Thyroid cancer - Radiofrequency - Puncture - Diagnosis - Treatment
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A 59-year-old patient consulted for biological hyperthyroidism (TSH0.01) with a hyperfixing thyroid macronodule on scintigraphy.
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Ultrasound shows a right lower thyroid macronodule 5.83 cc (26.1 x 15.1 x 26.5 mm) hyperfixing on scintigraphy.
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A cytopuncture confirms the benign nature of the nodule.
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The option of thermoablation by radiofrequency under ultrasound guidance is preferred by the patient to the surgical option or IRA therapy.
The nodule before thermoablation:
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The biological control 3 months after the treatment shows a TSH 0 0.26.
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The ultrasound control 3 months after the thermoablation shows a nodular volume of 2.08 cc (18.6 x 11.8 x 18.2 mm), i.e. a volumetric reduction of the nodule to 66.07% with complete disappearance of the vascularization
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The biological control 6 months after the treatment shows a TSH 0 0.68.
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Ultrasound control 6 months after thermoablation shows a nodular volume of 1.68 cc (18.3 x 11.4 x 15.3 mm), i.e. a volumetric reduction of the nodule of 72.6% with confirmation of the complete disappearance of the vascularization.
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