Ethanol Ablation of Mostly Cystic thyroid nodules Left with Continued symptoms? The place for Radiofrequency ablation?
RFA image of the cyst being ablated.
- Failure to relieve symptoms after PEI can be treated by RFA.
- 24/94 cases treated with PEI needed additional RFA treatment .
- < 50% reduction in symptoms or cosmetic score or persistent solid component caused the need for RFA.
- RFA after a single session of EA was effective in reducing mean symptom score from 4.8 to 1.1 ( p < 0.001), mean cosmetic score from 3.5 to 1.4 ( p < 0.001) and mean nodule volume from 11.3 to 0.9 mL ( p < 0.001).
- PEI is less effective if the solid component is > 20%.
- RFA is as effective as PEI for thyroid cysts but should not be used for cysts with < 20% solid component as PEI is less expensive.
- RFA should be the treatment of choice for cysts that are >20% solid.
- RFA is effective in treatment of benign predominantly cystic thyroid nodules in patients whose clinical problems were incompletely resolved after EA.
- RFA should be the method of choice as it effectively treats both cyst and large solid component with one visit avoiding the double expense of two procedures.
- I have a long history of treating cysts with PEI, and in last 5 years RFA for both solid and cystic nodules.
- Call me at 310-393-8860 or secure email to [email protected]
- Ask for Alicia for details.