It is available a new possibility for treatment of thyroid nodules, non-invasive and underlocal anaesthesia, for patients who have a high anaesthesiological risk and that suffer fromserious debilitating diseases or who reject consciously the surgical intervention.
The thermal ablation uses radiofrequency waves through ultrasound guided insertion of aneedle into the thyroid nodule under local anaesthesia. The treatment is indicated forthyroid nodules of at least 2 cm in dm, performed in day Hospital, it does not cause scarsor blemishes. Thermal ablation in capable hands is safe and free from complications, itproduces a reduction in the volume of the nodule up to 90% of its initial volume (publishedpersonal clinical records), the thyroid will not be removed and it is not necessary to takereplacement therapy.
Also thyroid cancer metastases are treatable with this innovativeprocedure.Info and booking at the Casa di cura Ruesch in Naples and Casa di cura Ruggiero in Cavade ‘Tirreni (SA), Where the radiofrequency thermal ablation and / or laser-induced can beperformed.
The doctor of the future will give no medication but,
will interest his patients in the care of the human frame,
in diet, in the causes
and prevention of disease.
The radiofrequency-induced thermal ablation was initially adopted more than twenty yearsago for the treatment of malignant neoplasms of the liver. More recently the applicationshave been extended to the treatment of other cancers. In this particular case, since 2005the method has been used for the treatment of nodules with a mixed structure and / orsolid of the thyroid due to compression syndrome in patients who are not candidates forsurgery or who do not want to undergo surgery. Also hyperfunctioning nodules and thosethat cause neck blemishes can be treated.The results of this modern minimally invasive therapy are extremely encouraging: thenodules in the first year are reduced by up to 78% of the initial volume (published data),the volume reduction is already evident at one month of treatment with average reductionsof 30-40% of the basal volume. The toxic nodules in the 75% of cases are treated withrestoration of the normal thyroid function, in a minority of the more resistant caseshowever it is possible to halve the dose of anti-thyroid medication and you can then availyourself of the treatment with I131 but with much lower doses than those needed withoutthe prior treatment with RF.Also laterocervical metastases can be treated in already operated patients, but notmalignant thyroid tumors excepting anaplastic ones for decompression and palliativepurpose.As pretreatment protocol the patient should perform an ultrasound guided FNB, hormonaland antibodies screening, an ECG, a chest x-ray and emocoagulative tests; he should nottake anticoagulants or antiplatelet drugs that must be suspended before treatment.
Spiezia S, Garberoglio R, Di Somma C, Deandrea M, Basso E, Limone PP, Milone F, Ramundo V, Macchia PE, Biondi B, Lombardi G, Colao A, Faggiano A. Efficacy and safety of radiofrequency thermal ablation in the treatment of thyroid nodules with pressure symptoms in elderly patients. J Am Geriatr Soc. 2007 Sep;55(9):1478-9. Deandrea M, Limone P, Basso E, Mormile A, Ragazzoni F, Gamarra E, Spiezia S, Faggiano A, Colao A, Molinari F, Garberoglio R. Us-guided Percutaneous Radiofrequency Thermal Ablation For The Treatment Of Solid Benign Hyperfunctioning Or Compressive Thyroid Nodules. Ultrasound Med Biol. 2008 Jan 18; Spiezia S, Garberoglio R, Milone F et al.Thyroid nodules and related symptoms are stably controlled two years after radiofrequency thermal ablation.Thyroid.
Voluminous multinodular goitre. image on the left – before radiofrequency treatment. right image – 6 months after the thermal ablation treatment.
Schematic image of “moving shot” technique with which Dr. Spiezia treats thyroid noduleswith an induced radiofrequency thermal ablation with minimal invasiveness, under localanaesthesia, under ultrasound guidance with a very thin needle.