Patient of Mine Returning From Italy After RFA Radiofrequency Ablation of His Cosmetic and Symptomatic Benign Thyroid Nodule.
RR a 45 Y/O male had a 16 ml benign thyroid nodule. He did not want surgery for many reasons including the loss of work,the scar and the possible complications. After my RFA pre-evaluation found he was a candidate I conformed with the RFA physician in Italy who accepted him for treatment. The pre-evaluation saved him from a long evaluation in Italy, and allowed him to just be treated with an overnight stay. The nodule was compact type with less chance for complete destruction.He was informed of that fact but still wanted to go ahead with the RFA. Located in Northern Italy in with easy connections from the USA via KLM through Amsterdam to Bologna.The food capital of Italy with Parma, Cheese Modena, Vinagar and of course Ferrari test track for racing. Bologna is the center of the food culture and on the hub for travel on bullets to Milan 45 minutes,Venice 1.5 hours and all points south.
9 week follow up back in USA found the nodule was decreased from 16 to 5 ml (68% reduction in 9 weeks) It was not visible and his symptoms were improved.A photo of him 9 weeks after RFA shows no visible neck distortion from the nodule
Neck 9 weeks after RFA.
US of his compact nodule.( 50-75% decrease)Ideal nodules are spongiform with the best chance for complete destruction.
The whole thing began in December 2016 when he decided to travel to Italy if he was a candidate. He had complete thyroid H&P, TFT’s,endocrine neck ultrasound looking for lymph nodes and risk factors for a thyroid cancer.A FNA biopsy cytology with mutation markers and classifiers from Interpace DX were benign.
His story of the easy access to RFA in Italy after my evaluation was proclaimed an overwhelming success. He arrived and was transered to his hotel.Taken the next morning to the clinic. There he had the RFA and left before noon. He stated he felt no pain and was well enough to have lunch right after the treatment. He stated Dr.Valcavi and his staff were great throughout the visits. He returned in the morning for the post RFA ultrasound to access the result. He was able to leave that day to fly back to the USA.
Ultrasound 9 weeks post RFA.
Persistent nodule but decreased cosmetic visibility and
loss of symptoms.
Patient’s Comment: “I am available for any future candidate of Dr.Guttler to discuss my experience if they are thinking of a no surgery trip to Europe form RFA. Tell Dr.Guttler you want to talk to someone who had the treatment in Italy.”
Insert is of DR.Roberto Valcavi doing the RFA with the Thyroid RF Mini-Probe from Star MED Korea.