0
ARTICLE |

Minor Complication of Thyroid Cyst Sclerosis With Tetracycline-Reply

Gary L. Treece, MC, USA
Arch Intern Med. 1986;146(1):202. doi:10.1001/archinte.1986.00360130244038.
Text Size: A A A
Published online

My colleagues and I thank Drs Ryan and Dwarakanathan for sharing their experience with sclerosing thyroid cysts with us. We are pleased that they have found the technique using tetracycline to be "salutary." The observation of an acute pain response to the instillation of tetracycline in two patients is of interest and is similar to the response observed in one of our subsequent patients who likewise had no long-term untoward effects. We agree that the cause of the pain is probably extravasation of the sclerosing solution into the surrounding tissues with subsequent irritation of sensory neural tissue. We also agree that to avoid extravasation the cyst should be only partially evacuated, a maneuver that helps to maintain the needle tip in the cyst cavity during the instillation procedure. The suggestion to mix local anesthetic with the sclerosing agent is intriguing and would be expected to diminish the occasional painful response

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();