Case Report #4

Toxic Thyroid Nodule Case Report


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


70 ml nodule ablated with 15 mm RFA probe using 252,621 joules.


case4 pre ant


case4 1mo ant

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

case4 3mo ant

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

case4 6mo ant

6 months post

She still feels not nodule feels smaller. Now measures 41.2 ml in volume. 42% volume reduction

Video Results

Pre RFA Treatment

3 months post RFA Treatment

6 months post RFA Treatment

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