Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid Nodule
Until nonsurgical techniques like laser ablation (LA) or radiofrequency became available, patients suffering from large nodules with compressive symptoms were addressed to surgery. We describe the case of a 59-year-old woman with a large, partially cystic thyroid nodule having a volume of about 100 ...
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Wiley
2018-01-01
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Series: | Case Reports in Endocrinology |
Online Access: | http://dx.doi.org/10.1155/2018/8046378 |
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author | Roberto Negro Gabriele Greco |
author_facet | Roberto Negro Gabriele Greco |
author_sort | Roberto Negro |
collection | DOAJ |
description | Until nonsurgical techniques like laser ablation (LA) or radiofrequency became available, patients suffering from large nodules with compressive symptoms were addressed to surgery. We describe the case of a 59-year-old woman with a large, partially cystic thyroid nodule having a volume of about 100 ml. As the patient refused surgery, despite her constant local discomfort, such large partially cystic nodule underwent several percutaneous ethanol injections (PEI) and then was submitted to LA. The combination of these two procedures allowed firstly complete disappearance of the cystic component and secondly a significant reduction of thyroid nodule, which finally measured 17 ml in volume (82% reduction compared to baseline). This case demonstrates that even in very large partially cystic nodules LA preceded by PEI represents a valid alternative to surgery. |
format | Article |
id | doaj-art-48fb4e2a4f7c433eae7e2aa19d897f43 |
institution | Kabale University |
issn | 2090-6501 2090-651X |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Endocrinology |
spelling | doaj-art-48fb4e2a4f7c433eae7e2aa19d897f432025-02-03T01:10:09ZengWileyCase Reports in Endocrinology2090-65012090-651X2018-01-01201810.1155/2018/80463788046378Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid NoduleRoberto Negro0Gabriele Greco1Division of Endocrinology, “V. Fazzi” Hospital, Lecce, ItalyDivision of Endocrinology, “V. Fazzi” Hospital, Lecce, ItalyUntil nonsurgical techniques like laser ablation (LA) or radiofrequency became available, patients suffering from large nodules with compressive symptoms were addressed to surgery. We describe the case of a 59-year-old woman with a large, partially cystic thyroid nodule having a volume of about 100 ml. As the patient refused surgery, despite her constant local discomfort, such large partially cystic nodule underwent several percutaneous ethanol injections (PEI) and then was submitted to LA. The combination of these two procedures allowed firstly complete disappearance of the cystic component and secondly a significant reduction of thyroid nodule, which finally measured 17 ml in volume (82% reduction compared to baseline). This case demonstrates that even in very large partially cystic nodules LA preceded by PEI represents a valid alternative to surgery.http://dx.doi.org/10.1155/2018/8046378 |
spellingShingle | Roberto Negro Gabriele Greco Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid Nodule Case Reports in Endocrinology |
title | Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid Nodule |
title_full | Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid Nodule |
title_fullStr | Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid Nodule |
title_full_unstemmed | Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid Nodule |
title_short | Percutaneous Ethanol Injection in Combination with Laser Ablation for a 100 ml Partially Cystic Thyroid Nodule |
title_sort | percutaneous ethanol injection in combination with laser ablation for a 100 ml partially cystic thyroid nodule |
url | http://dx.doi.org/10.1155/2018/8046378 |
work_keys_str_mv | AT robertonegro percutaneousethanolinjectionincombinationwithlaserablationfora100mlpartiallycysticthyroidnodule AT gabrielegreco percutaneousethanolinjectionincombinationwithlaserablationfora100mlpartiallycysticthyroidnodule |