Toxic Thyroid Nodule Case Report
CASE:
74yo female with obvious neck deformity from large right thyroid nodule. Normal thyroid function. She had tried radioactive iodine for a nodule on in the past which only worked on one side. She wishes to eliminate deformity but adamantly refuses surgery. Does not want to remove a functioning organ. Biopsies benign x 2. TSH normal at 1.8. Nodule volume 70 ml
METHODS:
70 ml nodule ablated with 15 mm RFA probe using 252,621 joules.
RESULTS:
pre-treatment
1 month post
She states symptoms of tightness much improved. Notes significant decrease in nodule size. Nodule now 46 ml in volume, TSH now 5.45. 34% volume reduction
3 months post
She states she notices some improvement. Nodule now 42.5 ml in volume. TSH now back to normal at 3.55. 40% volume reduction
6 months post
She still feels not nodule feels smaller. Now measures 41.2 ml in volume. 42% volume reduction
