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Percutaneous ethanol injection into thyroid cysts

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https://doi.org/10.2399/jmu.2013003007
Çetin, B., Duman, K., Karapınar, U., Sağlam, Ömer, & Dursun, E. (2013). Percutaneous ethanol injection into thyroid cysts. ENT Updates, 3(3). https://doi.org/10.2399/jmu.2013003007
Volume 3 Issue 3 (2013)
Copyright (c) 2013 Bilal Çetin, Kazım Duman, Uğur Karapınar, Ömer Sağlam, Engin Dursun
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Bilal Çetin
    Department of Otorhinolaryngology, Gümüşsuyu Military Hospital, İstanbul, Turkey
  • Kazım Duman Department of General Surgery, Gümüşsuyu Military Hospital, İstanbul, Turkey
  • Uğur Karapınar Department of General Surgery, Bursa Military Hospital, Bursa, Turkey
  • Ömer Sağlam Department of General Surgery, Kasımpaşa Military Hospital, İstanbul, Turkey
  • Engin Dursun Department of General Surgery, Kasımpaşa Military Hospital, İstanbul, Turkey

Objective: To present the results of 28 patients who were treated by Doppler ultrasound guided percutaneous ethanol injection (PEI) into benign cystic thyroid nodules.

Methods: Before percutaneous injection of ethanol, malignancies were excluded with fine needle aspiration biopsy. Volume of the nodule was calculated according to length χ width χ depth χ π/6 formula. During the application, 95% ethanol solution was injected about half of the initial cystic volume. At follow-up nodule diameter, formation of fibrosclerosis and nodule vascularization were evaluated. More than 50% reduction in nodule volume relative to the initial volume was defined success.

Results: The success rate with single application of PEI was found 88.5 percent. With administration of the second application of PEI on unsuccessful cases success rate increased to 92.9 percent.

Conclusion: Doppler ultrasound-guided PEI injection is a reliable, effective and inexpensive method in the treatment of thyroid cysts with high success rates.

Keywords:

Thyroid cyst thyroid nodule percutaneous ethanol injection cyst Doppler ultrasonography

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