Who is a possible candidate for RFA?

large “solid” nodule

large “cystic” nodule
The following indications are widely accepted. Prerequisite to an RFA treatment is always a thorough ultrasound examination of the thyroid gland and the neck as well as a confirmed benign cytology (in case of cold or warm nodules).
These patients are in general good candidates for RFA
- nodule(s) causing symptoms
(i.e. difficulty swallowing, sensation of “lump in throat”, hoarseness, pain) - visual nodules causing cosmetic issues
- “hot” nodules/autonomous adenoma (and radioiodine therapy or surgery are undesirable)
- fast growing nodule(s) or cyst(s)
- patients wishing to avoid surgery
- patients for whom general anaesthesia could be problematic
These patients are no candidates for RFA
- nodules that are suspicious or carry already the diagnosis of malignancy
- Hashimoto Thyroiditis
- Graves disease
- large goiters in patients with no contraindication for surgery
- nodule at an unfavorable location