Thyroid cancer - Radiofrequency - Puncture - Diagnosis - Treatment
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89-year-old patient operated for papillary thyroid carcinoma in 2014.
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Ultrasound monitoring showed metastatic lymphadenopathy confirmed by cytology and intra-nodal TG assay (>5000).
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Intervention​
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Thermoablation by radiofrequency proposed and validated by the thyroid CPR (elderly patient and does not wish surgical treatment).
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Processing done.
Nodule 1.05 cc.
Energy delivered 0.49 kcal.
Active treatment time: 1 min and 36 sec.
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Processing done.
Nodule 1.05 cc.
Energy delivered 0.49 kcal.
Active treatment time: 1 min and 36 sec.
Volume before treatment 1.05 cc
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Volume 3 months post RF 0.18 cc
82.36% decrease
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TG before treatment 6.10
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TG 3 months post RF 3.50
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Radiofrequency thermoablation is an alternative to surgery to treat:
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Recurrences of thyroid cancer.
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Lymph node metastases in elderly patients.
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Patients refusing surgery.
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Recurrences of thyroid cancer or lymph node metastases.
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Surgery is the standard treatment for primary thyroid cancer.
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Therefore the indications for RFA for primary thyroid cancer have not yet been clearly established, however in patients with primary (papillary) thyroid cancer who refuse surgery or cannot benefit from surgery, thermal ablations can be considered.
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