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:
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Jedmond C,Morisol T. Treatment of thyroid cysts by aspiration and injection of sclerosant .Br Med J, 1987; (295) :529.
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Iwabuchi H, Ito K. Ultrasound guided percutaneous ethanol injection in the treatment of cystic thyroid nodules .Clin Endocrinol Oxf, 1994; 145 :27.
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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.
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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.
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Crile JG. Treatment of thyroid cysts .Surg, 1966;59 :210.
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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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George El.Radiation therapy of head and neck cancer . Berlin Springer-Verlage,1989.
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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.
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- 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.