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
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