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Frequently Asked Questions:

Q:Do we always have to treat all thyroid nodules?

A: Yes, thyroid nodules should always be tested and treated accordingly.

Q:What are the symptoms of thyroid nodule??

A: Difficulty swallowing

 Difficulty breathing

swelling in  neck leading o disfigurement of

Persistent cough

Fatigue

Anxiety

Weight loss or gain

Irregular- change in heartbeat

Hoarseness

Changes in your voice

Q: Why not surgery for thyroid nodules?

 A: Surgery is a conventional treatment option for both benign and malignant thyroid nodules. Thyroid ablation to remove the nodule instead of surgery is a minimally invasive treatment option with associated advantages.

Q: Are thyroid nodules cancerous?

A: Most of thyroid nodules-Lesion are benign (APPROX 90%). These nodules can sometimes produce too much thyroid hormone, resulting in hyperthyroidism. Thyroid nodules that produce excessive amounts of thyroid hormone are almost always benign. Thyroid nodules can appear at any age, but they are most common in older adults.

Q:What if my nodule turns out of be cancerous?

A:We always do and recommend to get FANAC test done to know the nature of the tissue and don’t treat patients randomly.

As per recent and scientific guidelines, benign nodules, which is majority of nodules are, can be and should be treated with ablation therapy, so thyroid gland is preserved and saved to give thyroid hormone necessary and not to be dependent on medicines

How to diagnose Thyroid Nodules:

Ultrasound Scan USG

Thyroid function tests (T3, T4, TSH, TG AB)

Blood Tests

Fine Needle Aspiration biopsy (FNAC-Definitive test to do know the nature of tissue

What are the Advanced NON SURGICAL Treatment OPTIONS Available for Thyroid nodules?

Nonsurgical and minimally invasive treatment modalities, such as Radio Frequency Ablation (RFA) and Microwave Ablation (MWA) are being used to treat thyroid nodules and yield good results and yet patient don’t have to take thyroid replacement therapy after procedure which otherwise needed after thyroidectomy.

Benefits of Thermal Microwave Ablation:

Minimally invasive and Day Care Procedure

Local Anesthesia is given , not general anesthesia or sedation

Less Morbidity-side effects

Faster return to normal activities

Less Trauma to body as involves only needle

Fewer Complications

How is MWA-RFA Procedure is Performed for Thyroid nodules?

In this Microwave Ablation- Radio frequency ablation Procedure after confirming the benign nature of the thyroid nodule, an expert Interventional Radiologist will perform Microwave Ablation of the thyroid nodule under local anesthesia. The microwave antenna needle is inserted into the thyroid nodule to be treated using appropriate imaging (ultrasound) guidance. The microwave antenna is activated after proper placement to heat and destroy the thyroid nodule. To ensure complete ablation of the thyroid nodule, the ablation needle may need to be repositioned. At the end of the procedure, one to two small incisions on the skin are usually covered with a small bandage and no sutures.  The patient is discharged within 3-4 hours after the procedure.

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In the treatment of cancer and cancer-related disorders, interventional oncology is considered as one of four pillars of a multidisciplinary team approach. Other therapies involve medical, surgical and radiation oncology.

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Thyroid Nodules

What is Thyroid?

o The thyroid is a butterfly-shaped gland found in both men and women which sits on the front of the neck. The thyroid gland has two side lobes, connected by a bridge (isthmus) in the middle and the thyroid can be felt in normal size

o It secretes several hormones, thyroxine (also called T4) and triiodothyronine (also called T3) collectively called thyroid hormones, and these hormones influence metabolism, growth and development, and body temperature.

o And thyroid disorders occur when this gland releases too many or too few hormones.

 What is a THYROID NODULE?

· It is a lump that can develop in your thyroid gland

· It can be solid or filled with fluid. You can have a single nodule or a cluster of nodules

· They are relatively common and mostly benign only 5% - 10% of the cases are cancerous

· It has to be surgically removed in part or the entire thyroid gland, under General Anaesthesia and Incisions

· Patient might possibly need thyroid hormone medicines for the rest of their life

· Or Suffer from the symptoms

 Who Are At Risk Of Thyroid Nodule?

