A Case of Thyroid Abscess Following Ethanol Ablation for Benign Thyroid Nodule
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Recently, non-surgical and minimally invasive treatments, including ethanol ablation (EA)and radiofrequency ablation (RFA), have been commonly used as primary treatments for be-nign thyroid nodules. While these techniques have been gaining popularity owing to theirsafety and effectiveness, they may involve various complications such as pain, voice change,and hematoma. A thyroid abscess following EA requiring surgical intervention is extremelyrare and, to the best of our knowledge, has been reported only once to date. Herein, we presenta case of a thyroid abscess following EA for a benign thyroid nodule that required surgicaltreatment. This complication is believed to be mediated by chemical necrosis and subsequentinflammatory reactions following EA rather than by bacterial infection. Head and neck sur-geons should recognize the risk of thyroid abscess as a complication of EA.
Abstract
Recently, non-surgical and minimally invasive treatments, including ethanol ablation (EA)and radiofrequency ablation (RFA), have been commonly used as primary treatments for be-nign thyroid nodules. While these techniques have been gaining popularity owing to theirsafety and effectiveness, they may involve various complications such as pain, voice change,and hematoma. A thyroid abscess following EA requiring surgical intervention is extremelyrare and, to the best of our knowledge, has been reported only once to date. Herein, we presenta case of a thyroid abscess following EA for a benign thyroid nodule that required surgicaltreatment. This complication is believed to be mediated by chemical necrosis and subsequentinflammatory reactions following EA rather than by bacterial infection. Head and neck sur-geons should recognize the risk of thyroid abscess as a complication of EA.
참고문헌 (15)
- 한수연, "Ethanol Ablation of the Thyroid Nodules: 2018 Consensus Statement by the Korean Society of Thyroid Radiology", Korean Journal of Radiology, 20(4), pp.609~620 (2019), 대한영상의학회[DOI]
- Dean DS, "Epidemiology of thyroid nodules", Best Pract Res Clin Endocrinol Metab, 22(6), pp.901~911 (2008)
- Jiang H, "The prevalence of thyroid nodules and an analysis of related lifestyle factors in Beijing communities", Int J Environ Res Public Health, 13(4), pp.442~ (2016)
- 김지훈, "2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology", Korean Journal of Radiology, 19(4), pp.632~655 (2018), 대한영상의학회[DOI]
- Falhammar H, "Acute suppurative thyroiditis with thyroid abscess in adults: Clinical presentation, treatment and outcomes", BMC Endocr Disord, 19(1), pp.130~ (2019)
- Mulita F, "Thyroid abscess as a complication of percutaneous ethanol ablation of cystic thyroid nodules", Endokrynol Pol, 72(3), pp.284~285 (2021)
- Puppala S, "Transcatheter Embolization and Therapy", pp.129~134 (2010), Springer
- Albanese G, "Pharmacology of sclerotherapy", Semin Intervent Radiol, 27(4), pp.391~399 (2010)
- Sun Z, "Hepatic and biliary damage after transarterial chemoembolization for malignant hepatic tumors: Incidence, diagnosis, treatment, outcome and mechanism", Crit Rev Oncol Hematol, 79(2), pp.164~174 (2011)
- Sauerbrei A, "Bactericidal and virucidal activity of ethanol and povidone-iodine", Microbiologyopen, 9(9), pp.e1097~ (2020)
- Maroz N, "Wound healing in patients with impaired kidney function", J Am Coll Clin Wound Spec, 5(1), pp.2~7 (2014)
- 정새롬, "Revisiting Rupture of Benign Thyroid Nodules after Radiofrequency Ablation: Various Types and Imaging Features", Endocrinology and Metabolism, 34(4), pp.415~421 (2019), 대한내분비학회[DOI]
- Gharib H, "Clinical review: Nonsurgical, image-guided, minimally invasive therapy for thyroid nodules", J Clin Endocrinol Metab, 98(10), pp.3949~3957 (2013)
- Cheng-Chun Yang, "Efficacy of Ethanol Ablation for Benign Thyroid Cysts and Predominantly Cystic Nodules: A Systematic Review and Meta-Analysis", Endocrinology and Metabolism, 36(1), pp.81~95 (2021), 대한내분비학회[DOI]
- Paes JE, "Acute bacterial suppurative thyroiditis : A clinical review and expert opinion", Thyroid, 20(3), pp.247~255 (2010)