Modified percutaneous ethanol injection in the treatment of viscous cystic thyroid nodules
Autor: | Aleksander Sieroń, Witold Zieleźnik, Wojciech Cebula, Aleksandra Kawczyk-Krupka, Marta Peszel Barlik |
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Rok vydání: | 2005 |
Předmět: |
Thyroid nodules
Adult Male medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment Ethanol Injection Injections Intralesional Endocrinology medicine Humans Prospective Studies Thyroid Nodule Stage (cooking) Aged Ethanol business.industry Viscosity Thyroid Nodule (medicine) Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Solvents Female medicine.symptom Percutaneous ethanol injection business Nuclear medicine Follow-Up Studies |
Zdroj: | Thyroid : official journal of the American Thyroid Association. 15(7) |
ISSN: | 1050-7256 |
Popis: | Here we describe a prospective 2-year evaluation of the efficiency of a new procedure of percutaneous ethanol injection (PEI) treatment of viscous thyroid cystic nodules (VTCN). Three patients with VCTN were selected from a group of 22 patients with solitary thyroid cystic nodules. A modified two-stage ethanol injection procedure was planned for these patients. Stage 1 was performed through the injection of a small dose of ethanol into the nodule. The viscosity of the content was reduced within 2 weeks after the injection. In the second stage the nodule was decompressed and an established dose of sterile 95% ethanol was injected. Patients were followed up for 2 years. In all cases a reduction in nodule volume was found. In the following 18 months further reduction was observed, with an average of 91.7%. The effect was stable throughout the follow-up period. No complications were observed. Therefore, our new two-stage PEI procedure appears all efficient alternative approach for the treatment of VCTNs even if further investigations on a larger series are required. |
Databáze: | OpenAIRE |
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