Thyroid disease

Two-year prognosis of multinodular goiter following radiofrequency ablation based on all nodule burdens

Eur Thyroid JPublished Retrospective cohort study

Authors' conclusion

RFA provides cosmetic and symptomatic relief for an average of two years. RFA is an useful minimally invasive treatment modality for selected MNG patients.

Study context

Population
Multinodular goiter (MNG) patients with 2–5 benign nodules, >50% normal tissue on US, 1–3 well-defined benign dominant nodules on cytology, largest diameter ≥20 mm and/or clinical complaints, refusing or unable to undergo surgery
Participants
185 patients
Outcome
Nodule burden after RFA
Follow-up
Mean 22.38±13.75 months (range, 12-60 months)
Methodological detailssingle-session radiofrequency ablation (RFA)
  • Single-session RFA

Main finding

As reported in the abstract

Initial ablation ratio of target nodules at 1 month

100%

VRR of ablated nodules at 24 months, without regrowth

98.25%

Progressive disease (PD)

9.7%

18/185

Retreatment rate

2.2%

4/185

Observational data: associations, not effects.

Further findings

Cosmetic and symptomatic scores · after 48 months

Cosmetic score decreased to
1
Symptomatic score decreased to
0

Safety

Complication rate
2.7% (5/185)

Original publication

Two-year prognosis of multinodular goiter following radiofrequency ablation based on all nodule burdens. Eur Thyroid J. Published 19 February 2024. doi:10.1530/etj-23-0134

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