A2 The risk also depends on the type of recurrence. If the recurrence is in a lymph node the risks to surrounding structures can be somewhat different than if the recurrence is located in the thyroid bed at the site of the prior cancer. #AHNSchat

A3 A watch and wait approach may be a good option for some patients with low risk disease in a favorable location within the neck. It is important to have an honest and upfront discussion with your treating doctors that covers all possible management options. . #AHNSchat

A4. Radio frequency ablation is a newer option in the US for management of thyroid disease. The small group of us currently performing it use it mainly for benign thyroid nodules however it may be useful for select thyroid cancer recurrences #AHNSchat

I mainly use ethanol ablation for cystic lesions as it has higher success rate with fluid filled cavities. It has the ability to leak out of the lesion and I prefer to use a withdrawal method which minimizes the risk of leak and complications #AHNSchat

A4 in general for solid masses, Radio frequency is likely a safer and more effective option than ethanol ablation However there is less experience with a RFA cf ethanol ablation in the US at the current time..#AHNSchat

A4 while doing the radiofrequency ablation, we keep the probe tip away from areas where we know important structures run such as the laryngeal nerves. To do a RFA properly you need to be very experienced in thyroid ultrasound and biopsies..#AHNSchat

A5. A thyroid cancer recurrence is a very emotional ordeal. Having treating doctors who can give you honest and experienced advice will help you make an informed decision about management options. An experienced surgeon is essential. #AHNSchat

Fantastic session. Very happy to have participated. Have a wonderful night everyone! #AHNSchat

Congratulations on a great Twitter chat! - American Head & Neck Society ahns.info/endothycatwitt…

RFA course this Friday

reports.mountsinai.org/article/ent202…

The inaugral North American Society for Interventional Thyroidology webinar begins in 10 minutes. We are very excited to have founded this organization and look forward to many future collaborative efforts. These webinars will be held quarterly.

The first thyroid RFA in Australia performed yesterday at Cabrini Malvern, Melbourne #radiofrequencythyroid #rfaaustralia #melbournethyroidsurgery

Watch “SIGNAL: June 2021 President’s Message” on #Vimeo vimeo.com/566608645?ref=…

Honored to have been a Keynote speaker at the Korean Thyroid Association meeting in Guangjo Korea and to have had the pleasure of hanging out with Prof Baek himself:) #savemythyroid#thyroidradiofrequency