Thyroglossal Duct Cyst 101: Ethanol Ablation: Safe Treatment Without Surgery and

No Scar!

Dr.Guttler’s comments:

1. A biopsy was done to confirm the benign nature of the TGD cyst.
2. 11 patients with TGDC were treated.
3. The initial volume of the cysts ranged from 0.67 to 29.39 mL (mean, 6.0 mL).
4. Volume reduction was 43.9%–100% (mean, 81.3%, P = .005) at last follow-up.
5. 
6. A 41-year-old woman (patient 10). Axial (A) and longitudinal (B) sonograms show the TGDC in a suprahyoid location (2.0 × 2.3 × 3.1 cm; volume, 7.46 mL) filled with fluid. Axial (C) and longitudinal (D) sonograms obtained 13 months after EA show marked shrinkage of the TGDC. (0.35 × 0.6 × 0.76 cm; volume, 1.08 mL; volume reduction, 85.5%)
7. 
8. A 39-year-old woman (patient 11). Axial (A) and longitudinal (B) sonograms show a multiloculated TGDC in an infrahyoid location (1.2 × 2.0 × 2.2; volume, 2.76 mL). Sagittal CT scan (C) shows that the TGDC wraps around the hyoid bone (arrows). Axial (D) and longitudinal (E) sonograms and a sagittal CT scan (F) obtained 11 months after EA. Arrowheads indicate shrinkage of the TGDC (0.66 × 0.85 × 1.18; volume, 0.35 mL; volume reduction, 87.5%).
9. Therapeutic success (volume reduction of >50%) was observed in 8 patients (8/10, 80%).
10. Significant improvement of symptom- (P = .005) and cosmetic-grading scores (P = .003) was observed at last follow-up.
11. No significant complications were observed during the procedure or follow-up periods.
12. PEI seems to be an effective and safe treatment method for TGDC.
13. Reference:
14. Efficacy and Safety of Ethanol Ablation for Thyroglossal Duct Cysts
15. S.M. Kim, J.H. Baek, Y.S. Kim, J.Y. Sung, H.K. Lim, H. Choi and J.H. Lee
16. American Journal of Neuroradiology February 2011, 32 (2) 306-309; DOI: https://doi.org/10.3174/ajnr.A2296
17. Call 310-393-8860 or email to thyroid.manager@thyroid.com for details of PEI for a details of TGD cyst treatment of any thyroid or parathyroid cystic benign nodule.
18. Ask for Alicia
19. Dr.G.