Thyroid Nodules 2017 Treatment Options Beside Surgery or Radioiodine.

Thyroid Nodules 2017 Treatment Options Beside Surgery or Radioiodine.

Thyroid Nodules 2017 Treatment Options Beside Surgery or Radioiodine.

Thyroid Nodules 2017 Treatment Options in addition to Surgery or Radioiodine.

Thyroid Nodule Guidelines from American College of Endocrinology: Gharib et al Endocrine Practice May 12 2016

  1. Thyroid hormone suppression has limited use for most nodules  , but in selected cases it can be studied over 6 months to see if it decreases the growth marker thyroglobulin. If evidence of suppressed growth the patient may see some advantage of staying on T4.
  2. Ethanol Ablation PEI is the treatment of choice for relapsing benign cystic thyroid nodules with >50% cyst fluid.
  3. Ultrasound guided thermal ablation with Radiofrequency Ablation RFA  is the best for solid benign nodules. Microwave thermal ablation MWA is a newer procedure needing more study.
  4. Surgery is the treatment of choice for most cancers, and suspicious thyroid nodules.
  5. Radioiodine or surgery for Toxic nodular goiters.
  6. Santa Monica thyroid center is expert in doing ethanol ablations and referral evaluation for radiofrequency ablation for solid nodules. Call Matthew at 310-393-8860 for details.

 

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