ECE2018 Poster Presentations: Thyroid Thyroid (non-cancer) (105 abstracts)
Our experience in the first year of radiofrequency ablation of benign thyroid nodules
Raul Rodriguez Escobedo 1 , Silvia Gonzalez Martinez 1 , Fernando Garcia Urruzola 1 , Soraya Lanes Iglesias 1 , Alicia Martin Nieto 1 , Lucia Diaz Naya 2 , Jessica Ares Blanco 1 , Bonel Argüelles Garcia 2 , Ana Maria Montes Garcia 1 , Cecilia Sanchez Ragnarsson 1 & Edelmiro Luis Menendez Torre 1
1Hospital Universitario Central de Asturias, Oviedo, Spain; 2Hospital Universitario de Cabueñes, Gijon, Spain.
Purpose: At the beginning of 2016, radiofrequency ablation of benign thyroid nodules began to be carried out at the Central University Hospital of Asturias (Spain). The aim of this study was to evaluate the results obtained by the moment with the aforementioned technique.
Methods: It is a descriptive study carried out through the data obtained during the process and the subsequent analytical and ultrasonographic follow-up. In addition, patient surveys have been conducted, mostly by telephone.
Results:
• General data. 24 patients undergoing treatment (18 women and 6 men), with a mean age of 52.7 (minimum 36 and maximum 83).
• Evolution of size. Revision to the first month (n=20): average reduction of 35.765% (median: 36.5, maximum: 69, minimum: 7). Revisions at 3-6 months (n=10): average reduction of 59.7% (median: 65, maximum: 88, minimum: 33). Review at 8-9 months (n=10): average reduction of 50.7% (median: 54, maximum: 84, minimum: 15). Review at 11-14 months (n=2): average reduction of 89%.
• Thyroid function. 94.7% of euthyroid patients prior to radiofrequency remained euthyroid.
• Pain during the intervention. 89.47% of patients said they did not feel pain. 5.25% moderate pain and 5.25% intense pain.
• Complications. Local discomfort 63%, (83.33% mild, 16.67% moderate). Hematoma in 26.31% (80% mild, 20% moderate). Mild dysphagia 5.26%. There was no dyspnea or serious complications in any patient.
• Subjective improvement. 100% presented subjective improvement. In sensation of cervical bulk 84.21%, aesthetically 73.68%, dysphagia 63.15%, dyspnea 36.86%.
• Satisfaction. 78.94% were very satisfied with the treatment, 10.52% satisfied, 10.52% intermediate satisfaction. None was dissatisfied.
• Repetition. 100% of patients would repeat the radiofrequency treatment if necessary
Conclusion: • There have been marked reductions in the size of the nodules. This decrease is echographically appreciable from the first month, showing in most cases an increase in the reduction in subsequent revisions.
• Thyroid function is not affected by the use of radiofrequency therapy.
• The technique, in most cases, is not painful.
• No serious complications have occurred. It is seen as the main complication local discomfort, being mild in the vast majority of occasions.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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