Korean J Radiol.  2019 Apr;20(4):609-620. 10.3348/kjr.2018.0696.

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

Affiliations
  • 1Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jhshin11@skku.edu
  • 2Department of Radiology, Gangneung Asan Hospital, Gangneung, Korea.
  • 3Department of Radiology, Human Medical Imaging and Intervention Center, Seoul, Korea.
  • 4Department of Radiology, Ajou University School of Medicine, Suwon, Korea.
  • 5Department of Radiology and Thyroid Center, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
  • 6Department of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 7Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 8Department of Radiology, Hanyang University College of Medicine, Hanyang University Hospital, Seoul, Korea.
  • 9Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
  • 10Department of Radiology and Thyroid Center, Daerim St. Mary's Hospital, Seoul, Korea.
  • 11Department of Radiology, Haeundae Paik Hospital, Inje University School of Medicine, Busan, Korea.
  • 12Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 13Department of Radiology, Withsim Clinic, Seongnam, Korea.
  • 14Department of Radiology, Sheikh Khalifa Specialty Hospital, Ras Al Khaima, UAE.
  • 15Department of Radiology, Haeundae Sharing and Happiness Hospital, Busan, Korea.
  • 16Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 17Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 18Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University, Seoul, Korea.

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.

Keyword

Thyroid; Thyroid neoplasm; Ethanol ablation; Minimally invasive therapy; Guidelines

MeSH Terms

Advisory Committees
Consensus*
Ethanol*
Expert Testimony
Thyroid Gland*
Thyroid Neoplasms
Thyroid Nodule*
Ethanol

Figure

  • 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 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.


Cited by  4 articles

Efficacy of Ethanol Ablation for Benign Thyroid Cysts and Predominantly Cystic Nodules: A Systematic Review and Meta-Analysis
Cheng-Chun Yang, Yung Hsu, Jyun-Yan Liou
Endocrinol Metab. 2021;36(1):81-95.    doi: 10.3803/EnM.2020.833.

Ultrasound (US)-Guided Ablation of Thyroid Nodules
Byung Seup Kim
J Surg Ultrasound. 2023;10(1):14-23.    doi: 10.46268/jsu.2023.10.1.14.

2023 Korean Thyroid Association Management Guidelines for Patients with Thyroid Nodules
Young Joo Park, Eun Kyung Lee, Young Shin Song, Soo Hwan Kang, Bon Seok Koo, Sun Wook Kim, Dong Gyu Na, Seung-Kuk Baek, So Won Oh, Min Kyoung Lee, Sang-Woo Lee, Young Ah Lee, Yong Sang Lee, Ji Ye Lee, Dong-Jun Lim, Leehi Joo, Yuh-Seog Jung, Chan Kwon Jung, Yoon Young Cho, Yun Jae Chung, Won Bae Kim, Ka Hee Yi, Ho-Cheol Kang, Do Joon Park
Int J Thyroidol. 2023;16(1):1-31.    doi: 10.11106/ijt.2023.16.1.1.

Sclerotherapy with a Viscum Album Extract for the Two Patients with Cystic Thyroid Nodule
Jae Ha Lee, Seung Won Lee, Ki Nam Park
Int J Thyroidol. 2023;16(1):139-142.    doi: 10.11106/ijt.2023.16.1.139.


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