Radiofrequency Ablation of Symptomatic Non-Functioning Benign Thyroid Nodules: An Early Experience in Egyptian Patients Using Monopolar Electrodes | ||
| The Medical Journal of Cairo University | ||
| Article 18, Volume 88, March, March 2020, Pages 133-140 PDF (621.11 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2020.93970 | ||
| Author | ||
| AHMED M. BASSIOUNY, M.D.; MOHAMMED H. ABDELBARY, M.D. | ||
| The Department of Radiology, Faculty of Medicine, Ain Shams* and Helwan** Universities, Cairo, Egypt | ||
| Abstract | ||
| Abstract Background: Thyroid nodules are noted as a common condition, some of them may need management for compres-sive effects or cosmetic reasons. As surgery has many disad-vantages, minimally invasive procedures are taking place, particularly radiofrequency (RF) ablation that proved to be safe and effective since 2006. Aim of Study: To study the safety and clinical results of (RF) ablation of benign non-functioning symptomatic thyroid nodules. Methods: We assessed 27 non-functioning benign thyroid solid nodules in 20 patients, after treatment by radiofrequency (RF) ablation and follow-up for 12 months. RF ablation was done by Cool-Tip RF system and cooled internal electrode. Nodule volume, cosmetic and symptom scores were calculated earlier prior to treatment and throughout the follow-up. We assessed all efficacy related factors and reported complications. Results: The mean follow-up duration was 11±2.6 months. The volume of the thyroid nodule decreased significantly at the final assessment from an average of 12.2ml before ablation to 6ml (p<0.001). Also there was markedly improved cosmetic and symptom ratings (p<0.001). The overall rate of recurrence was 4% (1/27). The overall rate of complication was 3% (6/20). Conclusion: RF ablation is effective in decreasing the volume of sizable benign thyroid nodules for a one year post-interventional follow-up. There were no complications that threatened life. Thus, patients with non-functioning benign thyroid nodules can be treated by RF ablation as a minimally invasive treatment. | ||
| Keywords | ||
| Thyroid nodule; Benign; Cosmetic dissatisfaction; Pressure effects; Radiofrequency ablation; Non-surgical management | ||
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