What Micro-papillary thyroid cancers are candidates for radiofrequency ablation instead of surgery or active surveillance?

What Micro-papillary thyroid cancers are candidates for radiofrequency ablation instead of surgery or active surveillance?

What Micro-papillary thyroid cancers are candidates for radiofrequency ablation instead of surgery or active surveillance?

What Micro-papillary thyroid cancers are candidates for radiofrequency ablation RFA instead of surgery or active surveillance?

  1. The vast majority of these small low risk cancers are able to be ablated with RFA.
  2. Several exceptions exists. Even though the size 1.2 cm volume of 0.479 ml is correct for RFA however just like real estate location is everything.
  3. 60 Y/O F referred for RFA with the above micropapillary thyroid cancer. The nodule was felt by the patient several years ago but nothing was done until now. FNA proven papillary thyroid cancer.

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US found the hard small 1.2 cm nodule located on the capsule of the thyroid and showing invasion of the capsule into the soft tissue.f-_20190913101214_1052310

 

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Must be Size < 1.5 cm

Location must be away from the thyroid capsule.

Posterior inferior located micro-cancers near the recurrent nerves are also off limits for RFA.

Call me to see if you have a micropapillary cancer that your physicians want you to have surgery or put you into long term follow up with the cancer still in your neck could be treated without surgery with RFA in my office. 310-393-8860 or secure email to thyroid.manager@protonmail.com

DR.G.

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