Language/Bahasa:
What is a interventional thyroidology ? Interventional thyroidology is an emerging field that uses percutaneous (i.e. through the skin), image-guided procedures to treat thyroid diseases. Interventional thyroidology uses less invasive techniques, often a simple needlestick, than the typically surgeries which often treat these conditions. The most commonly performed procedures include ultrasound-guided precutaneous ethanol injection (PEI) ablation and ultrasound-guided radiofrequency ablation (RFA) of specific types of indicated specific thyroid diseases.
结节,到完全移除/切除病变。我们将根据具体情况对每个患者进行评估,以进行诊断和治疗,在每种情况下获得最佳效果。 致力于您的幸福 ...这是我们的承诺
What is PERCUTANEOUS ETHANOL INJECTION (PEI) ABLATION OF THYROID NODULE? Many thyroid gland lumps can be cystic in nature, meaning it is filled with fluid. Under ultrasound guidance, the exact nature of the content can be studied. The cystic content can be suctioned (aspirated) out therefore causing the cyst to be smaller (i.e decompressed) though however this depends largely on the viscosity of the fluid content. If watery enough to be able to be sucked through needle, then decompression can be achieved. Treatment options for symptomatic benign cystic or predominately cystic thyroid nodules include needle aspiration, minimally invasive techniques like percutaneous ethanol (alcohol) injection (PEI) besides surgical resection. A prior biopsy or cytology study is mandatory to prove the benign nature of the nodule. With PEI under ultrasound guidance, generally should be considered, the ethanol results in permanent tissue damage with subsequent necrosis, fibrosis and thrombosis of cyst wall blood vessels.
An ideal case for PEI : a cystic thyroid nodule that can be aspirated (cyst content as on the left pic)
什么是等离子射频消融(RadioFrequency Plasma Ablation)? 在超声引导下细针穿刺细胞学检查 (FNAC Fine Needle Aspiration Cytology) / 活体组织检查 (biopsy) 扮演着重要的角色,还 有一些解释关于甲状腺结节的含义,治疗用法,甲状腺结节射频消融的好处和坏处。 甲状腺是颈部最重要的器官,因为它在我们的身体产生激素来控制我们的身体机能。 的,尽管在极少数情况下可能会癌变。 结节的问题:- 1.扩大和在外观上可能很明显,引起在外观整体上的忧虑 2.会压缩周围的结构,导致呼吸和/或吞咽困难 3.产生过多的激素,导致甲状腺激素失衡(通常为甲状腺功能亢进 简称“甲亢” -hyperthyroidism,很少为甲状腺功能减退 简称“甲减” - hypothyroidism) 等离子射频消融(Radio Frequency Plasma Ablation)是一种微创的手术(通过在皮肤上切1mm的切口),利用低温能量通过棒/探针 (wand/probe)在超声引导下传递到甲状腺结节,导致细胞坏死和萎缩。 甲状腺结节必须先通过超声引导下做细针穿刺细胞学检查 (FNAC / 活体组织检查 (biopsy) 来确认绝对/证实是无癌细胞(在某些可 疑情况下至少一次或什至两次)。 状)或功能亢进的结节,导致甲状腺功能亢进。 进行审查和讨论。 甲状腺结节等离子射频消融的优势: 尿 无法忍受的患者) 通常作为当日手术(6小时入院)程序进行 (当天住院,当天手术,当天出院)。 比起切除手术,副作用要小得多,例如声带神经损伤和没有低血钙的风险 这类的手术几个月后可以再进行,以达到更好的收缩效果。 可以有效地将结节缩小到不太明显的大小 不会剥夺将来进行切除手术的机会(如果患者最终需要/要求进行全结节切除术) 给与醫療保險保單持有人,这项手术是在受保的範圍里 可能比切除手术更便宜 甲状腺结节等离子射频消融的劣势:、 所有甲状腺外科手术都有出血,声带神经损伤,周围结构损伤的风险,尽管RFA(等离子射频消融)的风险要小得多 R F A 有大甲状腺或具有压缩影响的甲状腺可能已不适合使用
An ideal case for RFA : bilateral solid/amost solid thyroid nodule in the right lobe(left pic) and left lobe  (right pic) Thyroid swelling in different shapes and sizes (L-R): Small colloid cyst, large colloid cyst and a multinodular thyroid mass (goitre)  © Vincent Tan ENT © Vincent Tan ENT Ultrasound-guided Fine-needle aspiration cytology (FNAC) of a thyroid gland mass (red arrow) Ultrasound-guidance showing the tip of the needle (red arrow) in the mass in question confirming accurate targeting Ultrasound-guidance showing the shaft of the needle (red arrow) in the mass in question confirming accurate targeting Interventional     Thyroidology
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INTERVENTIONAL thyroidology
VINCENT
Ear, Nose and Throat (ENT), Thyroid, Head and Neck
Biopsy & Surgery Specialist Clinic
Committed to YOUR Well-being
Language/Bahasa:
/ 行评估,以进行诊断和治疗,在每种情况下获得最佳效果。 致力于您的幸福 ...这是我们的承诺
What is PERCUTANEOUS ETHANOL INJECTION (PEI) ABLATION OF THYROID NODULE? Many thyroid gland lumps can be cystic in nature, meaning it is filled with fluid. Under ultrasound guidance, the exact nature of the content can be studied. The cystic content can be suctioned (aspirated) out therefore causing the cyst to be smaller (i.e decompressed) though however this depends largely on the viscosity of the fluid content. If watery enough to be able to be sucked through needle, then decompression can be achieved. Treatment options for symptomatic benign cystic or predominately cystic thyroid nodules include needle aspiration, minimally invasive techniques like percutaneous ethanol (alcohol) injection (PEI) besides surgical resection. A prior biopsy or cytology study is mandatory to prove the benign nature of the nodule. With PEI under ultrasound guidance, generally should be considered, the ethanol results in permanent tissue damage with subsequent necrosis, fibrosis and thrombosis of cyst wall blood vessels.
