Case Presentation:
50 Y/O Chinese male was told in Shanghai, that the only therapy for his recurrent thyroid cyst was surgery. A modern Chinese male hits the web to research this, before submitting for surgery. He found thyroid,com, and emailed me about coming to the USA for a consultation. He was euthyroid, on no medications, and had a 15 cc pure cyst.
The ultrasound guided FNA biopsy confirmed the cyst was indeed thyroid in nature, and the biopsy was negative for cancer. When he next visited the USA, under US guidance I
withdrew 15 cc of cyst fluid and re-injected 7.5 cc of medical grade ethanol. There was no pain or complications. He returned to see me 6 weeks later. The cyst was not visible anymore, and the ultrasound confirmed it was >99% ablated. There was a 1-2 mm residual seen on ultrasound.He had his wish come true to fix the cyst, but without major surgery, and hospitalization.
This PEI procedure can be used as primary treatment for non-functioning parathyroid cysts, and thyroglossal ducts that have recurred and failed surgery. It is mandatory to rule out cancer in mixed cysts of any nature before PEI is considered as a therapy option. It has another major use in the treatment of recurrent cancer lymph nodes in thyroid cancer patients,after a recurrence and prior neck explorations.
Good Luck,
Dr.G.
The Thyroid Doctor's log after seeing his patients. I am a rare bird. I am one of the few physicians to practice clinical thyroidology only for 35 years. I am the sole physician at the Santa Monica Thyroid Center, and have the best thyroid blood lab with Dr.Carole Spencer, expert in thyroid hormone analysis, and thyroid cancer markers, as my lab director.The lab is also CLIA certified in thyroid cytology. Dr.Guttler is a thyroid ultrasonographer certified by AACE, and AIUM.
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