The only way to stop you from losing your thyroid for no reason is to insist evaluation for alternative therapy with thyroid radiofrequency ablation RFA. Read this paper on excess thyroid surgery for benign nodules by Kim et al.
1. Patients were considered potentially eligible for radiofrequency ablation if they had a dominant nodule >2 cm with or without compression symptoms, a dominant nodule <2 cm with compression symptoms, or a toxic adenoma.
2. 411 surgery patients in total, 284 (69.1%) would be eligible to consider thyroid radiofrequency ablation.
3.At surgery in the radiofrequency ablation–eligible group, 20 (7.0%) experienced voice change after surgery, and 2 (0.7%) were dissatisfied or concerned about their scar.
4. In the radiofrequency ablation–eligible group, 70/284 patients (24.6%) had malignancy diagnosed by final pathology. 47/70 were small low risk <1 cm micro-papillary cancers.
5. However there were 23 /284 patients (8.1%) had cancers that were equal to or larger than 1 cm in size.
6.The rate of occult malignancy, optimal evaluation of non-dominant nodules before radiofrequency ablation is essential.
7. Long-term thyroid surveillance should be considered for patients with multiple nodular goiters who undergo radiofrequency ablation.
8. Call me at 310-393-8860 or email to email@example.com for a consult before the surgery.
Ask for Alicia.
Volume 171, Issue 1, January 2022, Pages 160-164