Role of Radiofrequency ablation in recurrent thyroid cancer management 2019

Role of Radiofrequency ablation in recurrent thyroid cancer management

By Dr.  H, Chegini

Interventional Radiologist TIRAD Imaging Institute

Recurrent thyroid cancer:

• Low risk: no local or distant metastasis; no local invasion or aggressive histology; R0 surgical resection; no ¹³¹I outside of the thyroid bed;
• Intermediate risk: microinvasion, ¹³¹I or LNM present outside the thyroid bed; aggressive histology or vascular invasion could be present;
• High risk: macroinvasion, incomplete resection—gross residual, or distant metastases were present

Recurrent DTC Management :

• Recurrence  rate :ranging from 20 to 59%.
• Surgery  followed by RIA +hormone therapy is the mainstay of treatment.
• Increasing second neck surgery complications.
• Alternative minimally invasive procedures: Laser A, Microwave A, RFA, Alcohol A,