Thyroid Tumor Ablation 101: Chinese Using Radiofrequency to Ablate Lateral Neck Nodal Metastatic Papillary Thyroid Cancer
Ultrasonography-guided percutaneous radiofrequency ablation for cervical lymph node metastasis from thyroid carcinoma
Liping Wang et al
Year : 2014 | Volume : 10 | Issue : 7 | Page : 144-149
DR. Guttler’s comments on this article.
1. We use ethanol ablation in the USA because we do not have thyroid friendly RFA system like they used in China.
2. They looked at 8 patients with 20 positive lymph nodes.
3. Participants underwent ultrasonography-guided RFA treatment for all confirmed metastatic lymph nodes.
4. Electrode used was the short and thin Korean of Star Med.
5.All 20 lymph nodes were ablated.
6. No complications occurred.
7. 5-14 month follow up there was no sign of recurrence.
8. Two new sites occurred in one patient that were also ablated.
9. 5 treated lymph nodes disappeared.
10. 4 were reduced more than 80%.
11. 9 were reduced between 50% and 80%.
12. 2 were reduced less than 50%.
13. Serum thyroglobulin TG levels had decreased in 6 of 8 patients.
14. RFA for cervical lymph node metastasis of thyroid malignancy is a feasible, effective, and safe therapy.
15. However, ethanol ablation PEI is also effective and less expensive.
16. PEI is available in the USA but RFA is still only available in Europe or Asia.
Call me for ethanol treatment or referral to have thyroid RFA in Italy or Seoul Korea.
Richard Guttler MD,FACE,ECNU