Thyroid Nodules: An Innovative Treatment Method as an Alternative to Surgery


The presence of thyroid nodules is a problem that poses a serious physical and psychological challenge for many. A patient from Aktobe, Anar Beysenbayeva, struggled with this condition for many years. Difficulty swallowing, a constant sensation of a lump in the throat, discomfort, and choking sensations when turning her head significantly diminished her quality of life.
 Thyroid Nodules: An Innovative Treatment Method as an Alternative to Surgery

In recent years, Anar noticed an increase in the size of a thyroid nodule and consulted an endocrinologist in her local area. Cytological examination confirmed that the nodule was benign. However, the patient categorically refused surgical intervention, expressing her desire to preserve the integrity of her body.

Specialists at the National Scientific Medical Center in Astana offered her alternative treatment options. In addition to surgical removal of the nodule and conservative therapy, an innovative method—microwave ablation (RFA and MWA)—was proposed. This method effectively treats nodules while preserving the tissue and function of the thyroid gland.

On January 24, 2024, Anar successfully underwent the microwave ablation procedure under local anesthesia. After the procedure, the nodule, which initially measured 6.3x5.3x3.8 cm with a volume of 68 ml, decreased over 10 months to 4.3x3x3.3 cm with a volume of 17 ml. Symptoms such as pressure sensations, difficulty swallowing, and cosmetic defects completely disappeared.
Diagnosis: Non-toxic single-nodule goiter, Grade 2, euthyroid state.

Microwave ablation has proven to be a safe and effective alternative to surgical treatment. This case highlights the importance of innovative solutions in managing thyroid nodules. Anar's choice not only improved her health and quality of life but also demonstrated how new treatment methods expand the possibilities of modern medicine.

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