Patient of Mine Returning From Italy After RFA Radiofrequency Ablation of His Cosmetic and Symptomatic Benign Thyroid Nodule

Patient of Mine Returning From Italy After RFA Radiofrequency Ablation of His Cosmetic and Symptomatic Benign Thyroid Nodule

Patient of Mine Returning From Italy After RFA Radiofrequency Ablation of His Cosmetic and Symptomatic Benign Thyroid Nodule

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

img_0294

Neck 9 weeks after RFA.

imgattach9 imgattach8

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.

imgres-4-1-300x36

resnick-ron-second-biopsy11

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.

r-_20170501120216_1214330r-_20170501120216_1213550

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.

star-rf-electrode_1

2 Comments
  • Fei Lee July 18, 2018 12:05 pm

    Dear Dr. Guttler,
    I have similar condition as this patient you described in this article.
    I am 48 Y/O female had a 14 ml benign thyroid nodule. I do want surgery for reasons similar to your patient RR, the loss of my work, the medication that I need to take after surgery, and the possible complications.
    Could you let me know if my thyroid doctor can do a my RFA pre-evaluation, and confirm that I am a candidate with the RFA physician in Italy? If not, what should I do?
    If yes, could they accept me as their condidate?
    I would love to do the pre-evaluation before I go to Italy and save time and money on a long evaluation in Italy, I hope that I’d be treated with an overnight stay or so. .
    Please let me know if the 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 are all the necessary test I need to do?
    Sincerely,

    • Dr Guttler July 18, 2018 12:47 pm

      Yes I will evaluate you for RFA.
      Call me at 310-393-8860 or email to thyroid.manager@protonmail.com.
      The evaluation takes 2 days with results in 2 weeks.
      Dr.G.

Add Your Comment

Contact Info
1328 16th Street, Santa Monica, CA 90404
Monday – Friday
9:00 AM to 5:00 PM
(310) 393-8860