Minimally invasive ablation of a toxic thyroid nodule by high-intensity focused ultrasound.
HIFU is used in the treatment of cancer (prostate, breast) and uterine fibroma but not yet in TNs. This case report describes the first successful ablation of a toxic TN with HIFU. TSH and radioiodine scan normalization were achieved without complications and maintained for 18 months. HIFU treatment is a minimally invasive technique that may be an effective safe alternative to radioiodine or surgery in patients with toxic TNs.
Esnault
O
O
ENT and Maxillo Surgery Unit, Paris, France. olivier.esnault@wanadoo.fr
Rouxel
A
A
Le Nestour
E
E
Gheron
G
G
Leenhardt
L
L
D000328:Adult; D057086:High-Intensity Focused Ultrasound Ablation / Q000379:methods*; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011877:Radionuclide Imaging; D016606:Thyroid Nodule / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography
D007457:Iodine Radioisotopes