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Radiofrequency Ablation in the Management of Extensive Multinodular Goiter: A Midterm Single-Center Experience
Lorant Szabo1, Christoph Zech2, Hans Steinert3
1Zentrum für Mikrotherapie, Interventionelle Radiologie, Klinik Hirslanden, Zürich, Switzerland.
Summary
Radiofrequency (RF) ablation effectively treats multinodular goiter, significantly improving symptoms and cosmetic appearance. This repeatable procedure offers a non-surgical option, preventing regrowth in selected patients.
Area of Science:
- Endocrinology
- Minimally Invasive Surgery
Background:
- Multinodular goiter often requires treatment for cosmetic concerns and symptoms.
- Radiofrequency (RF) ablation presents a minimally invasive therapeutic option.
Purpose of the Study:
- To evaluate the efficacy of RF ablation for cosmetic and symptom relief in patients with extensive multinodular goiter.
Main Methods:
- Retrospective analysis of 40 patients with 175 nodules treated with monopolar RF ablation.
- Assessment included clinical symptoms, lab tests, and ultrasound monitoring.
Main Results:
- Significant symptom improvement (2.9 to 0.3) and cosmetic score reduction (3.6 to 1.6) were observed (P < .001).
- Mean nodule volume reduction was 85.3%.
- Most patients required one ablation session; temporary hoarseness occurred in 7.5%.
Conclusions:
- RF ablation is a safe and effective, repeatable treatment for multinodular goiter.
- It provides substantial symptom and cosmetic improvement.
- It can prevent nodule regrowth and avoid surgery in selected cases.

