.Thyroid No Surgery 101: Why Both Ethanol and Radiofrequency Ablation Methods Can Save you from Another Expensive Thyroid Cancer Neck Dissection Surgery

.Thyroid No Surgery 101: Why Both Ethanol and Radiofrequency Ablation Methods Can Save you from Another Expensive Thyroid Cancer Neck Dissection Surgery

.Thyroid No Surgery 101: Why Both Ethanol and Radiofrequency Ablation Methods Can Save you from Another Expensive Thyroid Cancer Neck Dissection Surgery
Thyroid No Surgery 101: Why Both Ethanol and Radiofrequency Ablation Methods Can Save you from Another Expensive Thyroid Cancer Neck Dissection Surgery.
Efficacy and Safety of Radiofrequency and Ethanol Ablation for Treating Locally Recurrent Thyroid Cancer: A Systematic Review and Meta-Analysis.
Suh CH et al
Thyroid. 2016 Mar;26(3):420-8

The aim of this study was to evaluate the efficacy and safety of radiofrequency ablation (RFA) and ethanol ablation (EA) for treating locally recurrent thyroid cancer.

Ethanol Ablation saves $ Millions over surgery at Mayo clinic.

Image result for ethanol ablation of thyroid cancer lymph nodes

Image result for ethanol ablation of thyroid cancer lymph nodes

 DR JH Baek’s example of RFA ablation of thyroid cancer recurrent lymph nodes.

lymphnode

 

RESULTS:

Ten eligible studies were included, with a total sample size of 270 patients and 415 thyroid nodules. There was no  difference with either method.

However ethanol was better than RFA in reduction in thyroglobulin (72% vs 94%).

The pooled proportion of reduction in serum level of Tg after RFA was 71.6% and after EA was 93.8% (p < 0.0001).

The pooled proportion of complications of both ethanol and RFA were low.

The mean number of RFA sessions was <1.3 in five of six RFA studies, and the number of EA sessions was more than two in three of four EA studies. RFA needed less number of sessions than ethanol.

CONCLUSION:

Both RFA and EA are acceptable treatment modalities to manage locally recurrent thyroid cancer in terms of efficacy and safety for poor surgical candidates or those who refuse surgery.

Comments: Don’t expect your local endocrinologists or surgeon to recommend these alternatives to surgery.  All patients who are faced with another neck dissection thyroid cancer surgery can opt out and see thyroid tumor ablation specialist for an opinion if RFA or PEI is right for them.

Call Matt at 310-393-8860 or thyroid.manager@protonmail.com for details.

Richard Guttler MD,FACE,ECNU

 

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