Papillary Thyroid Cancer Use Case

Patient with Papillary Thyroid cancer, she had a right vocal cord paralysis unfortunately with her first surgery.

Now with left central neck recurrence on FNA, surgical consultant is concerned that attempt at repeat surgery risks an injury to the left recurrent laryngeal nerve, and that this would lead to a tracheostomy and permanent voice issues.

Radiofrequency Ablation (RFA) is an alternative to this scenario. We are planning to use hydrodissection technique to inject cold D5W behind the mass in the TE groove to protect the nerve and then do radiofrequency ablation of this metastatic node with 0.5 cm active tip.

Shahzad Ahmad MD, FACE, ECNU

The Thyroid Clinic

Salt Lake City, Utah

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