THYROID CYST TREATED WITH ASPIRATION AND ETHANOL SCLEROTHERAPY_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Tang Weisong.

Department of Surgery Beijing Union Hospital, Beijing Union Medical College Beijing 100730;

Corresponding author：

Keywords：

Thyroid; Cystic degeneration; Ethanol sclerotherapy

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From September 1988 to May 1985, 67 cases of thyroid cysts were treated with aspiration and ethanol injection. Patients were followed up clinically and ultrasonically 6 month to 4 years after treatment. Cure was defined as complete disappealance of the cyst or presence of a residual fibrotic mass less than 1 cm in diameter, effectiveness was defined as the residual mass less than 50% of the original one. After one to three injections, 27 out of 36 patients of thyroid adnoma with cystic change (75 %)were cured, the effective rate was 88.2%. The cure rate of nodular goiter with cystic change was 50%(14 out of 28 cases, while the effective rate was 82%.No serious complication occurred in this series. During the period of following up, no malignant change was found. The results suggest that aspiration of thyroid cyst with ethanol injection is a simple, well tolerated and low cost technique.

Citation： Tang Weisong.. THYROID CYST TREATED WITH ASPIRATION AND ETHANOL SCLEROTHERAPY. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1996, 3(3): 146-148. doi: Copy

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10.	夏振龙,王玉魁,徐凤桐等. 甲状腺腺瘤的处理及其与癌变关系 .实用外科杂志, 1985；5（3）：141.
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12.	曹金铎, 朱明炜. 甲状腺结节的处理.中国实用外科杂志，199515（2）：107.

1. Jedmond C,Morisol T. Treatment of thyroid cysts by aspiration and injection of sclerosant .Br Med J, 1987； (295) :529.
2. Jenn-Kuen Lee, Fang-Ting Tai, Hong-Da Lin, et al. Treatment of recurrent thyroid cysts by injection of tetracyeline or minocycline .Arch Intern Med, 1989； 149 :599.
3. Iwabuchi H, Ito K. Ultrasound guided percutaneous ethanol injection in the treatment of cystic thyroid nodules .Clin Endocrinol Oxf, 1994； 145 :27.
4. Alberti B,Campatelli A. Review of a case series of cervical cysts and evaluation of the efficacy of sclerotherapy with tetracycline hydrochloride in thyroid cystic lesions .Clin Ter, 1994； 145(7) :27.
5. Yasuda K,Ozaki O,Sugino K,et al. Treatment of cystic lesions of the thyroid by ethanol instillation .World J Surg, 1992； 16(5) :958.
6. 施秉银，朱英英，冯学亮等.细针抽吸加硬化治疗甲状腺囊性疾病.中华医学杂志，1993；73（9）：563.
7. Verde G, Papini R, Pacella W, et al. Ultrasound guided percutaneous ethanol injection in the treatment of cystic thyroid nodulars .Clini Endocrinol Oxf, 1994；41(6) :719.
8. 吴阶平主编，外科学.第5版.北京：人民卫生出版社，1990：882.
9. Crile JG. Treatment of thyroid cysts .Surg, 1966；59 :210.
10. 夏振龙,王玉魁,徐凤桐等. 甲状腺腺瘤的处理及其与癌变关系 .实用外科杂志, 1985；5（3）：141.
11. George El.Radiation therapy of head and neck cancer . Berlin Springer-Verlage,1989.
12. 曹金铎, 朱明炜. 甲状腺结节的处理.中国实用外科杂志，199515（2）：107.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

THYROID CYST TREATED WITH ASPIRATION AND ETHANOL SCLEROTHERAPY

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