Thyroid Radiofrequency Ablation RFA for Small Micro-Papillary Thyroid Cancer: A better treatment option than either surgery or active surveillance.

Thyroid Radiofrequency Ablation RFA for Small Micro-Papillary Thyroid Cancer: A better treatment option than either surgery or active surveillance.

Thyroid Radiofrequency Ablation RFA for Small Micro-Papillary Thyroid Cancer: A better treatment option than either surgery or active surveillance.

Thyroid Radiofrequency Ablation RFA for Small Micro-Papillary Thyroid Cancer: A better treatment option than either surgery or active surveillance.

Case study in the use of thyroid RFA for micro-papillary thyroid cancers.

37 Y/O male  with a benign 2 cm nodule on FNA but had a <5 mm nodule that had suspicious feature biopsied at the same time.

The micro nodule was papillary thyroid cancer. They told him he needed surgery or long term follow up by active surveillance.

He refused both options and opted for RFA of the micro-papillary and observation of the 2 cm benign nodule.

ultrasound of the <5 mm micro-papillary lesion.

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The patient has thyroid RFA in my office ultrasound suite.

He returned in one month for re-biopsy and CNB. The CNB was not done due to the small size of the cancer, however, the cytology was negative using large bore #18 needle.

After 4 passes with an 18 needle no cancer cells were seen.

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Discussion:

  1. This small cancer should not have been biopsied.
  2. It opened the door to possible thyroid surgery.
  3. Once it was biopsied it caused the patient to have to confront all his options.
  4. Only after his own web search did you come to the possible use of thyroid RFA for his small cancer.
  5. He did not want surgery and did not like leaving the cancer in his neck even though they told him it was safe.
  6. Call me at 310-393-8860 for details of thyroid RFA for you.
  7. Or secure email to [email protected]
  8. Dr.G.

 

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