scholarly journals Simultaneous ultrasound‑guided percutaneous ethanol injection therapy of two thyroid cysts

2018 ◽  
Vol 20 (3) ◽  
pp. 147-149
Author(s):  
Milan Halenka ◽  
Charlotte Mlčochová
Keyword(s):  
Percutaneous Ethanol Injection ◽  
Injection Therapy ◽  
Ultrasound Guided ◽  
Ethanol Injection ◽  
Percutaneous Ethanol Injection Therapy ◽  
Ethanol Injection Therapy

Ultrasound-guided percutaneous ethanol injection therapy of neck cysts as an alternative to surgery

2021 ◽  
Vol 70 (3) ◽  
pp. 181-189
Author(s):  
Milan Halenka ◽  
Richard Salzmann ◽  
Hana Munteanu ◽  
Martin Brož ◽  
Jan Schovánek ◽  
...  
Keyword(s):  
Metastatic Lymph Node ◽  
Percutaneous Ethanol Injection ◽  
Volume Reduction ◽  
Injection Therapy ◽  
Surrounding Tissue ◽  
Ultrasound Guided ◽  
Ethanol Injection ◽  
Percutaneous Ethanol Injection Therapy ◽  
Ethanol Injection Therapy ◽  
Cervical Cysts

Summary Introduction: Some extrathyroidal cervical cystic lesions can be treated in selected situations by minimally invasive, low-risk method – ultrasound--guided percutaneous ethanol injection therapy (US-PEIT). Here we present 6 cases of neck cysts of various origins – ranula, thyroglossal duct cyst, branchial cleft cyst, midline neck cyst of the pyramidal lobe and dermoid cyst. Method and material: The cohort consisted of 6 patients (mean age 58 ± 13.3 years), who were followed for recurrent cervical cysts located outside the thyroid gland. The cysts were visible, palpable, aesthetically unpleasant and also mechanically compressing the surrounding tissue. After repeated evacuations, they filled in again. The patients repeatedly refused the recommended surgery and demanded an alternative solution. US-PEIT of thyroid cysts is used worldwide as a full-fledged alternative to surgical treatment. We used the same procedure for the treatment of presented neck cysts. Results: The initial volume of cysts was 2–35 mL (mean 17.7 mL); the patients underwent 1–6 sclerotization sessions (mean 3.6). The patients were followed for 12 months; the final volume of solid residue was 0.1–2 mL (mean 1 mL) representing volume reduction by 80–99% (mean 92%). Therapeutic success (volume reduction > 50%) was achieved in all patients. Conclusion: US-PEIT of cervical cysts as an alternative to surgery can be used especially in elderly patients with increased surgical risk or in patients refusing surgery. In middle-aged and older adults, the possibility of a necrotic metastatic lymph node should always be considered. Therefore, a benign cytological examination and an unsuspecting ultrasonographic and CT finding are the basic conditions before performing the ethanol ablation. Key words neck cysts – ultrasound-guided percutaneous ethanol injection therapy

Treatment of radioiodine-negative bone metastasis from papillary thyroid carcinoma with percutaneous ethanol injection therapy

1996 ◽  
Vol 10 (4) ◽  
pp. 441-444 ◽  
Author(s):  
Kunihiro Nakada ◽  
Kenji Kasai ◽  
Yoshiharu Watanabe ◽  
Chietsugu Katoh ◽  
Kakuko Kanegae ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Bone Metastasis ◽  
Thyroid Carcinoma ◽  
Percutaneous Ethanol Injection ◽  
Injection Therapy ◽  
Papillary Thyroid ◽  
Ethanol Injection ◽  
Percutaneous Ethanol Injection Therapy ◽  
Ethanol Injection Therapy

