Abstract

<h3>To the Editor.</h3> —In a previous issue of theArchives, Treece et al<sup>1</sup>reported the clinical application of tetracycline hydrochloride for sclerosing of recurrent thyroid cysts with uniformly successful results. However, in the January issue of theArchives, Ryan and Dwarakanathan,<sup>2</sup>in their letter, and Treece,<sup>3</sup>in his reply, described the untoward effects of this therapy, which were extreme pain occurring almost immediately in the area of injection and recurrent nerve palsy. Both Ryan and Dwarakanathan<sup>2</sup>and Treece<sup>3</sup>stated that these adverse effects were attributed to the extravasation of tetracycline into the surrounding tissue. We would like to describe an alternate procedure for sclerosing thyroid cysts using a polytef (Teflon) intravenous cannula placement unit to prevent the extravasation of the drug. <h3>Report of a Case.</h3> —A 75-year-old woman was found to have a 2.5×3.5cm nodule in the right lobe of the

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