Efficacy of Ultrasound-Guided Percutaneous Ethanol Injection Treatment in Patients with a Limited Number of Metastatic Cervical Lymph Nodes from Papillary Thyroid Carcinoma

Heilo, Arne; Sigstad, Eva; Fagerlid, Kristin Holgersen; Håskjold, Olav Inge; Grøholt, Krystyna; Berner, Aasmund; Bjøro, Trine; Jørgensen, Lars

doi:10.1210/jc.2010-2952

Cited by 124 publications

(91 citation statements)

References 22 publications

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“…There is an obvious likelihood of treating some but not all affected nodules/nodes, and we lack data on whether quality of life and prognosis are improved compared with observation or standard therapy. With these shortcomings, remarkably favorable results have been obtained using PEIT as well as ILP in patients with LN metastases from papillary thyroid cancer [74,75,76]. In 63 patients, 101 of 109 metastatic LNs responded (92 completely) to PEIT, without any significant side effects [75].…”

Section: New Methods For Preoperative Localization Of Cervical Recurrmentioning

confidence: 99%

“…With these shortcomings, remarkably favorable results have been obtained using PEIT as well as ILP in patients with LN metastases from papillary thyroid cancer [74,75,76]. In 63 patients, 101 of 109 metastatic LNs responded (92 completely) to PEIT, without any significant side effects [75]. In a feasibility study, in 5 patients with papillary thyroid cancer (8 LNs), ILP has been suggested as an alternative and to perform similarly [76].…”

Section: New Methods For Preoperative Localization Of Cervical Recurrmentioning

confidence: 99%

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2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

Leenhardt¹,

Erdoğan²,

Hegedűs³

et al. 2013

Eur Thyroid J

327

288

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Cervical ultrasound scanning (US) is considered a key examination, by all major thyroid and endocrine specialist societies for the postoperative follow-up of thyroid cancer patients to assess the risk of recurrence. Neck US imaging is readily available, non-invasive, relatively easy to perform, cost-effective, and can guide diagnostic and therapeutic procedures with low complication rates. Its main shortcoming is its operator-dependency. Because of the pivotal role of US in the care of thyroid cancer patients, the European Thyroid Association convened a panel of international experts to review technical aspects, indications, results, and limitations of cervical US in the initial staging and follow-up of thyroid cancer patients. The main aim is to establish guidelines for both a cervical US scanning protocol and US-guided diagnostic and therapeutic procedures in patients with thyroid cancer. This report presents (1) standardization of the US scanning procedure, techniques of US-guided fine-needle aspiration, and reporting of findings; (2) definition of criteria for classification of malignancy risk based on cervical US imaging characteristics of neck masses and lymph nodes; (3) indications for US-guided fine-needle aspiration and for biological in situ assessments; (4) proposal of an algorithm for the follow-up of thyroid cancer patients based on risk stratification following histopathological and cervical US findings, and (5) discussion of the potential use of US-guided localization and ablation techniques for locoregional thyroid metastases.

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Section: New Methods For Preoperative Localization Of Cervical Recurrmentioning

confidence: 99%

Section: New Methods For Preoperative Localization Of Cervical Recurrmentioning

confidence: 99%

2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

Leenhardt¹,

Erdoğan²,

Hegedűs³

et al. 2013

Eur Thyroid J

327

288

View full text Add to dashboard Cite

show abstract

“…Regarding less invasive alternatives, recent publications demonstrated that percutaneous ethanol injection produced favorable results for control of recurrent thyroid cancers (10)(11)(12)(13)(14)(15).…”

Section: Methodsmentioning

confidence: 99%

Efficacy and Safety of Radiofrequency Ablation for Treatment of Locally Recurrent Thyroid Cancers Smaller than 2 cm

Kim¹,

Yoo²,

Park³

et al. 2015

Radiology

117

106

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“…In the last two decades, there have been reports of the development of several nonsurgical, image-guided, minimally invasive approaches for the treatment of recurrent thyroid cancer. Percutaneous ethanol injection therapy (91)(92)(93)(94), radiofrequency ablation, and laser ablation have each been reported as effective for locoregional control of cancer or for improving tumor-related symptoms in selected patients (94)(95)(96)(97)(98)(99). However, these techniques are not without complications and morbidity.…”

Section: Techniquementioning

confidence: 99%

Management of Recurrent/Persistent Nodal Disease in Patients with Differentiated Thyroid Cancer: A Critical Review of the Risks and Benefits of Surgical Intervention Versus Active Surveillance

Tufano

Clayman

Heller

et al. 2015

Thyroid

118

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Identification of recurrent/persistent disease requires a team decision-making process that includes the patient and physicians as to what, if any, intervention should be performed to best control the disease while minimizing morbidity. Several management principles and variables involved in the decision making for surgery versus active surveillance were developed that should be taken into account when deciding how best to manage a patient with DTC and suspected recurrent or persistent cervical nodal disease.

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Efficacy of Ultrasound-Guided Percutaneous Ethanol Injection Treatment in Patients with a Limited Number of Metastatic Cervical Lymph Nodes from Papillary Thyroid Carcinoma

Abstract: US-guided PEI treatment of metastatic lymph nodes seems to be an excellent alternative to surgery in patients with a limited number of neck metastases from PTC. This procedure should replace "berry picking" surgery.

Cited by 124 publications

References 22 publications

2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

Efficacy and Safety of Radiofrequency Ablation for Treatment of Locally Recurrent Thyroid Cancers Smaller than 2 cm

Management of Recurrent/Persistent Nodal Disease in Patients with Differentiated Thyroid Cancer: A Critical Review of the Risks and Benefits of Surgical Intervention Versus Active Surveillance

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