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 ...

Full description

Saved in:
Bibliographic Details
Main Authors: Roberto Negro, Gabriele Greco
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2018/8046378
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564816995155968
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