‘‘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
Related Articles
- EP ID EP401647
- DOI 10.9790/0853-1710046470.
- Views 62
- Downloads 0
Case Report of Large Simple Hepatic cyst
Most liver cysts are benign, even though early diagnosis plays vital role for proper treatment of parasitic or cancerous subtypes. Simple hepatic cysts may be isolated or multiple and may vary from a few millimeters to s...
A Study Of Risk Factors Of Carcinoma Breast Presenting At Rims, Ranchi, Jharkhand
Breast cancer is the most common cause of death in middle aged women in western countries. In 2010, approximately one and three quarter million patients were diagnosed world wide. Breast cancer is the most common site sp...
Glaucoma Scenario in Kashmir Valley: A Hospital – Based Study
Glaucoma is the second most prevalent cause of vision loss worldwide. Prevalence is expected to rise from 60 million people worldwide in 2010 to 80million in 2020. Research has shown that the prevalence of glaucoma varie...
Pituitary Adenomas, Challenges and Prospects of Management: A Case Report
Introduction: Advances in Endocrinology and Neuro-radiology research in recent years have allowed earlier recognition and more successful therapy of pituitary adenomas. Prolactinomas are the most common type. Early clini...
A giant inguinoscrotal swelling with intestinal obstruction – a case report
Giant inguinal hernias are unusual and are extremely rare nowadays because of easier access to hospital services, early diagnosis better hernioplasty techniques. They are significantly challenging in terms of surgical ma...