Treating Thyroid Cysts Without Surgery: Dr. Agustin Andrade

About this Video

• Video Title: Treating Thyroid Cysts Without Surgery: Dr. Agustin Andrade
• Channel: Save Your Thyroid with Jen
• Speakers: Jen, Dr. Agustin Andrade
• Duration: 00:29:57

Introduction

This video discusses managing thyroid cysts without surgery. Dr. Agustin Andrade explains the Percutaneous Ethanol Injection (PEI) procedure, comparing it to radiofrequency ablation (RFA) and laser ablation, and highlighting its cost-effectiveness and minimal recovery time.

Key Takeaways

• PEI (Percutaneous Ethanol Injection) is a less invasive alternative to surgery for treating thyroid cysts. It involves injecting ethanol into the cyst to cause inflammation and necrosis, leading to its collapse.
• PEI is highly effective for cysts and partially cystic lesions (more than 50% cystic). Studies show volume reduction comparable to RFA and laser ablation.
• The procedure is quick (around 10 minutes), inexpensive (around $800), and has minimal pain and downtime. Recovery is rapid, with patients often able to resume normal activities within an hour.
• RFA is a viable alternative for solid or mostly solid nodules. A combination approach (PEI followed by RFA) can be used for nodules with significant fluid components.
• The San Genarro procedure addresses cysts with thick, viscous fluid. It involves initial alcohol injection followed by fluid removal a week later to liquefy the contents for easier aspiration.
• Overtreatment of cysts with surgery is common and often unnecessary. PEI offers a less invasive and cost-effective solution, saving significant healthcare costs and preserving thyroid function.
• There's a lack of awareness and training regarding PEI amongst physicians in the United States. Dr. Andrade expresses frustration about this, advocating for wider adoption of the procedure.