An ideal case for PEI : a cystic thyroid nodule that can be aspirated (cyst content as on the left pic)
What is a interventional thyroidology ? Interventional thyroidology is an emerging field that uses percutaneous (i.e. through the skin), image-guided procedures to treat thyroid diseases. Interventional thyroidology uses less invasive techniques, often a simple needlestick, than the typically surgeries which often treat these conditions. The most commonly performed procedures include ultrasound-guided precutaneous ethanol injection (PEI) ablation and ultrasound-guided radiofrequency ablation (RFA) of specific types of indicated specific thyroid diseases.
Thyroid swelling in different shapes and sizes (L-R): Small colloid cyst, large colloid cyst and a multinodular thyroid mass (goitre)  © Vincent Tan ENT
什么是等离子射频消融(RadioFrequency Plasma Ablation)? 在超声引导下细针穿刺细胞学检查 (FNAC Fine Needle Aspiration Cytology) / 活体组织检查 (biopsy) 扮演着重要 状腺结节射频消融的好处和坏处。 控制我们的身体机能。 是非癌性的,尽管在极少数情况下可能会癌变。 结节的问题:- 1.扩大和在外观上可能很明显,引起在外观整体上的忧虑 2.会压缩周围的结构,导致呼吸和/或吞咽困难 3 . 功能亢进 简称“甲亢” -hyperthyroidism,很少为甲 状腺功能减退 ,简称“甲减” - hypothyroidism) 等离子射频消融(Radio Frequency Plasma Ablation)是一种 1 m m / w a n d / p r o b e 细胞坏死和萎缩。 穿 (FNAC / 活体组织检查 (biopsy) 来确认绝对/证实是无癌细 胞(在某些可疑情况下至少一次或什至两次)。 导致压缩症状)或功能亢进的结节,导致甲状腺功能亢进。 视具体情况而进行审查和讨论。 甲状腺结节等离子射频消融的优势: 尿 病,严重心力衰竭的且无法忍受的患者) 通常作为当日手术(6小时入院)程序进行 (当天住院,当 天手术,当天出院)。 低血钙的风险 这类的手术几个月后可以再进行,以达到更好的收缩效果。 可以有效地将结节缩小到不太明显的大小 / 求进行全结节切除术) 给与醫療保險保單持有人,这项手术是在受保的範圍里 可能比切除手术更便宜 甲状腺结节等离子射频消融的劣势:、 损伤的风险,尽管RFA(等离子射频消融)的风险要小得多 R F A 不适合使用
© Vincent Tan ENT Ultrasound-guided Fine-needle aspiration cytology (FNAC) of a thyroid gland mass (red arrow) Ultrasound-guidance showing the tip of the needle (red arrow) in the mass in question confirming accurate targeting Ultrasound-guidance showing the shaft of the needle (red arrow) in the mass in question confirming accurate targeting An ideal case for RFA : bilateral solid/amost solid thyroid nodule in the right lobe(left pic) and left lobe  (right pic) Interventional     Thyroidology
INTERVENTIONAL thyroidology
APPOINTMENT:  +603-3377 7864 +6012-3760 728 VINCENT EAR, NOSE & THROAT, THYROID , HEAD AND NECK SURGERY SPECIALIST CLINIC  VINCENT
Ear, Nose and Throat (ENT), Thyroid, Head and Neck
Biopsy & Surgery Specialist Clinic
Committed to YOUR Well-being
Copyright Dr.Vincent Tan 2021
Thyroid swelling in different shapes and sizes (L-R): Small colloid cyst, large colloid cyst and a multinodular thyroid mass (goitre)  © Vincent Tan ENT