Treatment of Benign Cold Thyroid Nodule: Efficacy and Safety of US-guided Percutaneous Ethanol Injection
Journal of the Korean Radiological Society
; : 479-483, 1998.
Article
en Ko
| WPRIM
| ID: wpr-99884
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: The purpose of this study was to evaluate the efficacy and safety of Us-guided percutaneous ethanolinjection for the treatment of benign cold thyroid nodules. MATERIALS AND METHODS: Twenty-five patients withbenign cold thyroid nodules (volume of each at least 2ml proven by PCNA to be adenomatous hyperplasia, and coldnodule by thyroid scan) underwent a total of one to three percutaneous ethanol injections (PEI) at intervals ofone or two months. The mean amount of ethanol used was 6.2(range, 1.5-8)ml, depending on the volume of the nodule. Follow up ultrasonography was performed one to four months after the final session. RESULTS: The initial volumeof nodules was 11.4+/-4.1(range, 2.5-41.4)ml, and in all cases this fell by 56.1+/-22.3%(range, 10.9-92.1%);in allcases, follow-up ultrasonography showed that echogeneity was lower and its pattern was heterogeneous. Trere wereno important longstanding complications; the most common side effect was acute pain at the injection site(n=9),and in one case, transient vocal cord palsy occurred. CONCLUSION: our results show that US-guided percutaneousinjection of ethanol is an effective and a safe procedure for the treatment of benign cold thyroid nodules, and isthus an alternative to surgery of hormone therapy.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Glándula Tiroides
/
Parálisis de los Pliegues Vocales
/
Estudios de Seguimiento
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Ultrasonografía
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Nódulo Tiroideo
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Antígeno Nuclear de Célula en Proliferación
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Etanol
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Dolor Agudo
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Hiperplasia
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Radiological Society
Año:
1998
Tipo del documento:
Article