Thyroid Tumor Ablation 101: Post One session RFA. Can you operate on a Suspicious Thyroid Nodule ?
Surgical and Pathological Changes after Radiofrequency Ablation of Thyroid Nodules Minor scaring but no change enough to alter the cancer diagnosis.
Chiara Dobrinja,et al
International Journal of Endocrinology
Volume 2015 (2015),
Comments on the article:
1. Radiofrequency ablation (RFA) has been recently advocated as an effective technique for the treatment of symptomatic benign thyroid nodules.
2. 70 patients over 2 years had RFA treatments.
3. 64/70 Benign thyroid nodules class II
4. 6/70 had class III.
5. RFA is effective for the treatment of Thy2 nodules.
6. RFA should not be recommended as first-line therapy for the treatment of class III nodules (irrespective of their mutational status), as it delays surgery in case of malignancy.
7. It is unknown whether RFA might promote residual tumor progression or neoplastic progression of class III lesions.
8. One session of RFA does not affect subsequent thyroid surgery and/or histological diagnosis. Both thyroid cancers were easily treated even though there was scaring in the cancer but not on the capsule where invasion was seen.
Comment: RFA is for benign thyroid nodules class II, and for thyroid cancer recurrent lymph nodes and maybe for primary micro-papillary as a third arm to surgery or active surveillance.
Richard Guttler MD,FACE,ECNU