Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101:  Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery. Is It Safe? The Answer is Yes.

Dr. Guttler’s comments on this article.

  1. Strong recommendation for thyroid RFA for benign thyroid nodules with symptoms or cosmetic issues.
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  3. Strong recommendation for thyroid RFA after two benign thyroid biopsies.
  4. Strong recommendation for thyroid RFA with just one biopsy with ultrasound findings of a spongiform nodule or cystic with comet tails in the cyst.
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  6. Weak recommendation for thyroid RFA for autonomous or toxic nodules.
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  8. Strong recommendation for thyroid RFA for treatment of recurrent thyroid cancer in neck lymph nodes.
  9. Strong recommendation for thyroid RFA to debulk large tumor or in high surgical risk elderly.
  10. No recommendation for thyroid RFA for primary micro-papillary cancers. Not enough data.
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  12. No recommendation for thyroid RFA for Follicular neoplasms.
  13. Strong recommendation for thyroid RFA proper method is Pain control with peri-capsule local with Lidocaine not general or conscience sedation is recommended.
  14. Strong recommendation for thyroid RFA Trans-isthmus approach and moving shot technique are standard procedure.
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  17. Weak recommendation for thyroid RFA for thyroid cancer. Lidocaine local, hydro-dissection technique moves target cancer away from vital structures, moving shot technique. Also use of 3, 5 mm electrode tip for small recurrent cancers.
  18.  Strong recommendation for thyroid RFA safety.
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  20. Strong recommendation for thyroid RFA low expense compared to surgery.
  21. thyroid-surgery-complications
  22. Strong recommendation for thyroid RFA low complication rate, and very low serious complications.
  23. Do not just go to surgery with a treatable benign nodule,ask for outside opinions and look for alternatives.
  24. Call me at 310-393-8860 or email to thyroid.manager@protonmail.com for details for my evaluation to see if you are a candidate.

 

2017 Thyroid RFA Guidelines: Korean Society of Thyroid Radiology

J.Kim  et al

Korean J. Radiol 2018 19(4) 632-655.

 

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