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Efficacy of thyroid cyst sclerotherapy with polidocanol Cover

Efficacy of thyroid cyst sclerotherapy with polidocanol

Open Access
|May 2026

Figures & Tables

TABLE 1.

Demographic characteristics of the patients and laboratory parameters at the first examination

GroupA (N = 36)B (N = 41)C (N = 28)P
Age [years]46.5 ± 15.851.2 ± 17.465.8 ± 13.7< 0.001
Sex [F/M; % female]20/16 (56%)28/13 (68%)21/7 (75%)0.33
TSH [mIU/L]1.59 ± 1.01.61 ± 0.92.46 ± 2.50.43
fT4 [pmol/L]15.14 ± 1.915.22 ± 2.214.44 ± 2.90.33
fT3 [pmol/L]5.06 ± 0.65.24 ± 0.44.97 ± 0.50.04
Positive antiTg antibodies [%]17.25.612.00.07
Positive antiTPO antibodies [%]12.52.88.00.32
Tg [μg/L]61.55 ± 127.4493.92 ± 2020.026.13 ± 25.150.30

1 antiTg = antithyroglobulin; antiTPO = antithyroid peroxidase; fT3 = free triiodothyronine; fT4 = free thyroxine; TSH = thyrotropin (TSH)

FIGURE 1.

Initial and final volume of cysts in three groups of patients with simple thyroid cysts (group (A) – treated with thyroid sclerotherapy with polidocanol; group (B) – treated with ultrasound-guided fine-needle evacuation of the cyst, group (C) – no treatment; x represents mean initial and final cyst volume for each group).

TABLE 2.

Initial and final cyst volume, initial and final largest cyst diameter, and relative and absolute change in cyst volume

GroupABCp (A:B:C)p (A:B)p (A:C)p (B:C)
Initial cyst volume [mL]20.1 ± 13.8 (2.3-51.1)15.0 ± 17.8 (1.3-83.0)4.2 ± 4.5 (0,8-19,2)< 0.001–––
Initial largest cyst diameter [mm]41.6 ± 11.4 (23-62)34.4 ± 12.8 (18-65)23.4 ± 6.6 (15-47)< 0.001–––
Final cyst volume [mL]7.6 ± 12.1 (3.6-11.7)6.1 ± 10.4 (2.8-9.4)5.3 ± 7.9 (2.2-8.3)0.764–––
Final largest cyst diameter [mm]24.5 ± 15.4 (5-56)21.5 ± 14.3 (4-65)23.2 ± 11.6 (0-55)0.491–––
Average relative cyst volume difference [%]a-63.5 ± 45.5 (-78.9 to -48.2)-48.2 ± 81.0 (-73.8 to -22.6)8.1 ± 63.6 (-16.6 to 32.8)< 0.0010.318< 0.0010.002
Average nominal cyst volume difference [mL]a12.5 ± 14.7 (7.5-17.4)b8.83 ± 15.6 (3.9-13.7)c-1.0 ± 4.0 (-2.5 to 0.52)< 0.001–––

1a p < 0.001 when compared with initial volume

1b p = 0.001 when compared with initial volume

1c p = 0.186 when compared with initial volume

TABLE 3.

Percentage and absolute number of cysts with a clinically significant change in size according to the criteria of the European Thyroid Association (at least 50% increase or decrease in cyst volume or at least 20% increase or decrease in at least two cyst dimensions).4

GroupABCp (A:B:C)p (A:B)p (A:C)p (B:C)
Significant decrease of cyst volume (%, absolute number)75.0 (27/36)68.3 (28/41)25.0 (7/28)< 0.0010.616< 0.0010.001
Significant increase of cyst volume (%, absolute number)2.8 (1/36)7.3 (3/41)39.2 (11/28)< 0.001–––
No significant change in cyst volume (%, absolute number)22.2 (8/36)24.3 (10/41)35.7 (10/28)––––
DOI: https://doi.org/10.2478/raon-2026-0024 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 282 - 287
Submitted on: Oct 11, 2026
Accepted on: Feb 5, 2026
Published on: May 14, 2026
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Ziga Mercun, Laura Martinjak, Edvard Pirnat, Simona Gaberscek, Katja Zaletel, Katica Bajuk Studen, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.