Thank you so much for all you do helping our members of your Expert Forum as well as the members of our Thyroid Disorders Community .. we reference your community oftentimes for our members, and thank you.
What is your opinion as it relates to a procedure called Percutaneious Ethanol Injuection (PEI) for thyroid cysts?
From what our community has heard, (and please correct me if I'm wrong), this procedure is still not widely used?
Can some patients who have benign cysts avoid surgery and use this procedure instead?
What is your opinion on PEI & do you think it can provide relief for these who want to get rid of unsightly or compressive cysts but cannot afford or do not want surgery?
We really appreciate and value your opinion, Dr. Lupo, as this question is sometimes asked on the community and we'd like to reference this post in our Health Pages.
Co Community Leader: Thyroid Disorders
For those not familiar with PEI the full abstract article source is:
PEI can be very effective in the treatment of larger cysts that have one significant pocket of fluid (in contrast to multiple, small pockets of fluid) -- The cyst is drained then approx half of that volume in 95% ethanol is injected back into the cyst. Risks include extravasation of the ethanol into the local tissues with possible damage to the nerve going to the vocal cords (usually temporary). There are a few of us who perform these on a regular basis, but it is still not widely available. In many cases, it can prevent the need for surgery.
Mark, really appreciate you spending the time to answer our questions. You're really doing a great service to the community.
I have a question about how PEI actually works. PEI will not eradicate the cyst correct? It just shrinks the cyst to 1/10 or less of it's original mass? Does the cyst kind of dry up like a raisin?
I don't have Aetna, but their policy states the following criteria for coverage. Was wondering if I do fit the criteria below, if there is a high probability of success with PEI for treatment of my TGDC.
1.Aetna considers ethanol injection sclerotherapy medically necessary for the treatment of thyroglossal duct cysts when all of the following selection criteria are met:
1. Cytologic studies show that the lesion is benign; and
2. Cystographic studies indicate that there is no extravasation; and
3. A monocystic lesion is present.
Note: It may be medically necessary to repeat injections after 1 month in cases of recurrence of cyst.
2.Aetna considers ethanol injection sclerotherapy of thyroglossal duct cysts experimental and investigational when these criteria are not met.
3.Aetna considers percutaneous ethanol injection experimental and investigational for the treatment of thyroid cancer because its effectiveness for this indication has not been established.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.