Thyroid Nodule Radiofrequency Ablation
Luke Wilkins, MD
For patients who seek more information or want to schedule an appointment, visit the Radiofrequency Ablation page at UVAHealth.com or call UVA Health Interventional Radiology at (434) 924-9401.
Thyroid Nodule Radiofrequency Ablation is a minimally invasive option offered by the University of Virginia to treat thyroid nodules. While these lumps on the thyroid gland are often found to be non-cancerous, benign thyroid growths can still cause discomfort, difficulty swallowing or breathing, or cosmetic concerns.
UVA was one of the first institutions in the nation to offer this treatment, and these procedures are currently performed by UVA Health’s Luke Wilkins, MD. Through multiple clinical trials, thyroid nodule radiofrequency ablation has been shown to be a safe, effective, less invasive procedure for patients with clinical symptoms, cosmetic concerns, and health conditions that prevent surgery.
What are benign thyroid nodules?
These are non-cancerous lumps on the thyroid gland which are either solid tissue or filled with fluid. The nodules usually do not cause any symptoms; but depending on the size and location of the growth, some patients may experience trouble breathing, swallowing, or a visible lump in the neck.
In addition, some nodules make thyroid hormone, which can cause hyperthyroidism and result in other serious symptoms.
What are the advantages to Radiofrequency Ablation?
Radiofrequency ablation (RFA) is a procedure to treat thyroid nodules without entering open surgery. The treatment results in a greater likelihood to preserve the thyroid, potential for fewer complications, and generally shorter recovery times. It also does not require general anesthesia.
RFA can be a suitable alternative to patients with health conditions that prevent surgery. It has even been shown to be an effective supplemental treatment for those with recurrent thyroid cancers.
How does Radiofrequency Ablation work?
Radiofrequency ablation destroys specific cells using high-energy radio waves, while also protecting the entire thyroid gland. For the treatment, an interventional radiologist will:
- Numb the skin over and around the thyroid gland.
- Place a needle-like probe into the nodule.
- Use ultrasound to make sure the probe is in the right place.
- Heat the tip of the probe so that it burns a small area.
- Move the probe within the nodule until it is all treated.
During the procedure, you will remain awake to make sure that the treatment does not cause any voice change. Your neck and thyroid tissues will be numb, though you may feel some movement from the ultrasound or RFA probe. This is normal and should not hurt.
You will be able to go home the same day as your procedure. The next morning, you can replace the dressing on your neck with a Band-Aid, and expect to mostly use over-the-counter pain medications. Your doctor will follow up with you periodically afterwards.
Depending on the type of nodule, lesions can shrink anywhere from 60 to 90 percent after one year.
Contact
To make an appointment at UVA Health in Charlottesville, VA, call Interventional Radiology at (434) 924-9401.