Thyroid disease

Radiofrequency Ablation of Toxic Thyroid Nodules: An Early Experience of a Single Institution in the United States

Endocr PractPublished Retrospective case series

Authors' conclusion

In our early experience, RFA is a safe and effective method for treating hyperfunctioning thyroid nodules of benign etiologies. To further validate and support these findings, expansion of this cohort and more extensive follow-up will allow us to better characterize the outcomes of RFA and compare this approach to both surgical and other minimally invasive thermal ablative approaches.

Study context

Population
Patients with symptomatic hyperthyroidism from toxic nodules (toxic adenomas and multinodular goiters), single US institution
Participants
41 patients
Outcome
Nodule volume reduction (US)
Follow-up
12 months
Methodological detailssingle-institution, office-based, Nodule volume recorded by US at ≈1, 3, 6 and 12 months after radiofrequency ablation (RFA)
  • Single-institution
  • Office-based
  • Nodule volume recorded by US at ≈1, 3, 6 and 12 months after RFA

Main finding

As reported in the abstract

RFA

80.57%

mean

Observational data: associations, not effects.

Further findings

OutcomeValues
Sustained remission from hyperthyroid stateRFA 35 of 41

Sustained remission from hyperthyroid state

Significant improvement in cosmetic and clinical symptoms

Safety

Pain was the most frequent complication; it did not cause early termination of the procedure or affect outcomes

Original publication

Radiofrequency Ablation of Toxic Thyroid Nodules: An Early Experience of a Single Institution in the United States. Endocr Pract. Published 11 December 2024. doi:10.1016/j.eprac.2024.12.006

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