Thyroid No Surgery: Thyroid Radiofrequency Ablation is Not Just First Line Treatment for Benign Thyroid Nodules.

Thyroid No Surgery: Thyroid Radiofrequency Ablation is Not Just First Line Treatment for Benign Thyroid Nodules.

Thyroid No Surgery: Thyroid Radiofrequency Ablation is Not Just First Line Treatment for Benign Thyroid Nodules.

Thyroid No Surgery: Thyroid Radiofrequency Ablation is Not Just First Line Treatment for Benign Thyroid Nodules. Now add Micropapillary Thyroid Cancer.

        New 5 year study of RFA for micropallary thyroid cancers

USGRFA versus Surgery for low risk micropapillary cancer.

Thyroid 30(3)March 11 2020  M.Zhang et al

Dr.Guttler’s comments on this article.

  1. 174 patients 94 elected to have thyroid RF. 80 elected to have surgery.
  2. Outcomes based on 5 year follow up.
  3. The results are summarized.
  4. For low risk small thyroid cancers contained in the thyroid gland, thyroid RF is not oncologically inferior to surgery.
  5. Thyroid RF is superior to surgery with a higher quality of life scores.
  6. Thyroid RF treatment time was shorter than surgery treatment time, can be done as outpatient, and even in endocrinologist’s office.
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  8. Dr.Guttler doing thyroid RF i. his office ultrasound room.
  9. Thyroid RF should not be done accept by local Lidocaine, not general anesthesia or conscious sedation.
  10. Thyroid  RF was less expensive than surgery.
  11. Also the RF expense varied from endocrine office of $5000-7500, to $15000 for hospital with conscious sedation, and $25000 for hospital with general anesthesia. After evaluation to see if thyroid RF is right for you, the procedure itself costs $6000.00. There is no insurance but we have medical loan company to arrange a loan for the procedure if needed.
  12. This study shows how risky thyroid surgery
  13. images
  14. is when a thyroid RF procedure in this study had no complications 0/94 cases, while 4% of the surgery cases had bad complications 3/80. Two had permanent recurrent nerve  vocal cord paralysis injuries shown in this image.
  15. images
  16. and one had permanent injury to the parathyroid glands causing  surgical induced hypoparathyroidism and life long treatment.
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