Thyroid Tumor Ablation 101: Chinese Using Radiofrequency to Ablate Lateral Neck Nodal Metastatic Papillary Thyroid Cancer

Thyroid Tumor Ablation 101: Chinese Using Radiofrequency to Ablate Lateral Neck Nodal Metastatic Papillary Thyroid Cancer

Thyroid Tumor Ablation 101: Chinese Using Radiofrequency to Ablate Lateral Neck Nodal Metastatic Papillary Thyroid Cancer

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

Journal of Cancer Research and Therapeutics

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.

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2. They looked at 8 patients with 20 positive lymph nodes.

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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.

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6. No complications occurred.

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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.

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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.

3103938860

or

thyroid.manager@protonmail.com

Richard Guttler MD,FACE,ECNU

Interventional Thyroidologist

 

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