Clinical Scorecard: Indeterminate Thyroid Nodule Size May Predict RFA Success

At a Glance

Key Highlights

• 85% probability of remaining free of local treatment failure at 3 years (source needed)
• Local treatment failure occurred in about 14% of patients (source needed)
• Volume reduction reached 91% at 3 years (source needed)
• 93% of nodules smaller than 3 cm remained free of local treatment failure (source needed)
• No local or distant metastases observed during follow-up (source needed)

Guideline-Based Recommendations

Diagnosis

• Preprocedural risk stratification with imaging techniques (source needed)

Management

• Radiofrequency ablation for patients declining surgery (source needed)

Monitoring & Follow-up

• Follow-up fine-needle aspiration to assess cytology (source needed)

Risks

• Potential vocal cord palsy-related hoarseness (source needed)

Patient & Prescribing Data

109 patients with indeterminate thyroid nodules

Larger nodules more likely to experience local treatment failure

Clinical Best Practices

• Consider baseline nodule diameter for patient selection and counseling (source needed)
• Monitor symptom and cosmetic scores over time (source needed)

Related Resources & Content

• Korean Journal of Radiology