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Abstract

Purpose: Post-sclerotherapy simple cysts’ relapse is the main disadvantage of

percutaneous treatment. The purpose of this study is to propose a modified method
of sclerotherapy in the treatment of large, symptomatic simple cysts.

Methods and materials: Thirteen consecutive patients with nineteen symptomatic

simple cysts larger than 85mm (liver n=14, kidney n=3, adrenal n=2) were treated

percutaneously. Initially a CT-guided cysts’ drainage with a 8F pig-tail catheter was
performed. The integrity of the cyst has been documented fluoroscopically by
injecting 100-150ml of iodinated contrast mixed with local anesthetic 24 hours later.

Subsequently, two injections and reabsorptions of the same quantity (100-150ml) of
hypertonic NaCI 15% solution were effectuated followed by three-time repetition of

the < same procedure with the addition of bleomycin in the solution. The drainage
catheter was removed and patients remained hospitalized for additional 12 hours.

Imaging follow up was performed on 1 st/3rd/6lh/12th months. Cyst’s volumes and
the percentage of reduction rate were calculated in each evaluation.

Results: No complications related to the procedure were encountered in short or

long-term follow-up. A significant decrease in the mean cyst volume, corresponding

to a mean reduction rate of 55,870, 82,93%, 95% and 98-100%(1 s,/3rc,/6'h/12th
months, respectively) was noted. At the 12lh months follow-up 17 cysts were
disappeared and 2 displayed diameter less than 20mm.

Conclusion: Percutaneous sclerotherapy using hypertonic NaC115% and bleomycin
is a very promising non-surgical alternative without complications for patients with

symptomatic simple cyst leading to elimination in the majority of cysts.

11. Coexistence of chronic lymphocytic thyroiditis and well differentiated thyroid cancer-
a prospective study

D. Askitis, E. Eufraimidou, M. Karanikas, A. Mitrakas, A. Polychronidis, G. Tripsianis &

N. Lyrantzopoulos

th
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Ανακοινώθηκε στο 15 Internasional & 14 European Congress of Endocrinology.
Italy, Florence, 05-09 May 2012

Δημοσιεύτηκε στο τομο περιλήψεων Endocrine Abstracts (2012) 29 P1777

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