Overview
Laser ablation is another form of thermal ablation (TA) that uses laser energy to destroy abnormal or cancerous thyroid tissue. It is an option for patients with small thyroid nodules or tumors who prefer a less invasive approach compared to traditional surgery. Laser ablation is performed using local anesthesia.
As compared to other thermal ablations such as RFA of the thyroid, it may take slightly more time and has some different risks. Most thermal ablations are effective for most patients with thyroid nodules, and laser ablation is no exception. At the Russell Center, we have chosen not to offer Laser Ablation for the time being. Please feel free to ask why we made that decision.
Procedure
During laser ablation, a thin needle is inserted into the thyroid nodule under ultrasound guidance. A laser fiber is then passed through the needle, and laser energy is delivered to the nodule, causing it to heat up and destroy the targeted tissue. The procedure is typically performed on an outpatient basis, meaning you can go home the same day.
Benefits and Risks
The benefits of laser ablation include a minimally invasive approach, reduced recovery time, and minimal scarring. As with RFA, it is useful for patients with benign thyroid nodules causing symptoms or cosmetic concerns. However, potential risks include infection, bleeding, and unintended damage to surrounding tissues. Eye damage is also a concern without proper precautions. Your doctor will discuss these risks with you to ensure you make an informed decision.
Recovery and Follow-Up
Recovery from laser ablation is usually quick, and is similar to the recovery from RFA or microwave ablation. Follow-up visits are important to monitor the treated nodule and ensure that the procedure was successful. Additional treatments may be needed if the nodule does not shrink as expected.
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