Local Time : 19:31 CET

C-1714 - Radiofrequency ablation for benign thyroid nodules: safety and efficacy in our single center experience

F. Morelli1, A. Sacrini2, G. Pompili2, A. Borelli2, A. Masu2, L. De Pasquale2, R. Giacchero2, G. Carrafiello2; 1 Milano/IT 2 Milan/IT Type: Scientific Exhibit
Area of Interests: Thyroid / Parathyroids, Interventional non-vascular
Imaging Techniques: Ultrasound, Percutaneous, Ultrasound-Colour Doppler
Procedure: Ablation procedures
Special Focuses: Hyperplasia / Hypertrophy, Neoplasia
Please note: This poster is part of the session VoE 83 - Italian on Saturday, March 4, 10:00 - 11:00 Add poster to my schedule In your schedule (remove)

Aims and objectives: Thyroid nodules are very common in adult population [1] and, even if most of them are benign, they can be symptomatic or cause cosmetic concerns, so that a treatment can be however necessary. Actually, total thyroidectomy is the standard of care in these cases [2], but it leads to hospitalization, [...]

Methods and materials: Patients were enrolled according to the following inclusion criteria: symptomatic nodules; nodules increasing >10% in 1 year; tracheal deviation; refusal/contraindications to surgery. A recent (<24 months) fine needle aspiration cytology (FNAC) of the nodule was necessary: all patients with cy[...]

Results: 14 nodules in 12 patients were treated (male:female ratio 1:1; median age 60.5 years). All patients but one (mild hypothyroidism with TSH 4.88 mU/L and normal fT3-fT4) had normal thyroid function; thyroid antibodies were negative for all. 3/12 patients were asymptomatic; 9/12 patients had a symptom [...]

Conclusion: RFA is a feasible, safe and effective mini-invasive procedure to treat benign thyroid nodules. Respect to surgery it has the advantage to avoid hospitalization, substitutive therapy for iatrogenic hypothyroidism, scar formation on the neck. Even in case of re-treatment, RFA seems to be feasible and [...]

Personal information: Francesco Morelli, MD. E-mail: francesco.morelli@unimi.it Andrea Sacrini, MD. E-mail: andrea.sacrini@asst-santipaolocarlo.it   Giovanni Pompili, MD. E-mail: giovanni.pompili@asst-santipaolocarlo.it   Gianpaolo Carrafiello, MD, Professor. E-mail: gcarraf@gmail.com

References: 1. Fadda G, Basolo F, Bondi A et al. Cytological classification of thyroid nodules. Proposal of the SIAPEC-IAP Italian consensus working group. Pathologica 2010;102:405–408. 2. Levine RA. Current guidelines for the management of thyroid nodules. Endocr Pract 2012;18(4):596-9. 3. Valcavi R, Riganti [...]

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