Ethanol Ablation of the Thyroid Nodules: 2018 Consensus Statement by the Korean Society of Thyroid Radiology

Soo Yeon Hahn, Jung Hee Shin, Dong Gyu Na, Eun Joo Ha, Hye Shin Ahn, Hyun Kyung Lim, Jeong Hyun Lee, Jeong Seon Park, Ji Hoon Kim, Jin Yong Sung, Joon Hyung Lee, Jung Hwan Baek, Jung Hyun Yoon, Jung Suk Sim, Kwang Hwi Lee, Seon Mi Baek, So Lyung Jung, Yeo Koon Kim, Yoon Jung Choi, Korean Society of Thyroid Radiology (KSThR), Korean Society of Radiology, Soo Yeon Hahn, Jung Hee Shin, Dong Gyu Na, Eun Joo Ha, Hye Shin Ahn, Hyun Kyung Lim, Jeong Hyun Lee, Jeong Seon Park, Ji Hoon Kim, Jin Yong Sung, Joon Hyung Lee, Jung Hwan Baek, Jung Hyun Yoon, Jung Suk Sim, Kwang Hwi Lee, Seon Mi Baek, So Lyung Jung, Yeo Koon Kim, Yoon Jung Choi, Korean Society of Thyroid Radiology (KSThR), Korean Society of Radiology

Abstract

Minimally invasive treatment of symptomatic thyroid nodules is now commonplace. Ethanol ablation (EA) of thyroid cystic nodules has been performed since the 1990s, but there is no global consensus or guideline. Although various limitations of EA have been described, recommendations for practical application are necessary. Therefore, the Task Force Committee of the Korean Society of Thyroid Radiology initiated the present consensus statement and here we provide recommendations for the role of EA in the management of symptomatic thyroid nodules. These recommendations are based on evidence to date from the literature and expert opinion.

Keywords: Ethanol ablation; Guidelines; Minimally invasive therapy; Thyroid; Thyroid neoplasm.

Conflict of interest statement

The authors have no potential conflicts of interest to disclose.

Copyright © 2019 The Korean Society of Radiology.

Figures

Fig. 1. EA for benign recurrent cyst…
Fig. 1. EA for benign recurrent cyst in right thyroid gland.
A. 18-gauge needle inserted into center of cystic area via trans-isthmic approach route. B. After aspiration of internal fluid, ethanol was slowly injected into cystic space. EA = ethanol ablation
Fig. 2. EA for recurrent papillary thyroid…
Fig. 2. EA for recurrent papillary thyroid carcinoma in right lateral neck.
A. 23-gauge needle inserted into most peripheral portion of recurrent cancer. B. Immediately after injection of ethanol, treated area became echogenic.

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