6 ml of ethanol injected. After 5 minutes the ethanol was removed. 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 .. The follow up evaluations revealed that the cyst was not an issue cosmetically and the marked reduction in size 5 cm to 0.9 cm caused removal of her symptoms.
- 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