‘‘Effectiveness and Safety of Percutaneous Ethanol Ablation In Thyroid Colloid Cysts”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
OBJECTIVE – To evaluate the efficacy, safety & associated complications of percutaneous ethanol ablation(PEA) in the treatment of thyroid colloid cyst. MATERIAL & METHODS – USG of the thyroid gland was performed in 30 patients with complaints of thyroid swelling ( 22females and 8 males ) with 20 complex cysts and 10 pure cysts which underwent USG-guided fine needle aspiration (FNA) and cytology to rule out any malignant etiology . Sterile Ethanol was injected into the cyst under USG guidance. The amount of ethanol injected was about 50% of the amount of aspirated fluid. The alcohol mixed colloid fluid was aspirated , fresh 100% ethanol was injected , left for 2-3 minutes and again re- aspirated as much as possible . Follow-up USG was done every month for 3 months; ethanol was re-injected when there was no significant reduction in the cyst volume. RESULTOut of 30 patients 25 patients showed significant (>50 %) reduction in cyst volume. 8 (26.6%) patients showed complete resolution of cyst volume (complete responders) . Repeat aspiration done in 7(23.3%) patients who showed less than 20% reduction in cyst volume after 1st follow up. 3 (10%) patients showed failure after repeat ethanol injection. 5 (16.6%) patients showed failure with less than 50 % reduction in cyst volume. No significant adverse effect was noted during the procedure and follow up except for the local pain at the injection site . CONCLUSSIONPercutaneous ethanol ablation was found to be safe ,effective and less time consuming OPD based treatment option for thyroid colloid cyst without any significant side effect .
Authors and Affiliations
Dr Rajesh Baghel, Dr Ruchi Vaish, Dr Akshara Gupta
Keywords
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- EP ID EP401647
- DOI 10.9790/0853-1710046470.
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