Ozan Buçan, 36, who lives in Istanbul, consulted the doctor after feeling tightness and pressure in his throat. It was understood that the Buçan's nodule (gland), which was detected in the thyroid tissue with 36 millimetres in diameter, was not malignant. The young man, to whom surgery was recommended and who learned that thyroid tissue should be removed along with the gland, did not want the thyroid tissue to be removed and an incision in his neck for this non-malignant nodule. Needle aspiration method, that is, radiofrequency ablation was applied to Buçan, who consulted Prof. Dr Erhan Ayşan, Yeditepe University Koşuyolu Hospital Endocrine Surgery Specialist, and the nodule was melted.
Buçan, stating that he had many thyroid patients in his family, continued his word as: “This nodule, that is a gland, was noticed during a routine check by hand examination. It was also understood that there was a large nodule at the ultrasound imaging. After a while, I started feeling pressure in my throat. The doctor I consulted at that time said that the nodule had to be removed surgically. However, I did not like this situation because my thyroid gland was healthy. I immediately started seeking. Finally, I found the radiofrequency method, which is an alternative treatment approach. When I received satisfactory and scientific answers to my questions during my meeting with Prof. Dr Erhan Ayşan, I decided on this treatment method. Currently, the feeling of pressure on my neck has almost disappeared. My thyroid hormones are normal. I can say that my complaints are over in two weeks.”
Prof. Dr Erhan Ayşan, who stated that radiofrequency method is not applied much in Turkey, gave the following information: “at the ultrasound imaging we performed, we detected a 36mm diameter nodule, namely gland, in the left lobe of our patient's thyroid. We determined that the nodule was benign in the biopsy. We tell our patients in this situation that there are three different options. The first of these is to follow-up the patient, the second is surgery, and the third is the radiofrequency method, which is an alternative treatment approach. As with this patient, the follow-up method in oversized nodules is risky; we recommend it only to elderly patients.”
In Turkey, 1 out of every six people has thyroid disease. One out of every five patients has nodules. Prof. Dr Erhan Ayşan, who provided information about the radiofrequency method, said, "This method is a relatively new treatment option. Since it contains the word “radio” in its name, it is perceived differently, but only heat energy is used in this method. It does not contain radioactive materials or radiation. It is preferred in the USA and South Korea quite frequently. In the USA, people look at this method from a cosmetic point of view and prefer this method to avoid incisions on their necks. The reason for their frequent preference in South Korea is entirely related to religious beliefs. It is a religiously troublesome situation that people living in this region have an incision in their necks. That's why they prefer the radiofrequency method very much. Radiofrequency treatment is not applied to every patient. First of all, it must be confirmed by biopsy that the gland detected in the patient is not cancer. It is important that the nodule diameter is over 2-3 centimetres, and there is a feeling of pressure on the neck of the patient. The radiofrequency treatment provides a suitable solution for such patients."
Yeditepe University Koşuyolu Hospital Endocrine Surgery specialist, Prof. Dr Erhan Ayşan, who stated that a shrinking is being achieved in the thyroid gland of the patient treated with radiofrequency, continued his words as follows:
“I liken it to the deflation of a balloon. Think of the gland as a swollen balloon in the thyroid tissue. We are deflating the balloon. All that's left is the shell. Moreover, the best thing is that this balloon can't be inflated again. It is not possible to repeat the gland after correct radiofrequency treatment. Because we burn the veins that feed it together with the gland. The gland cannot feed and cannot grow again.”
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