Radiofrequency Ablation RFA for Small Primary Papillary Thyroid Cancers

A case report

1. 37 Y/O male with a Needle biopsy proven left lobe papillary thyroid cancer.
2. Comes for a second opinion on the need for surgery. Discussed active surveillance, surgery and RFA. Patient opted for RFA.
3. FH: goiter in GF in China.
4. TFT’s were normal except the thyroglobulin was elevated 99 ng/ml N= 3-41
5. PE small firm nodule on the left.
6. US 36x41x44 mm 0.036 ml micropapillary thyroid cancer.
7. Told about RFA and active surveillance but refused the latter.
8. RFA took 20 minutes at 20 watts wit 5 mm hot tip electrode.
9. No complications.
10. 3 month follow up biopsy revealed no cancer cells.
11. 18 month follow up still no sign on ultrasound of recurrence.
12. Patient still has the whole thyroid gland and has no scar.
13. The patient also is not taking thyroid hormone.
14. Call me at 310-393-8860 or email to thyroid.managers@thyroid.com.
15. Ask for Alicia.
16. Dr.G.