by Lindsey VanDyke DO, FACOI, FEAA
Thyroid nodules, small lumps that develop within the thyroid gland, are a common thyroid disorder. While most nodules are benign, they can cause discomfort, impact hormone production, and even mimic the symptoms of thyroid cancer. Fortunately, there is now an innovative treatment option available known as Radiofrequency Ablation (RFA). Here, we will explore how RFA can be used to effectively treat thyroid nodules, providing patients with a minimally invasive and highly successful alternative to surgery
Understanding Thyroid Nodules:
Thyroid nodules can vary in size and characteristics, ranging from tiny nodules that are hardly noticeable to larger ones that are easily felt or seen. These nodules can be solid or filled with fluid and may cause symptoms such as neck pain, difficulty swallowing, or voice changes. While the majority of nodules are non-cancerous, medical intervention is often required to alleviate symptoms and prevent potential complications. Until recently, that intervention was almost always surgery.
Introducing Radiofrequency Ablation (RFA):
Radiofrequency Ablation, typically used in the treatment of various tumors, has emerged as a highly effective non-surgical technique for managing thyroid nodules. RFA involves the use of heat energy delivered through a thin needle directly into the nodule, causing its controlled destruction while preserving the surrounding healthy tissue. This outpatient procedure is performed under local anesthesia and offers several significant advantages over traditional surgery.
FIG 1. Before and after RFA. On the left is a 5.9cm nodule and on the right is the same nodule after RFA, measuring 3.7cm (36% reduction). Source: Mayo Clinic
Benefits of RFA for Thyroid Nodules:
- No invasive surgery, resulting in minimal scarring, reduced pain, and a faster recovery period.
- Preserves thyroid function: RFA targets just the nodule, ensuring the surrounding healthy thyroid tissue remains unaffected.
- High success rate: Studies have shown that RFA has an impressive success rate, reducing nodule size by 50-80%.
- Minimally invasive: The procedure does not require an incision and allows patients to resume their daily activities almost immediately.
- Cost-effective: Compared to surgery, RFA is a cost-effective option, reducing hospital stays and associated expenses.
The RFA Procedure:
During an RFA procedure, an experienced endocrinologist uses ultrasound guidance to precisely locate the nodule. A small needle is then inserted into the nodule, and heat energy is delivered, causing the nodule to shrink over time. The procedure typically takes less than an hour, and patients experience minimal discomfort.
Recovery and Follow-up:
Post-procedure, patients may experience mild discomfort or a sore throat, which can be managed with over-the-counter pain relievers. Most individuals can resume their normal activities immediately, with minimal restrictions. Follow-up appointments and ultrasound examinations are scheduled to monitor the nodule’s response to treatment and ensure optimal outcomes.
Radiofrequency Ablation (RFA) has revolutionized the treatment of thyroid nodules, providing patients with a safe, effective, and less invasive alternative to surgery. This groundbreaking procedure offers numerous benefits, including minimal scarring, preserved thyroid function, and an impressive success rate. If you are struggling with thyroid nodules, schedule a consultation to determine if RFA is the right treatment option for you. Take control of your thyroid health and embrace the latest advancements in medical technology.
To discuss RFA, call or text: (817) 380-4880