Controlling recurrent papillary thyroid carcinoma in the neck by ultrasonography-guided percutaneous ethanol injection
- Authors
- Kim, B.M.[Kim, B.M.]; Kim, M.J.[ Kim, M.J.]; Kim, E.-K.[ Kim, E.-K.]; Park, S.I.[ Park, S.I.]; Park, C.S.[ Park, C.S.]; Chung, W.Y.[ Chung, W.Y.]
- Issue Date
- 2008
- Keywords
- Cervical; Interventional; Lymph node; Papillary thyroid carcinoma; Percutaneous ethanol injection; Ultrasonography
- Citation
- European Radiology, v.18, no.4, pp.835 - 842
- Indexed
- SCOPUS
- Journal Title
- European Radiology
- Volume
- 18
- Number
- 4
- Start Page
- 835
- End Page
- 842
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/83180
- DOI
- 10.1007/s00330-007-0809-5
- ISSN
- 0938-7994
- Abstract
- The purpose of this study was to retrospectively evaluate the efficacy of ultrasonography-guided percutaneous ethanol injection (PEI) for neck recurrence of papillary thyroid carcinoma (NR-PTC). Twenty-seven patients (19-80 years old; mean, 53.2) with 47 NR-PTCs were treated by PEI and were followed-up (14-38 months; mean, 28.2). Ethanol (99%) was repeatedly injected with adjusting needle position until the entire volume of NR-PTC was ablated. All patients received follow-up ultrasonography at 3-6-month intervals, and the percent volume decrease was measured. The NR-PTCs with decreased volume and no tumor vascularity on power-Doppler study were regarded as treatment-effective. The NR-PTCs with stable or enlarged volume or with tumor vascularity were considered as treatment-failed, in which case PEI was repeated. The number of sessions and the total volume of ethanol per NR-PTC, and the volume of ethanol per session per NR-PTC were evaluated. All NR-PTCs significantly decreased in volume (range, 30-100%; mean, 93.6%). The mean number of sessions, the total volume of ethanol per NR-PTC, and the mean volume of ethanol per session per NR-PTC were 2.1 sessions (range 1-6), 2.4 ml (range 0.3-10.1), and 1.1 ml/session (range 0.3-3.0), respectively. PEI appears to be an alternative option for controlling NR-PTCs in the selected patients who are poor surgical candidates. © European Society of Radiology 2007.
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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