Thyroid No Surgery 101: Fix the Large Symptomatic and Ugly Goiter Nodules Now with Thyroid RFA and or Ethanol PEI Ablation.
47 Y/O male with a large visible nodule is seen in consultation to evaluate him for possible ablation without surgery.He had no symptoms but did not like the looks of neck mass. The neck exam found the trachea deviated to right and an easily visible mass from across the room. He had prior recommendations for surgery, but refused. Thyroid testing confirmed Hashimoto’s thyroiditis with positive antibodies and he was on thyroid hormone. Thyroid biopsy and molecular markers were consistent with a benign thyroid nodule in Hashimoto’s thyroiditis.
16 ml, 4.5 cm solid mixed echo pattern nodule.
After discussion of the options of surgery, or thyroid radiofrequency ablation RFA he elected to have thyroid RFA. He was informed he had two options.One to go to Italy to Cento Palmer institute for Dr.Roberto Valcavi or Seoul Korea for Dr.JH Baek. He elected to go to Italy. I explained that Dr.Valcavi reviewed my evaluation and consented to treat him without a new evaluation at his office. This allowed the patient a 2 day visit just for the treatment and he could return to the USA and I would do the followup. After the uneventful treatment without complications he returned. The 6 month follow up found him without the visible goiter nodule.He was extremely happy to rid of the “ugly mass” in his neck.
Ultrasound at 6 months post thyroid RFA.
6 month post thyroid RFA
16 ml reduced to 5 ml by 6 months. The cosmetic treatment of the “ugly” mass was successful.
Thyroid RFA is coming to the USA in 2018 but until then now you need to take a short trip of several days to be treated. Airfare to Italy will get you there. CentroPalmer will pay for the transfers and hotel included in the $ 3500 EU fee. My evaluation fee is $2500 US. If you have a mixed cyst/solid nodule or recurrent lateral neck lymph node involved thyroid cancer or small primary micro-papillary thyroid cancer ethanol ablation is an alternative to surgery or long term active surveillance ethanol ablation PEI is for you.PEI is done in my office now.
Call Matt at 310-393-8860 for details or firstname.lastname@example.org