Thyroid No Surgery 101: Mayo Clinic does Thyroid RFA with the Large Long Electrode.

Thyroid No Surgery 101: Mayo Clinic does Thyroid RFA with the Large Long Electrode.

Thyroid No Surgery 101: Mayo Clinic does Thyroid RFA with the Large Long Electrode.
https://doi.org/10.1016/j.mayocp.2017.12.011
Outcomes of Radiofrequency Ablation Therapy for Large Benign Thyroid Nodules: A Mayo Clinic Case Series
1. 14 patients
2.All the patients declined surgery or were poor surgical candidates.
3. Volume, compressive symptoms, cosmetic concerns, and thyroid function.
4.Maximum Volume reduction was 45%. ( 24 to 14 ml.) at 6 months.
5. No change in thyroid function.
6. 1/14 with subclinical hyperthyroidism due to toxic adenoma, thyroid function normalized 4 months after ablation of the toxic nodule.
7. Compressive symptoms resolved in 8 of 12 patients (67%) and improved in the other 4 (33%).
8. Cosmetic concerns improved in all 8 patients.
9. The procedure had no sustained complications.
10. It induces a substantial volume reduction of predominantly solid TNs, improves compressive symptoms and cosmetic concerns, and does not affect normal thyroid function.
11. Radiofrequency ablation has an acceptable safety profile and should be considered as a low-risk alternative to conventional treatment of symptomatic benign TNs.
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