Nodular Goiter
Conditions
Keywords
Transarterial chemoembolization, Giant nodular goiter, Bleomycin, Drug-loaded microspheres
Brief summary
transarterial bleomycin chemoembolization represents a novel minimally invasive therapeutic approach for the management of giant nodular goiter.
Interventions
TACE, 15,000U bleomycin and 200-400μm drug-loaded microspheres
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical criteria: thyroid enlargement, mostly painless, with compressive symptoms (such as dysphagia, dyspnea) being less common; thyroid function is mostly normal, and a small number may be accompanied by hyperthyroidism or hypothyroidism. * Imaging examinations: ultrasound shows multiple solid or cystic-solid nodules with clear boundaries and no malignant signs such as microcalcification and a vertical-to-horizontal diameter ratio \>1. * Pathological criteria: follicular epithelial cell hyperplasia, no nuclear atypia, and no malignant cellular characteristics (such as mitotic figures, infiltrative growth, etc.). In this study, a thyroid goiter with at least one diameter exceeding 4 cm was considered a giant goiter
Exclusion criteria
* abnormal coagulation profiles; * hepatic or renal impairment; * allergy to contrast media; * refusal of interventional therapy and requirement for surgical treatment or other therapies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| volume | 1-, 3-, 6-, 12-month follow up | Lesion volume measurement on contrast-enhanced CT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| longest diameter | 1-, 3-, 6-, 12-month follow-up | Measurement of the longest lesion diameter on contrast-enhanced CT |
| lesion shrinkage | 1-, 3-, 6-, 12-month follow-up | — |
Other
| Measure | Time frame |
|---|---|
| postoperative complications | 1-, 3-, 6-, 12-month follow-up |
Countries
China