2015, Number 4
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Acta Med 2015; 13 (4)
Percutaneous ethanol injection for the treatment of solid hyperfunctioning thyroid nodules
Miracle LS
Language: Spanish
References: 13
Page: 229-231
PDF size: 125.77 Kb.
ABSTRACT
Background: The percutaneous ethanol injection therapy (PEIT) has been used for more than 15 years in the treatment of both benign and malignant thyroid lesions. We are not aware of PEIT reports in Latin America.
Methods: We present eight procedures of PEIT in hyperfunctioning solid thyroid nodules. All patients previously underwent an ultrasound-guided fine needle aspiration biopsy (FNAB); all nodules were reported as Class II of the Bethesda system. The PEIT was performed under ultrasound guidance and 99.57% ethanol was used in all procedures. The total volume injected was one cm
3 per cm
3 of thyroid volume, divided in three to five sessions.
Results: Total remission was achieved in six people (75%) and partial remission in two (25%). All of them reported mild to moderate pain in the PEIT site that lasted between 36 and 48 hours and did not make the patients abandon their treatments.
Conclusions: Our first report shows PEIT to be an efficacious procedure. We believe that PEIT is a safe and underused alternative to surgery and RAI in people with solid thyroid hyperfunctioning adenomas.
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