Thyroid Nodule Treatment In Mumbai : What Happens After You Discover A Thyroid Nodule?

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Thyroid nodules are growths or lumps in the thyroid gland located in the neck. These may not cause any thyroid nodule symptoms and are often discovered during routine check-ups or imaging tests for other health conditions. While most nodules are benign, some may be cancerous or have the potential to become cancerous. Therefore, diagnosing and treating thyroid nodules is essential to prevent potential complications promptly. In some cases, non-surgical treatment options may be available.

Thyroid nodules are common, affecting up to 50% of the population. They can range from tiny to very large and can be single or multiple. While most nodules are non-cancerous (benign), some may be cancerous or have the potential to become cancerous.

Thyroid nodules are more common in women and individuals over the age of 60. Other risk factors include a family history of thyroid nodules or cancer, exposure to radiation, and iodine deficiency.

image 1 Dr Gaurav Gangwani

Importance of Prompt Diagnosis and Treatment

Prompt diagnosis and treatment of thyroid nodules are essential to prevent potential complications. These may include compression of nearby structures such as the windpipe or esophagus, overproduction of thyroid hormones (hyperthyroidism), or the potential for the nodule to become cancerous.

Non-Surgical Treatment Options for Thyroid Nodules

Non-surgical options for treating thyroid nodules have become more and more popular recently because of their effectiveness, low risk of side effects, and quick recovery. Two of the most popular non-surgical therapies for thyroid nodules are radiofrequency ablation (RFA) and microwave ablation (MWA).

Radiofrequency Ablation (RFA)

Radiofrequency ablation (RFA), a minimally invasive procedure, uses high-frequency energy to produce heat, which destroys the abnormal thyroid tissue. RFA is usually considered to be safe and effective, and it has been found to typically reduce the size of thyroid nodules by 50% or more. RFA is an outpatient procedure as well, enabling patients to leave the hospital and go home most of the time. Only a few benefits of RFA include its high success rate, quick recovery, and little risk of issues.

During the RFA procedure, a tiny needle is introduced into the nodule using ultrasound imaging as a guide, and heat is then given to the nodule tissue. The heat destroys the nodule tissue without affecting the healthy tissue surrounding it. Within a few days of the operation—which typically lasts between 30 and 60 minutes—patients can usually resume their daily routines.

Benefits of RFA

One benefit of RFA is that the risk of problems is low. Mild soreness or discomfort is the procedure’s most common side effect, which can be managed with over-the-counter medications. Patients have a slight likelihood of experiencing bleeding, infection, or damage to nearby tissues, including the voice cords.

Another benefit of RFA is its high success rate. Studies show that RFA can regularly shrink thyroid nodules, with a success rate of up to 90%. Moreover, RFA can be repeated if necessary, allowing patients to further shrink the nodule.

Microwave Ablation (MWA)

Microwave ablation (MWA), another minimally invasive treatment, uses microwaves to heat and remove the abnormal thyroid tissue. Using MWA, thyroid nodule size can be decreased with a low risk of complications. 

During the MWA procedure, a small needle is placed into the nodule with the aid of ultrasound imaging as a guide, and the needle is then utilized to deliver microwaves to the nodule tissue. The nodule tissue is destroyed by the heat from the microwaves, while the surrounding healthy tissue is not affected. Within a few days of the operation—which typically lasts between 30 and 60 minutes—patients can usually resume their daily routines.

Benefits of MWA

One of the benefits of MWA is how well it reduces thyroid nodules. Studies show that MWA can typically shrink nodules and has a success rate of up to 80%. The most common side effect of the operation is mild pain or discomfort, which can be managed with over-the-counter analgesics. A low risk of problems also applies to MWA.

Another benefit of MWA is its capacity to treat larger nodules that may not be suitable for RFA. Due to the fact that MWA’s heat can reach deeper into the tissue than RFA’s heat, it is more effective at treating larger nodules.

In summary, radiofrequency ablation or microwave ablation can be used to successfully treat thyroid nodules without surgery. While MWA is a more contemporary technique that is also showing promise, RFA is a tried-and-true approach that is regularly used. Little risk of problems, quick recovery durations, and high success rates are shared by both therapies. Whether to utilize RFA or MWA depends on the nodule’s size and location as well as the patient’s preferences.


Thyroid nodules are common, and prompt diagnosis and treatment are essential to ensure the best possible outcome. Non-surgical treatment options for thyroid nodules include observation, thyroid hormone therapy, radioactive iodine therapy, and ethanol injection.

If you’ve been diagnosed with TR4 thyroid nodules, you should discuss the non-surgical treatment options available and weigh each option’s pros and cons carefully. It’s crucial to consider your personal preferences and goals for treatment and to make an informed decision with the help of your healthcare provider. Ultimately, working collaboratively with your doctor can help ensure that you receive the best possible care for your thyroid nodule treatment.

In the future, new treatments for thyroid nodules may become available, providing additional options for patients. In the meantime, non-surgical treatments offer a safe and effective alternative to surgery for many patients with thyroid nodules.