The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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The Effect of Ethanol Ablation for the Treatment of Benign Cystic Thyroid Nodules

양성 낭종성 갑상선 결절에 대한 에탄올 절제술의 효과

  • Chung, Jae Hoon (Division of Endocrinology & Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 정재훈 (성균관대학교 의과대학 내과학교실, 삼성서울병원 내분비대사내과)
  • Published : 2013.12.01
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Abstract

Simple aspiration is the initial therapy in patients with the symptomatic benign thyroid cystic nodule, but treatment failure is very common. In patients with recurrent cystic thyroid nodules, ethanol ablation (EA), radiofrequency ablation, or laser ablation can be used to prevent reaccumulation of cystic fluid. EA is simple, cheap and needs no specialized equipment. Kim et al. reported the long-term efficacy and safety of ultrasound-guided percutaneous EA for cystic or predominantly cystic thyroid nodules. They also evaluated the clinical factors associated with treatment failure. Successful ablation was obtained in 31 of 40 (77.5%) patients, and initial large cystic volume was the factor associated with therapeutic failure. The side effect was negligible except transient local pain immediately after the procedure. Although this study had retrospective design and irregular follow-up, it is plausible that EA is a safe and effective therapy for treating cystic or predominantly cystic thyroid nodule.

Keywords

References

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