Overview
Many patients have concerns about what life might be like after removing part of their thyroid. They would like to consider alternatives, knowing that they could always do surgery in the future. For those patients, the experience and options of the Russell Center are especially valuable. One common option for treatment is known as radiofrequency ablation (RFA).
RFA is a minimally invasive procedure used to treat thyroid nodules and certain thyroid conditions. It uses radiofrequency energy to heat and destroy targeted thyroid tissue, offering an alternative to traditional thyroid surgery. It generally has a shorter recovery and preserves more thyroid tissue than traditional thyroid surgery.
Procedure
RFA is most similar to a small dental procedure with regards to the way that it is managed and how you will feel afterward. First, we ensure that there have been no recent changes in your nodule by doing an ultrasound. Then, we cleanse your neck. After that, we will make sure that you are comfortable by injecting numbing medication (this is usually the worst part). During radiofrequency ablation of a thyroid nodule, a thin needle or electrode is inserted into the thyroid nodule or affected thyroid tissue under ultrasound guidance. Radiofrequency energy is then delivered through the electrode, generating heat that destroys the targeted tissue. Radiation is not used, but radiofrequency energy waves are. The procedure is typically performed under local anesthesia and is usually done on an outpatient basis, allowing patients to return home the same day.
Benefits and Risks
RFA offers several advantages, including a minimally invasive approach, faster recovery, and minimal scarring. It also optimizes preservation of normal thyroid tissue. It is also a good option for patients who prefer to avoid traditional thyroid surgery. As with any procedure, there are potential risks, including infection, bleeding, nodule rupture, and possible damage to nearby structures. Most importantly, because no thyroid tissue is actually removed you may need further treatment including surgery. Your doctor will discuss these risks with you to ensure you're fully informed before undergoing the procedure.
One unique risk with this procedure is that, because no thyroid tissue is removed, we will not definitively know if the tissue we are treating is benign. For this reason, there are established protocols (usually requiring at least 2 benign biopsies and routine follow up sonograms) to make sure that we are not missing something. Surgery is the only way to be truly sure that you do not have cancer- but most patients don't need thyroid surgery unless they prefer that option. Once we have collected the data and determined your eligibility for any specific procedure, your goals and preferences are usually the deciding factor about our final recommendation in your unique case.
Recovery and Follow-Up
Recovery from radiofrequency ablation of the thyroid (RFA Thyroid) is generally quick, with most patients resuming their normal activities within a few days. Mild discomfort at the treatment site may occur and can be managed with over-the-counter pain medications. Follow-up visits are important to monitor thyroid function and assess the success of the treatment. In some cases, additional treatments may be needed if symptoms persist.
This procedure is very new in the United States, and the majority of thyroid or parathyroid surgeons do not offer this approach. As with all new techniques, you will want to determine if you are a candidate and if your surgeon is experienced in the technique. At the Russell Center, we pride ourselves on offering all of the most advanced techniques so that you can have peace of mind knowing if you are eligible - and improving outcomes when you make your choice!
.webp)
