Thyroid No Surgery 101: Radiofrequency ablation RFA of thyroid nodules at 4 years.

Thyroid No Surgery 101: Radiofrequency ablation RFA of thyroid nodules at 4 years.

Thyroid No Surgery 101: Radiofrequency ablation RFA of thyroid nodules at 4 years.

Thyroid No Surgery 101: Radiofrequency ablation RFA of thyroid nodules at 4 years.

Dr.Guttler’s Comments.

  1. 126 thyroid nodules treated by RFA were followed for 4 years.
  2. Nodules decreased 93%  from 10 ml to < 1 ml.
  3. Cosmetic scores also improved.
  4. 4 year recurrence rate was 7/126 or 5.7 %
  5. Complication rate was 4/111 or 3.7%.
  6.  no life-threatening complications or sequelae.
  7. Call to see if you are a candidate for my outpatient RFA therapy.
  8. 3103938860 or secure email at thyroid.manager@protonmail.com.
  9. Dr.G.
  10. fullsizerender-3

My lecture on thyroid nodule therapy with RFA at AACE meeting in Austin Texas.

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No scar or hospital visit with my outpatient therapy for your nodule.

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Simple outpatient procedure can rid you of your symptomatic and cosmetic problem.

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A patient with a visible nodule with symptoms and an obvious cosmetic issue as well.

Featured image is of a spongiform nodule which is one of the best for RFA therapy.

European Radiology

, Volume 23, Issue 4, pp 1044–1049 | Cite as

Radiofrequency ablation of benign non-functioning thyroid nodules: 4-year follow-up results for 111 patients

   Hyun Kyung Lim et al

Abstract

Objectives

To evaluate the clinical outcomes and safety of radiofrequency (RF) ablation for benign non-functioning thyroid nodules over a 4-year follow-up.

Methods

We evaluated 126 benign non-functioning thyroid nodules of 111 patients treated with RF ablation and followed-up more than 3 years. RF ablation was performed using the Cool-Tip RF system and an internally cooled electrode. Nodule volume and cosmetic and symptom scores were evaluated before treatment and during follow-up. Complications and factors related to efficacy were evaluated.

Results

The mean follow-up duration was 49.4 ± 13.6 months. Thyroid nodule volume decreased significantly, from 9.8 ± 8.5 ml before ablation to 0.9 ± 3.3 ml (P < 0.001) at final evaluation: a mean volume reduction of 93.4 ± 11.7 %. The mean cosmetic (P < 0.001) and symptom scores (P < 0.001) improved significantly. Factors related to efficacy were initial solidity and volume. The overall recurrence rate was 5.6 % (7/126). The overall complication rate was 3.6 % (4/111).

Conclusions

RF ablation was effective in shrinking benign thyroid nodules and in controlling nodule-related problems over a 4-year follow-up. There were no life-threatening complications or sequelae. Therefore, RF ablation can be used as a non-surgical treatment for patients with benign non-functioning thyroid nodules.

Key Points

• Radiofrequency (RF) ablation provides a non-surgical option for benign non-functioning thyroid nodules

• RF ablation reduced non-functioning thyroid nodular volume by 93.5 % after 49 months

• Initial solidity and volume influenced the efficacy of RF ablation

• Larger thyroid nodules required more treatment sessions to achieve appropriate volume reduction

• Complete treatment of the periphery of the nodule is important in preventing marginal regrowth

Keywords

Radiofrequency ablation Thyroid nodules Ultrasound Laser ablation Ethanol ablation 

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