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Dr. Andrade is one of only a few Physicians in the nation who performs RFA.   Please go to the RFA dedicated link.

Ultrasound lymph node mapping pre-operative is indicated in planning thyroidectomy for Differentiated Thyroid Cancer (DTC) and Medullary Thyroid Cancer. It will predict efficiently lymphatic spread of the tumor and is serves as a tool for surgical planning and prognosis determination.

After thyroidectomy (with or without neck dissection) is a simple non invasive and devoid of radiation procedure that is highly sensitive tool for monitoring disease recurrence post thyroidectomy in conjunction with Tg level and sometimes I-131 Whole Body Scan (WBS).

Dr. Andrade is ECNU Certified and has performed over 30,000 neck, thyroid, parathyroid and lymph nodes of the neck ultrasounds. In regards to the Parathyroid ultrasounds, in Dr. Andrade’s experience, is the most cost effective tool to discover the location of parathyroid adenoma in patients with primary and tertiary Hyperparathyroidsm with a sensitivity of 80% and specificity of 70% that makes the test superior to the Parathyroid Scan which is the most frequently order

Dr. Andrade performs around 550 Fine Needle Aspirations per year for the past 20 years, having statistically less amount of repetition for non-diagnostic aspirations in comparison with the national average.

We offer a Board Certified Cytopathologist who makes smears for an in-house first look by Dr. Andrade, avoiding unnecessary re-aspirations that could be painful and expensive.
A fine needle aspiration biopsy of a thyroid nodule is a simple and safe procedure performed in our office. Typically, the biopsy is performed under ultrasound guidance to ensure accurate placement of the needle within the thyroid nodule. You will be asked to lie down on your back with your head tipped backwards, so that your neck is extended.  During the procedure you may feel some neck pressure from the ultrasound probe and from the needle.

Parathyroid nodules usually do not require aspirations, except when there is doubt of the diagnosis.  A PTH assay from the needle wash-out is performed, if the PTH is high in the sample, this will confirm that the lesion is a Parathyroid.

Dr. Andrade is one of only a few physicians in the nation who performs this procedure.

Dr. Andrade has performed hundreds of PEI over 20 years. None of his patients had significant complications  after the procedure.

Cystic lesion (simple cyst or partially cystic thyroid) account for approximately 10% to 20% of thyroid nodules. Many of this lesions cause local discomfort or cosmetic complaints.  Simple aspiration of a thyroid cyst will have recurrence rate in about 70% of cases. The aspiration followed by PEI has a success rate of 70% cure or significant shrinkage (>50% reduction).

Aspiration followed by PEI is the first option in Europe and most of Asian Countries where as in the United States still in the majority of symptomatic cysts, surgery is suggested.

Dr. Andrade is one of only a few physicians in the nation who performs this procedure.

Differentiated Thyroid Cancer (DTC) is the most common subtype of thyroid cancer and typically has an excellent prognosis. However, post operative recurrence occurs in 20% to 60%.

Ethanol Injection of local recurrent thyroid cancer has a successful reduction  or disappearance rate of approximately 80%.

Ethanol Ablation of recurrent tumor is ideal for localized and small number of lymph nodes.

We recommend 1-3 treatment sessions as an outpatient procedure.

Complications: just minimal discomfort, no major complications.

Patient is able to go home without restrictions.

Dr. Andrade is one of only a few physicians in the World who performs this procedure.

TGDC is the most common congenital neck cyst. Usually presents as a midline neck lump. Aspiration of TGDC has a high recurrence of more than 60%. This is why in the United States, surgery (Sistrunk procedure) is recommended. The recurrence after surgery is 5%, but it has its drawbacks such as hospitalization, general anesthesia, scar, surgical complications.

Ethanol ablation is an Outpatient procedure that is performed in 1 – 3 sessions with a success rate of around 80% volume reduction in a year.

Complications: just minimal discomfort, no major complications.

Patient is able to go home without restrictions.

The term thyroid nodule refers to an abnormal growth of thyroid cells that forms a lump within the thyroid gland. Although the vast majority of thyroid nodules are benign (noncancerous), a small proportion of thyroid nodules do contain thyroid cancer. In order to diagnose and treat thyroid cancer at the earliest stage, most thyroid nodules will need a Fine Needle Aspiration Biopsy

  1. Papillary Thyroid Cancer: is the most common type of all thyroid cancers. Papillary thyroid cancer can occur at any age. It tends to grow slowly and spread to lymph nodes in the neck, and generally has an excellent outlook.+
  2. Follicular Thyroid Cancer makes up about 10% of all thyroid cancers. Follicular thyroid cancer       can spread to lymph nodes in the neck, but is more likely than papillary cancer to spread to distant organs, particularly the lungs and bones.
  3. Medullary Thyroid Cancer accounts for approximately 2% of all thyroid cancers. Approximately 25% of all medullary thyroid cancer is inherited, and a test for a genetic mutation in the RET proto-oncogene can lead to an early diagnosis and, thus, to curative surgery.
  4. Hurthle Cell Thyroid Cancer (HCC) Is a rare type of Thyroid Cancer that accounts for approximately 5% of thyroid cancers.Minimally invasive, HCC exhibits good prognosis where as widely invasive HCC tents to metastasize to Lymph Nodes and distant organs like lungs and bone.
  5. Anaplastic Thyroid Cancer is the most advanced and aggressive thyroid cancer. Anaplastic thyroid cancer is very rare and is found in less than 2% of patients with thyroid cancer. It most commonly occurs in people over the age of 60 years.