USA Trailing Europe and Asia in Alternative Treatments for Benign Thyroid Nodules.

USA Trailing Europe and Asia in Alternative Treatments for Benign Thyroid Nodules.

USA Trailing Europe and Asia in Alternative Treatments for Benign Thyroid Nodules.

USA Lagging Behind Europe and Asia in Alternative Treatments for Benign Thyroid Nodules.

Negro R et al    Eur Thyroid J. 2017 Apr;6(2):75-81.

A 2016 Italian Survey about Guidelines and Clinical Management of Thyroid Nodules.

“Laser/radiofrequency ablation RFA and percutaneous ethanol injection PEI were commonly considered as alternatives to surgery (46.2 and 71.4%, respectively). Nonsurgical procedures are favorably embraced.”

Comments: What a  disgrace that big companies making radiofrequency equipment for other uses in the USA do not have a ThyroidRF miniprobe suitable for thyroid use.

Half the endocrinologists in Europe consider RFA as an alternative to surgery.71% consider ethanol ablation as an alternative.

It is a disgrace that endocrinologists and others refer few of their patients for ethanol ablation in the US, while they continue to fill their local hospitals for surgery for this benign condition.With half of all thyroid surgeries done by low volume surgeons the risk is too high for treating these benign conditions.

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The patient must find a physician doing PEI or willing to refer you to a center in Europe or Asia for RFA on their own through the a Google search.

Treat cysts with ethanol in the USA now!

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To Prevent a surgery have me refer you to Europe or Asia for either RFA or HIFU for spongiform or solid benign nodules.

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Two expert thyroid interventional operators will accept referrals to their centers.

Left is Dr.Roberto Valcavi and on the right is Professor JW Baek MD.

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Least invasive is HIFU for solid nodules. It does not insert a probe into your neck.The US probe just sits on your neck to deliver the heat needed to ablate.

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Richard Guttler MD,FACE,ECNU

310-393-8860 for details on PEI, RFA and HIFU treatments.

 

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