Hyperfunctioning thyroid nodules and percutaneous ethanol injection therapy

1998 ◽  
Vol 7 ◽  
pp. S26
Author(s):  
R. Rivolta ◽  
L. Vigna ◽  
D. Scaramuzza ◽  
V. Fauda ◽  
G. Corsi
Keyword(s):  
Thyroid Nodules ◽  
Percutaneous Ethanol Injection ◽  
Injection Therapy ◽  
Ethanol Injection ◽  
Percutaneous Ethanol Injection Therapy ◽  
Ethanol Injection Therapy

Multiple-needle insertion method in percutaneous ethanol injection therapy for liver neoplasms

1991 ◽  
Vol 26 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Shuichiro Shiina ◽  
Yasuo Hata ◽  
Yasuro Niwa ◽  
Yutaka Komatsu ◽  
Torao Tanaka ◽  
...  
Keyword(s):  
Liver Neoplasms ◽  
Percutaneous Ethanol Injection ◽  
Needle Insertion ◽  
Injection Therapy ◽  
Ethanol Injection ◽  
Percutaneous Ethanol Injection Therapy ◽  
Insertion Method ◽  
Ethanol Injection Therapy

Percutaneous ethanol injection therapy in the treatment of thyroid and parathyroid diseases

1997 ◽  
Vol 136 (3) ◽  
pp. 240-250 ◽  
Author(s):  
Finn Noe Bennedbæk ◽  
Steen Karstrup ◽  
Laszlo Hegedüs
Keyword(s):  
Standard Therapy ◽  
Thyroid Nodules ◽  
Percutaneous Ethanol Injection ◽  
Ultrasound Guided ◽  
Ethanol Injection ◽  
Experimental Procedure ◽  
Percutaneous Ethanol Injection Therapy ◽  
Ethanol Injection Therapy ◽  
Parathyroid Tumours

Abstract Relevant English language articles published from 1966 to 1995 regarding ethanol therapy in the treatment of thyroid and parathyroid diseases were identified through a MEDLINE search and manual searches of identified articles. The sclerosing properties of ethanol have been recognized for many years and have offered interventional possibilities in the management of various benign as well as malignant lesions. The mechanism of action of ethanol appears to be related to a direct coagulative necrosis and local partial or complete small vessel thrombosis. Ultrasound-guided percutaneous ethanol injection therapy (PEIT) is rapid and performed on an out-patient basis and has now gained wide acceptance due to the accumulating evidence of the efficacy and safety of this therapeutic tool. Yet, there is a lack of prospective, randomized clinical trials comparing PEIT with 131I therapy or surgery with regard to its effects, especially long-term ones and it should therefore still be considered an experimental procedure. In benign endocrine diseases, PEIT has shown promising results in the treatment of autonomous thyroid nodules, benign solitary cold solid as well as cystic thyroid nodules and parathyroid tumours. Its use in pretoxic and toxic thyroid nodules has been evaluated in several uncontrolled studies, all demonstrating a high success rate in spite of the large number of treatments needed. So far efficacy and cost-effectiveness seem inferior to 131I and surgery. Short-term results of PEIT in benign cystic thyroid nodules are convincing with a high cure rate, but no controlled studies with long-term results are available. Preliminary results suggest that PEIT could become an alternative to surgical excision or levothyroxine therapy in the symptomatic solid cold benign thyroid nodule. Ultrasound-guided PEIT of parathyroid tumours has proven to be a useful method in highly selected patients in whom surgery has been found non-attractive and medical treatment ineffective. However, no prospective randomized trials have been published comparing the results of PEIT in parathyroid tumours with conventional surgical and medical treatments. PEIT has never been tested against standard therapy, but seems inferior to 131I and surgery. Side-effects caused by ethanol injection are generally few and transient and are related to the injection into solid nodules rather than cysts. Ethanol injection into solid profund nodules may seriously jeopardize subsequent surgery because of perinodular fibrosis. As an experimental procedure, not yet evaluated sufficiently, it should be reserved for patients who cannot or will not undergo standard therapy. Caution in routine use is advisable. European Journal of Endocrinology 136 240–250

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