Radiofrequency ablation of metastatic lymph nodes in a patient requiring secondary operation for papillary thyroid carcinoma metastasis
Gizem Öner1
, Beyza Özçınar2, Orhan Ağcaoğlu3, Nihat Aksakal2, Artur Salmaslıoğlu4, Cem Yücel5, Yeşim Erbil2
1Multidisciplinary Oncologic Centre for Oncological Research, Antwerp University Hospital, Antwerp, Belgium
2Department of General Surgery, Istanbul University Faculty of Medicine, Istanbul, Türkiye
3Department of General Surgery, Koç University Faculty of Medicine, Istanbul, Türkiye
4Department of Radiology, İstanbul University Faculty of Medicine, Istanbul, Türkiye
5Department of Radiology, Gazi University Faculty of Medicine, Ankara, Türkiye
Abstract
Radiofrequency ablation is a minimally invasive modality performed as an alternative to surgery in patients with benign thyroid nodules and recurrent thyroid cancers. As far we know there is scant data regarding the safety of radiofrequency ablation for metastatic lymph nodes. In this report, our aim was to evaluate the safety and efficacy of radiofrequency ablation for metastatic lymph nodes in patients with recurrent papillary thyroid cancer metastasis. A 63-year old man, who underwent bilateral total thyroidectomy procedure in a different hospital with the diagnosis of papillary thyroid cancer one year ago, was diagnosed to have papillary thyroid cancer metastasis in single lymph nodes bilaterally in his follow-up. He underwent percutaneous radiofrequency ablation under ultrasound guidance. He was discharged home on postoperative day one uneventfully and his first control ultrasonography revealed a decrease in nodule size larger than 50% in right side of the neck and also the nodule in the left side disappeared. In conclusion, radiofrequency ablation is a safe and feasible technique for the treatment of metastatic lymph nodes in patients requiring secondary surgery due to papillary thyroid cancer metastasis.
Keywords: Radiofrequency ablation, recurrent thyroid cancer, lymph node, thyroid cancer metastases, ultrasound, complication
Cite this article as: Öner G, Özçınar B, Ağcaoğlu O, Aksakal N, Salmaslıoğlu A, Yücel C, et al. Radiofrequency ablation of metastatic lymph nodes in a patient requiring secondary operation for papillary thyroid carcinoma metastasis. Turk J Surg 2023.