Radiofrequency Ablation is a useful adjunct for recurrent papillary thyroid carcinoma lymphadenopathy
Recent studies showing efficacy at reducing thyroglobulin levels by upwards of 50% and decrease in lesion size/size of the lymph nodes by more than 90%.
This patient had recurrent metastatic lymph nodes in the left central neck, patient had unfortunately developed Vocal Cord paralysis on the right side after her first surgery.
PARALYZED RIGHT CORD VISIBLE
Repeat surgery was fraught with the possibility of damage to the left recurrent laryngeal nerve leading to the possibility of airway compromise and the need for tracheostomy
PRE-RFA ULTRASOUND
This case was carried out by Dr. Shahzad Ahmad MD and Dr. Jules Aljammal MD under conscious sedation. Hydrodissection was used to protect the recurrent laryngeal nerve from thermal injury. 0.5 cm active tip antenna was used and 2 metastatic lymph nodes were successfully ablated. Ultrasound 6 months later shows the presence of normal left vocal cord function.
6 MONTHS POST-RFA SHOWING SMALLER METASTATIC NODE
It is significantly decreased by more than 50% in terms of size of the lymph nodes and more than a 50% reduction in thyroglobulin levels!
RFA is a useful adjust in the management of recurrent Papillary Thyroid Carcinoma.
There is no such thing as a “good type of cancer”. If you are diagnosed with any of these types of thyroid cancer, or you are at high risk for thyroid cancer, it is imperative that you see a thyroid cancer specialist to receive appropriate care. We
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