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Thyroid cancer - Radiofrequency - Puncture - Diagnosis - Treatment
alcoholization of a hemorrhagic cystic nodule
42-year-old patient consulted for a swellingpainful cervical.
ultrasound shows a nodulecystic and hemorrhagic thyroid of the right lobe.
an evacuation carried out with a cytological analysis (benign nodule / Bethesda II).
nodular recurrence with a local gene.
proposal for an ablationchemical by alcoholization:
hemorrhagic nodule 25.2 cc before alcoholization
anesthesia locale with an injection of thexylocaine
around the capsule thyroïdienne
![1 bloc.png](https://static.wixstatic.com/media/d3bc94_1c5a977bce554498b7790f23ed2df6a2~mv2.png/v1/fill/w_486,h_348,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/1%20bloc.png)
![2 bloc.png](https://static.wixstatic.com/media/d3bc94_d97ad17dfd024e45b2a11ddd06c339f3~mv2.png/v1/fill/w_497,h_347,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/2%20bloc.png)
injecting theethanol intra-nodular
![6 bloc.png](https://static.wixstatic.com/media/d3bc94_cf149df8fe984e299ebc236a12dfc9f9~mv2.png/v1/fill/w_481,h_347,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/6%20bloc.png)
CHU DE NIMES Dr Haitham SHARARA
control ultrasound 3 hours after alcohol intake before letting the patient go
![1 H3 post alcoolisation.jpg](https://static.wixstatic.com/media/d3bc94_dd644dc940454729960a43487e0cd81a~mv2.jpg/v1/fill/w_463,h_347,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/1%20H3%20post%20alcoolisation.jpg)
![2 H3 post alcoolisation.jpg](https://static.wixstatic.com/media/d3bc94_e8028a897b4044259d8b722cedfc932a~mv2.jpg/v1/fill/w_463,h_347,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/2%20H3%20post%20alcoolisation.jpg)
CHU DE NIMES Dr Haitham SHARARA
acontrol ultrasound performed 3 months after ablation shows aregression almost complete nodule with a residual volume of 0.31 cc, i.e. a volumetric reduction of 98.37%
![2 trois mois post alcoolisation.jpg](https://static.wixstatic.com/media/d3bc94_343e6bff6f294d948f186cb5a9ac20de~mv2.jpg/v1/fill/w_493,h_370,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/2%20trois%20mois%20post%20alcoolisation.jpg)
![1 trois mois post alcoolisation.jpg](https://static.wixstatic.com/media/d3bc94_7047fba33c57490bbc2f97d3b587c9f3~mv2.jpg/v1/fill/w_493,h_370,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/1%20trois%20mois%20post%20alcoolisation.jpg)
![3 trois mois post alcoolisation.jpg](https://static.wixstatic.com/media/d3bc94_d591583ede1640f48ef4140650aacfaf~mv2.jpg/v1/fill/w_502,h_377,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/3%20trois%20mois%20post%20alcoolisation.jpg)
![4 trois mois post alcoolisation.jpg](https://static.wixstatic.com/media/d3bc94_9c70fdc478b243769609f84ba726cffc~mv2.jpg/v1/fill/w_493,h_370,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/4%20trois%20mois%20post%20alcoolisation.jpg)