Even though the vast majority of thyroid nodules are benign, some thyroid nodules do contain thyroid cancer and Females are at Higher Risk. For this reason, you should see your healthcare provider so they can evaluate the nodule to be sure it’s benign. As with all cancer cases, the earlier it can be diagnosed and treated, the better.

What are the advantages of Microwave Ablation?

No Surgical Procedure with severe scars – Minimally Invasive

· Lesser Hospital Stay

· Lowest chances of Recurrence

· No General Anaesthesia Needed

· Higher Success Rate

· Less Trauma

· Less Morbidity

· Faster return to normal activities

· Fewer Complications

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The Best and Most Modern Treatment for Blood Clots is Mechanical Catheter Thrombectomy.

A common health issue that necessitates prompt medical attention is a blood clot in a leg's deep veins or an essential artery. A blood clot can cause a paralytic stroke by obstructing or reducing blood flow to the brain. As a result of contemporary instruments and imaging technology, mechanical thrombectomy is a brand-new, minimally invasive method that has been created to remove clots.

The Facts About Mechanical Thrombectomy

A mechanical thrombectomy is a form of minimally invasive surgery in which an endovascular surgeon or interventional radiologist removes a blood clot from a patient's vein or artery using a catheter and guide wires. In a cath lab, the doctor uses fluoroscopy, or continuous X-ray, to direct devices into the patient's arteries to the clot and immediately remove it.

In order to gain access to an artery, the radiologist first makes a small incision in the wrist or the abdomen. The doctor inserts a tiny needle into the arteries in the legs to gain sheath access before inserting the catheter into the artery and into the clot. Then they guide the catheter-mounted, more recent stent retrieval device to the blockage in the brain. It enlarges to the size of the artery once the stent retriever has passed through. Once the stent retriever has the clot, the doctor can use it to completely draw the clot out.

They lyse and remove the thrombus burden using angiojet aspiration, a mechanical thrombectomy device for deep veins or arteries of the limbs.

What Is Treated by Mechanical Thrombectomy?

It addresses venous and arterial obstructions brought on by recent blood clots. However, if the blockage is in a brain artery or another pure blood vessel elsewhere in the body, there are other devices for it. In addition to stroke-related artery blockage, mechanical thrombectomy can be used to treat the following conditions:

deep vein thrombosis (DVT): A blood clot that develops in a significant deep vein of the arm or leg is known as a deep vein thrombosis (DVT). Although it can happen in the arms, DVT is most frequently observed in the legs. The internal venous valves of the veins, which typically only allow one-sided flow toward the heart, can suffer chronic damage as a result of DVT. This can result in long-term leg issues like pain, swelling, early weariness, and leg sores, which are together referred to as post-thrombotic syndrome symptoms.

DVTs are also risky because it's possible for the clot to separate and travel to the lungs. If this happens, the clot may end up obstructing blood flow and leading to pulmonary thrombo-embolism, a condition that may be fatal and that may be life-threatening.

For the treatment of pulmonary thromboembolism, catheter-directed thrombolysis is highly researched (PE). For major PE, recommended clinical practise calls for systemic thrombolysis. According to non-controlled trial analyses (1, 2)

As a preventative measure, inferior vena cava filters are inserted into the deep veins of those who have deep vein thrombosis but do not yet have a venous thromboembolism. By using femoral or jugular endovascular methods, filters can be inserted and removed.

When anticoagulation is contraindicated or PE recurs despite anticoagulation, standard recommendations advise placing inferior vena cava filters.

Choose hospitals with all these modern gadgets and technologies that do mechanical thrombectomy for blood clots.

According to studies, individuals who have a mechanical thrombectomy heal significantly more quickly and have a higher quality of life than those who just use clot-lysis techniques.

Being a significant medical condition, blood clots require immediate medical attention in order to prevent long-term incapacity.

A specifically trained team of doctors execute mechanical thrombectomy at the vascular centre in Aurangabad, Mumbai, Nagpur, Pune, and Navi Mumbai.