Thyroid No Surgery or Radiation for Autonomous Functioning Thyroid Nodules AFTN: Radiofrequency Ablation should be the treatment of choice in 2021.
- Until recently the treatment for toxic or AFTN’s was surgery or radioiodine.
- Ethanol ablation was tried but was not effective. Laser is also used for AFTN’s.
- Thyroid RFA has been studied and found to be a safe and effective alternative to surgery or radioiodine.
- Many prospective studies have been done.
- The presence of a nodular goiter and a suppressed TSH is the clue to get thyroid I/123 image and uptake.
- Consensus statements and guidelines support the notion that thyroid RFA should be regarded as first line therapy for benign thyroid nodules.
- RFA therapy for AFTN’s is available for anyone but especially if they do not want surgery, or radiation therapy.
- Early RFA therapy of AFTNs that are small <12 ml will result with more nodule reduction 84% vs 68% and a higher rate of normalization of the TSH. 86% for small nodules and 45% for larger nodules.
- Patients wait to be treated because they are not sick from clinical hyperthyroidism.They want to avoid surgery or radioiodine.
- This is not a good idea because subclinical hyperthyroidism has some bad effects.
- Also,thyroid RFA is more successful if done early when the nodule is small.
- Please call me at 310-393-8860 or email [email protected] for evaluation for Thyroid RFA for your AFTN.
- Ask for Alicia.